Bariatric Surgery Questions & Answers

Our team encourages individuals who are considering having surgery to speak to a physician.

General Questions

While most people think obesity means to be excessively overweight, the definition of obesity is excess adipose or fat tissue.

A more accurate number utilized by clinicians, is body mass index or BMI. Your BMI is calculated by dividing your weight in kilograms by your height in meters squared. A BMI of 22-25 is considered normal, 25-30 overweight, 30-35 obese, 35-40 class II obesity and more than 40 morbidly obese or class III obesity.

BMI Classification Health Risk
Under 18.5 Underweight Minimal
18.5 – 24.9 Normal Weight Minimal
25 – 29.9 Overweight Increased
30 – 34.9 Obese High
35 – 39.9 Severely Obese Very High
40 and above Morbidly Obese Extremely High

Our bariatric surgery specialists consider individuals with a BMI of 40 as candidates for surgery, as well as those with BMI of 35 with life threatening complications from their obesity.

Bariatric surgery should be considered for obese people who have failed non-operative weight loss options. They should qualify as obese for several years prior and not have any active drug or alcohol addictions or major psychiatric disorders. In addition, the risk and emotional cost of their obesity should exceed the risk of having an invasive operation.

Bariatric surgery is the only remedy that has documented long term weight loss in the majority of morbidly obese individuals. This does not mean that no one is successful without surgery, because some certainly are, however, most lose weight only to relapse and regain their weight. Surgery does not replace the need to exercise and wise food choices, but it makes these goals realistic and provides a long-term control mechanism to assist in managing this chronic problem.

The physicians at our practice in Manhattan stress that gastric bypass or LAP-BAND® Adjustable Gastric Band surgery for obesity should not be a first option for treating your weight problem. In fact, if you can lose weight without an operation, it is preferable.

Gastric Bypass makes both a smaller gastric pouch and bypasses of the first portion of the small intestine. As a result, eating behavior is altered. Since the storage capacity of the stomach is reduced, and the outlet is restricted, a person gets full faster. In addition, food enters the small bowel without mixing with the digestive juices from the liver and pancreas. As a result, foods high in sugar and fat are not efficiently digested and fewer calories are absorbed.

All patients after a bypass must take a daily multi-vitamin and calcium and many, especially menstruating women, require an iron supplement.

Following surgery, you will meet with our nutritionist to discuss short-term and long-term nutritional needs.

The LAP-BAND® Adjustable Gastric Band is a device that is FDA approved for the treatment of morbid obesity. It is a silicone band that is placed around the top portion of the stomach. When the band is tightened, the gastric reservoir is made smaller and the patient gets full after eating less food. The band is attached to a port which is implanted beneath the skin. The port can be used to adjust the tightness of the band. If the patient requires more control the band can be tightened. If he/she is having difficulties or needs to eat more, the band can be loosened.

The adjustable nature of the band offers numerous advantages. Your anatomy stays in its normal position. Malabsorption and vitamin deficiency is not a concern. The chance of intestinal leakage and infection is reduced. Also, if you do not have good results, band placement does not preclude future bypass. Weight loss is not as fast as with bypass.

Over 300,000 bands have been placed worldwide with documented results. There are several unique complications associated with the band including erosion into the stomach and slippage of the band.

Duodenal Switch Surgery/SIPS procedure (Stomach Intestinal Pylorus-Sparing Surgery) is a simpler duodenal switch procedure with fewer complications and nutritional deficiencies. The benefit of SIPS is that it does not cause wide swings in blood glucose which helps to preserve the pyloric valve. And by not bypassing as much intestine, it reduces the complications of short bowel syndrome.

These are bariatric operations in which a very significant amount of the intestines are bypassed. Instead of relying on getting full faster, these operations rely on creating malabsorption. Part of the stomach is removed in these operations, and the food is redirected to bypass a large amount of the intestines. These operations cause marked weight loss but protein supplementation is mandatory because malnutrition is a concern.

The amount of weight a patient will lose depends on a wide range of variables like genetic makeup, what operation selected, how much he/she typically ate before surgery, how much he/she will be able to eat after, how much exercise the patient gets and his/her metabolic rate. Patients can lose as much as 70% of their excess body weight within the first 18 months. Results will vary from person to person.

Those that only rely on surgery and do not change their behavior and become more active will not have the as favorable a result.

With minimally invasive surgery, it is not necessary to cut through the muscle—the surgery is done through small incisions. The surgeon is able to see the operative field using a television monitor. Advantages include reduced wound complication potential, less hernias and a faster return to full activity. It is important to emphasize that even when surgery is done through small incisions, it is still a major operation.

We wish to emphasize to our patients that all bariatric surgery operations are major procedures and have serious risk. The national average death rate for bariatic surgery is 0.5%. The following list outlines some risks, but is far from exhaustive.

Risks and Possible Complications of LapBand

  • Operative
  • Short-Term
  • Long Term
  • Death
  • Weight Gain
  • Anesthesia
  • Slippage/Prolapse
  • Injury to Other Organs
  • Vomiting
  • Cardiac Arrest
  • Frothing
  • Bleeding
  • Tube Leakage
  • Respiratory
  • Erosion
  • Abcess
  • Port-Dislodgement
  • Pneumonia
  • Mechanical Failture
  • Infection
  • Esophogeal Dysfunction
  • Blood Clots (DVT/PE)
  • Infection
  • Re-operation

Risks and Possible Complications of Gastric Bypass

  • Operative
  • Short-Term
  • Long Term
  • Death
  • Weight Gain
  • Anesthesia
  • Stricture
  • Malnutrition
  • Injury to Other Organs
  • Vomiting
  • Calcium Deficiency
  • Cardiac Arrest
  • Frothing
  • Anemia
  • Bleeding
  • Ulcer
  • Hernia
  • Respiratory
  • Dumping
  • Bowel Obstruction
  • Leak
  • Obstruction
  • Chronic Abdominal Pain
  • Abcess
  • Re-operation
  • Fistula
  • Pneumonia
  • Ulcer
  • Infection
  • Leak
  • Blood Clots (DVT/PE)

There is no specific time limit when a postoperative bariatric patient can return to work—generally, it takes two to three weeks, and occasionally more. The potential reason for the delay is not pain, but the lack of strength and difficulty making the adjustment to a different way of eating. Any medical complication can also cause delay. We suggest that you plan to be away from your job for one to two weeks. For patients with strenuous physical jobs, 2-3 weeks is necessary to allow for adequate healing. If arrangements can be made, you can return to light duty earlier.

Yes, very safe. Hundreds of thousands of people travel to Mexico each year to
have surgery. It is much more affordable to have the surgery done there. The
surgeons are highly trained and perform hundreds of procedures per year on
bariatric patients. World class equipment is used and sterile technique. At
Affordable Advanced Bariatric Association ALL OF OUR SURGERIES ARE IN A
CERTIFIED HOSPITAL, NOT A CLINIC ( like a lot of the competitors). The hospital
has an ICU and top qualified staff. Your safety is our priority. You are
transported by an English speaking driver and taken from San Diego straight to
the hospital.
Yes, You will need a valid passport for the travel into Mexico and return to the
USA.

If your bariatric surgery questions were not answered on this page, Please give us a call at 1-833-754-6696

Why Affordable Advanced Bariatrics Association?

Weight Loss surgery can be very expensive and sometimes not covered by insurance or the patient has to wait a long period to qualify for surgery.   The average weight loss surgery can average ($18,000 – $30,000), but in Mexico, weight loss surgery can be done as low as $4500.  Top trained and certified surgeons perform weight loss surgeries with permission.   Prices are all inclusive:   two-day hospital stay, x rays, lab work, EKG, surgery, anesthesia, medication, leak test, one day top rated hotel stay and ground transportation to and from San Diego airport is included.   Your safety is assured with friendly English speaking staff.

We do surgery at a certified bariatric hospital and you will have hotel accommodations in a top rated hotel.   The hospital is only a few minutes from the border and San Diego airport.   We provide safe friendly ground transportation to and from the hospital.   The staff at the hospital is friendly and knowledgeable.  Our patient advocate is available 24 hrs a day to answer questions.   We strive to provide the best hospital experience at a very reasonable price.   You will love your experience with us.    Everything is arranged and done for you, the only thing you need to do is to arrange your flight to the San Diego airport.  A real piece of mind and assurance that you will be taken care of from start to finish.

Take action today and contact us.  We can arrange surgery quickly for you.   Change your life for the good!