Bariatric Care Center California

Sleeve gastrectomy is one of the surgical methods of weight loss. In this procedure, stomach will be reduced to 25% of its normal size; by using this surgery, a large part of the stomach will be removed. And then open edges are attached together to form the tube or sleeve with the banana shape. This method permanently decreases the stomach size. This surgery is performed laparoscopically and it is not reversible.

Laparoscopic sleeve gastrectomy is the restrictive method without using any malabsorptive components that are present in other weight loss procedures. This is a fashionable procedure, in this approximately 70% of the stomach will be removed, which releases hunger hormone called ghrelin that results in a smaller, new stomach that is roughly the shape and size of a tube or sleeve. This will provide decreased appetite and increased satiety.

With this decreased stomach size, patient feels full after eating less food, takes in lesser calories, and then loses weight. Hungry hormone drive will be taken away after this surgery, so patents do not feel hungry.

Procedure:

Laparoscopic sleeve gastrectomy is a very simple procedure than the gastric bypass surgery, because it doesn’t require reconnecting or rerouting the intestine. The Laparoscopic Sleeve Gastrectomy is performed with small incisions, and it takes about an hour to perform. Same as the adjustable gastric band, and roux-en-Y gastric bass, this procedure is conducted in minimally invasive manner through small incisions. As in this laparoscopic gastric bypass, camera, harmless gas and instruments would be utilized.

Eligibility:

Particularly this procedure is indicated for people who are at high risk for the bypass procedure, have complex surgical history or high BMI. To avoid potential risks of the foreign body, patients can also consider the laparoscopic sleeve gastrectomy procedure instead of gastric banding procedure.

Advantages:

·         Stomach size will be reduced without any loss of function or anatomy change. This will result in few chances of developing lack of minerals and vitamins and eliminate the dumping syndrome in the gastric bypass surgery.

·         Almost 75% weight loss of overweight.

·         Too much decrease in the ghrelin.

·         In this no implantable band devices are used, so erosion or slippage is not a risk.

·         Surgical risks lesser than with gastric bypass surgery, but weight loss is same.

·         This is performed by using minimally invasive method, which helps in reducing the recovery time.

·         No device is used, it only requires adjustment. The band is inserted, so follow up hygiene is not as acute as it would be with band.

·         Reduces the chances of developing ulcers.

·         Fewer visits than the lap Band, because here no need for the adjustment of band size.

Recovery Period:

·         You may need to stay 2 days in the hospital.

·         You can return to your daily routine within 3-4 days.

·         Usually complete surgical recovery occurs in 7-10 days.

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The cost of gastric bypass surgery depends on several factors, such as the location, the surgeon, and also the duration of the surgery. Generally the cost varies between $18,000 and $35,000. There are several insurance providers that can offer some or full insurance coverage for the gastric bypass surgery.

Here are the details that are included in gastric bypass surgery cost:

1. Pre-op lab costs

2. Surgeon’s fee

3. Hospital fee

4. X-ray

5. Anesthesia charges

6. Post-operative care, generally 90 days

Factors that can alter the cost of the gastric bypass surgery:

1. Duration of the hospital stay

2. Where you live, the location you are residing can have a great effect on the cost of the surgery

3. If the surgeon or hospital is in your network provider for the health plan you have

Also, there are several things that are not included in the cost of gastric bypass surgery, such as:

1. Diet counseling cost

2. Lifestyle changes

3. Body contouring or plastic surgery procedures to eliminate the additional skin or sagging areas whereas treating the loose muscles

4. Vitamin and supplements cost

5. Behavioral therapies if you are considering any after the surgery

If you want to make sure about the cost of gastric bypass surgery, you can consult your nearest and an experienced bariatric surgeon.

Gastric bypass Roux-En-Y works by using surgical staples in order to make small pouch at the top of your stomach. Then a segment of a small intestine is attached to this pouch. The stapled stomach only holds one ounce of fluid. Also, the surgery constructs a tiny stomach outlet that reduces the speed food leaves the stomach.

Due to the smaller stomach size, you feel full for only small amount of food and for a longer period of time. Roux-En-Y gastric bypass surgery can be considered by people who have BM of 40 or higher or people who have BMI 35 or higher and have obesity related diseases.

This surgery decreases the stomach volume by 90% and the gastric bypass pouch is formed where the stomach is least susceptible to stretching. People who have gone through Roux-En-Y gastric bypass surgery should change their lifestyle, dietary, and behavioral changes.

Not only Roux-En-Y gastric bypass surgery helps to reduce weight, also it helps with diabetes, high blood pressure, high blood cholesterol, sleep apnea, osteoarthritis, gastric reflux and improves fertility.

Similar to any other surgical procedure, Roux-En-Y gastric bypass surgery also have some difficulties. It causes intestinal obstruction, dumping syndrome, behavioral and lifestyle changes, more frequent bowel movements, nutritional deficiency, etc.

Gastric bypass surgery is one of the most common types of weight loss procedures, which are being used over 30 years and with impressive weight loss results. On the other hand, lap band surgery is a modern approach for weight loss and is less invasive and making it more popular due to its long term weight loss and fewer side effects.

Here is the brief comparison between lap band and gastric bypass surgery: