Cheap Weight Loss Surgery?

Looking For Cheap Weight Loss Surgery Options?  Think Again.

Wordle: weight loss
Don't even think about finding a surgeon that will do "cheap weight loss surgery".  That is if you want to live for any length of time.  Weight loss surgery needs to be considered very carefully and you will need to pay for a good, qualified surgeon to do it. 

 

Price Is The Last Consideration Before Weight Loss Bariatric Surgery

Bariatric Weight Loss Surgery Options treat obesity by facilitating weight loss by closing off parts of the stomach to make it smaller.  This type of bariatric gastric weight loss surgery is called a restrictive operation.  Basically, it restricts food intake.  This type of surgery will provide a feeling of fullness when 1-3 ounces of food  is ingested.  It does not interfere with normal digestion. However, you should still avoid selecting a surgery offering cheap weight loss surgery. 

  Find Out Why Bariatric Cost Should Be The Last Consideration.

 Adjustable gastric banding is a restrictive weight loss surgery. Gastric banding surgery places a band around the upper part of the stomach which narrows the passage into the larger part of the stomach.  Once the band is in place, it is inflated with a saline solution.  This weight loss surgery allows gastric surgeons to  increase or decrease the narrowing  by adding or subtracting the saline solution.   Low cost weight loss surgery is not your number one concern.

The most common restrictive surgery is the vertical banded gastroplasty.  This type of weight loss surgery uses both the band and staples and it is wise not to be elect a surgeon promoting cheap weight loss surgery.

Restrictive weight loss surgeries do lead to weight loss in approximately 80% of the patients.  Some patients have regained their weight because of the inability to adopt healthy eating patterns and participate in regular exercise.

Risks with the adjustable gastric banding procedure are vomiting, band slippage, and saline leakage .  The wearing away of staple line and the band are complications that could develop with the vertical banded gastroplasty.  A rare complication is gastric acid can leak into the abdomen and require emergency surgery.  Infection and death has developed in less than 1% of all cases.  Do you really want cheap weight loss surgery?  Dangers Of Cheap Weight Loss Surgery.  Click Here

Another weight loss surgical option is a partial gastric bypass of the small intestine.  A diversion is made directly from the stomach to the lower part of the small intestine.  This type of bariatric surgery combines stomach restrictive surgery with partial bypass and are known as malabsorptive operations because it bypasses a part of the digestive tract that normally absorb nutrients and calories.   Just say NO to cheap weight loss surgery.

Malabsorptive surgery is the most common medical weight loss surgery because it promotes more weight loss than the restrictive surgical procedures.  The most common and successful surgical option is the Roux-en-y gastric bypass (RGB).  The RGB creates a small stomach pouch which limits food intake. Then a Y shaped section of the small intestine is attached to this pouch to bypass the lower stomach, duodenum and part of the jejunum. The duodenum and jejunum are part of the small intestine where most nutrients and calories are absorbed.  Did you say you wanted cheap weight loss surgery?

More Reasons To Avoid Surgeons Promoting Cheap Weight Loss Surgery

A more complicated malabsorptive surgery is the biliopancreatic diversion (BPD). This weight loss surgery option actually removes a portion of the stomach leaving a small pouch.  This remaining stomach pouch is then connected to the ileum bypassing the duodenum and jejumun.  Because of the high risk for nutritional deficiencies, this weight loss option is not as frequently done compared to the other surgical weight loss procedures.  A modified version of the BPD is the duodenal switch.  This gastric surgery leaves a larger portion of the stomach in place along with the pyloric valve as well as a segment of the duodenum.  The pyloric valve regulates the amount of food released from the stomach into the small intestine.  Do you see why costs of weight surgery should not be a deciding factor?

When considering your weight loss surgical options, avoid selecting the doctor offering cheap weight loss surgery.  Remember that nutritional deficiencies are a huge risk factor and supplementing with special foods, vitamin and mineral supplements must be a lifelong commitment. 

 Cheap weight loss surgery must not be a criteria for having it done. Say no to cheap weight loss surgery.

 

Obesity Rate Highest In Mississippi

By the year 2030, obesity rates are expected to topple 60% and Mississippi is leading the way. A total of 13 other states are not far behind.  States with the highest obesity rates right behind Mississippi are Alabama, Arkansas, Delaware, Kanas, Kentucky, Louisiana, Missouri, Oklahoma, South Carolina, South Dakota, Tennessee, and West Virigina.

This increasing obesity rate will have serious health consequences both physically and financially.

The public has been well informed about the dangers of being over weight and only continue to grow larger and larger.  Since we already know about the dangers of morbid obesity, lets talk about the upside for those seeing this as an opportunity.

Brand new markets have opened up to provide services to those who are more than just a little overweight.

In the past, weight loss supplement, exercise equipment manufacturers and suppliers were the primary beneficiaries of individuals struggling with weight loss.  Now, new markets have emerged in the medical equipment supply which are providing bariatric equipment, such as over sized bedside commodes and wheelchairs.

Physicians and hospitals have even opened up a new market by offering bariatric surgery.  Bariatric surgery also adds mental health and nutritional consultation services for a bigger bang for their buck.

Advertising agencies have even benefited from obesity because these new markets need to advertise.

Airlines want to, if not already, charge the obese consumer as well.  Clothing manufacturers clearly have a larger market now then ever before. These are just a few of the new markets that are cashing in on over weight consumers.

Of course, these products bring some relief and are welcomed by the obese individual but the toll obesity takes on health cannot be measured in money.  What is the real cost of  obesity?  Can we place a dollar figure on the  decreased quality of life that  occurs from being overweight?  The difficulty breathing, the difficulty transferring from one chair to another, the difficulty of  performing basic activities of daily living?  How about the increase in disability claims related to morbid obese individuals and society’s loss from their unfulfilled contribution they would have otherwise gifted us with.

By now, we all have been educated on the negative effects of being overweight but we continue to grow larger and larger and our quality of life becomes smaller and smaller.

 

 

 

 

Lap Band Surgery Criteria

There are many types of bariatric surgery and Lap Band Surgery is just on type of the weight loss surgeries available to individuals who have been unable to lose weight using diet and exercise. 

Below is a little history of the guidelines that have been put in place to determine eligibility.  

 

In 1991, the National Institutes of Health (NIH) provided a consensus statement for selecting bariatric surgery candidates.[5] Patients were considered candidates for surgery if they met one of the following criteria:

  • Body mass index (BMI) >40
  • BMI of 35-40 plus one of the following obesity-associated comorbidities:

    • Severe diabetes mellitus
    • Pickwickian syndrome
    • Obesity-related cardiomyopathy
    • Severe sleep apnea
    • Osteoarthritis interfering with lifestyle

To be candidates for bariatric surgery, patients should have attempted, without success, to lose an appropriate amount of weight through supervised diet changes.[1] Patients must also comply with postoperative diet and exercise

Read more at http://emedicine.medscape.com/article/143973-overview#a03

Lap Band Complications

As with all surgeries, there are complications that can develop.  Below are a list of possible problems that could develop during or after lap band surgery.

Band Slippage, Bleeding, Perforation of Stomach, spleen injury, dilated esophagus, band erosion, infection, pouch enlargement, heartburn, mechanical device malfunction or failure and death.

Bariatric surgery has come a long way and continues to become less invasive.  But it isn't just surgeons that need to stay on top of the new technologies; radiologists need to understand the past surgical techniques as well as the latest procedures in order to provide the bariatric surgeon with significant findings that could alter the type of bariatric surgery performed.

A new exhibit shows how radiologists play a key role in ensuring the success of these procedures. 
“Although complications are generally rare with Roux-en-Y gastric bypass and gastric banding procedures, it's critical for radiologists to be familiar with both the normal presentations and possible complications for these surgeries,” said Dr. Mariam Moshiri, lead author for this presentation. 

Obese patients can be difficult to assess because landmarks are often difficult to identify on the exterior.  The internal findings may present an altered appearance as well.

“There are radiologists in the community who are not familiar with bariatric surgery,” Dr. Moshiri said. “As the rate of surgical treatment for obesity continues to increase, I believe radiologists will encounter these patients more frequently. For the radiologists who do not encounter these patients on a daily basis, they should at least be familiar with gastric banding and Roux-en-Y gastric bypass and the appearance of normal anatomy and what complications can occur.   Click the link below to read more

http://www.medicalnewstoday.com/releases/244760.php

Understanding potential risks and working proactively to reduce them will provide the best possible outcomes in bariatric surgery. 

 

Best Bariatric Surgery Outcomes At PA Facility

 

A teaching hospital in Pennsylvania has been acknowledged for low complication rates on bariatric surgery.  This is comforting news to anyone considering weight loss surgery.  After all, the morbid obese patients usually has numerous health problems that are related to obesity and they need to seek a qualified and competent bariatric surgeons to ensure the best possible outcome.  

 

The Crozer program, which offers minimally invasive procedures like gastric bypass, sleeve gastrectomy and gastric bands, demonstrated the best year-over-year performance in bariatric surgery based on Potentially Avoidable Complications (PAC) analysis conducted by Blue Health Intelligence (BHI®), the nation's premier health intelligence resource, in collaboration with Independence Blue Cross and other participating Blue Cross and Blue Shield companies.

To determine the best-performing facilities in bariatric surgery based on PAC analysis, 214 facilities were considered. During the three-year period that BHI looked at, Crozer experienced lower than average complications and exhibited excellent safety results, a low readmission rate and a competitive average cost of care. Crozer's potentially avoidable complication rate was just 0.04 percent compared to a nationwide average of 6.7 percent.   …More at New Analysis From Blue Health Intelligence(R) Highlights Crozer-Chester Medical Center as a Top Performing Facility

It is important to keep in mind that this facility had more than qualified bariatric surgeons.  They have a team of professionals that contribute to the success of the program.   It sounds like this facility has a team that work collaboratively together for the good of the patients.  

More Reading

What are the major risks involved after bariatric surgery - http://t.co/ytCkYjNr

— kumararatna (kumara ratna) (@kumararatna) Thu May 3 2012

Bariatric Surgery Criteria Inspires Woman To “Pig Out” 

The below video is disturbing to watch.  A woman is actually trying to gain weight so she is meets the bariatric surgery criteria.  Healthcare costs will only continue to rise with this type of thinking.  

Bariatric surgery is not a magic bullet.  It comes with risks and it is expensive.  Hopefully, her doctors will make a mental health referral. 

 


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Soda Employer Targets Obese Employees

According to thie article, obese employees that work for Pepisco will be charged $50 per month if they suffer from health conditions linked to being overweight, such as diabetes and high blood pressure.  Proving high blood pressure and diabetes is a direct result of obesity should be interesting, since diabetes and high blood pressure affect thin people too.

PepsiCo, has implemented a policy to charge its employees $50 a month if they have obesity-related medical problems such as diabetes, hypertension, and high blood pressure. This punitive fine was implemented as part of a wellness program initiated by PepsiCo several years ago.

 

This policy is highly discriminatory and unfairly singles out people affected by obesity. This is also an unfortunate example of a company making products that can be harmful to health and then blaming the people who are suffering the harm. The hypocrisy of a soda company imposing financial penalties on its employees for a health problem that their own products contribute to is undeniable. A parallel would be Philip Morris charging fees to their employees who smoke cigarettes.   Read more…… 
Could this be a sign of yet another social control trend developing?
Just ask any cigarette smoker.  It wasn’t that terribly long ago when smoking used to be socially acceptable. Now smokers are viewed as a lower life form. Smoking is a very addictive, unhealthy habit but it still remains legal for anyone over 18 years of age.  Since smokers pay higher costs for their health insurance, increased taxes, and life insurance, why shouldn’t individuals who are obese pay more as well?
If PepsiCo truly wants to reduce obesity and its associated medical conditions amongst its employees, they should instead increase their efforts to initiate and support social changes that can help reverse the societal conditions that have created obesity in the first place. Examples include increasing access to affordable healthy foods, providing more opportunities for physical activity in the workplace, rewarding employees for positive lifestyle behaviors (such as improved nutrition) regardless of their body size, and last but not least, reducing advertising and accessibility of unhealthy foods and beverages…such as soda.
It would be interesting to find out if PepsiCo’s health plan pays for bariatric surgery?  Another option could be for PepsiCo to just stop producing soda completely.  That, would solve the obesity epidemic and obese PepisCo employees will be able to lose weight and improve their health.  However, they may not have a job but what the heck.

 

 

Preop Bariatric Questions

Planning for bariatric weight loss surgery is a process.  Once you have been through the stages that lead up to the actual surgery, you will need to review the questions below before surgery. 

 

How much weight will fast will I lose it? Will I continue to lose weight?

This will give you a realistic guideline to help you monitor your progress 

What will eating be like after weight-loss surgery?

  • What should I eat or drink when I am in the hospital? How about when I first come home? When will I be eating more solid food?
  • How often should I eat?
  • How much should I eat or drink at one time?
  • Are there foods I need to avoid?
  • What should I do if I feel sick to my stomach? If I am throwing up?

What are extra vitamins or minerals I will need to take? Will I always need to take them?

How can I get my home ready before I even go to the hospital?

  • How much help will I need when I come home?
  • Will I be able to get out of bed by myself?
  • How do I make sure my home will be safe for me?
  • What type of supplies will I need when I get home?
  • Do I need to rearrange my home?

What types of feelings can I expect to have? Can I talk with other people who have had weight-loss surgery?

Your health care professionals will need to follow the privacy laws and should not break a patient's confidentiality.  However, there may be group meetings that are available through the provider where you can meet people who have had bariatric surgery. 

What will my wound be like? How do I take care of it?

This is very important.  Depending on the type of bariatric surgery, your wound can be several small puncture wounds or a long incision.

  • When may I shower or bathe?
  • How do I take care of any drains or tubes that come out of my belly? When will they be taken out?

How active can I be when I get home?

Again, your activity restrictions will be geared to the type of surgery you will have.  This should be explained very clearly so no postop complications develop.

  • How much can I lift?
  • When will I be able to drive?
  • When will I be able to return to work?

Will I have much pain? What medicines will I have for the pain? How should I take them?

Keep in mind pain meds can cause constipation.  Be sure and ask your doctor to recommend a stool softner if pain meds are prescribed.

When is my first follow-up appointment after my surgery? How often do I need to see the doctor during the first year after my surgery? Will I need to see doctors other than my surgeon?…More at Weight-Loss Surgery Seems Safe for Kidney Disease Patients

By having the answers to these questions, you can concentrate on recovering and begin your journey on weight reduction.

 

Gastric Plication New Bariatric Surgery

Only 30 pounds overweight will qualify a person to have a new bariatric surgery called gastric plication.  Gastric plication is a minimally invasive procedure which is done laproscopically.  Basically, small incisions are made in the abdomen and the stomach is folded and secured with sutures.

 

 

“This minimally invasive surgery is a new choice for patients who are more than 30 pounds overweight. By folding the stomach, we can reduce the volume by 70 percent. Patients can expect to lose up to 2 pounds per week following the procedure.”

Gastric plication will cause a feeling of fullness as well as appetite suppression and patients can expect to lose approximately 2 lbs a week.  Plus, there are no food restrictions and the procedure can be reversed if needed since there is no surgical disruption of the gastrointestinal tract.  

 

“After surgery, with a smaller stomach size, a patient feels fuller faster and is likely to have an actual decrease in appetite. If, for some reason, we need to return the stomach to its original size, we can do so. Also, since the patient's anatomy is not rerouted, the patient does not have severe food restrictions.”

…More at Stomach Origami – New Weight Loss Surgery

 

Bariatric (Gastric) Bypass Surgical Procedures Explained

Not all bariatric bypass surgeries are alike and it is important that your bariatric surgeron explains the surgical options that are available to you and why that particular surgical procedure was chosen for you.

 Understanding Bariatric Surgical Options
Many factors will go into which procedure your doctor will elect to proceed with.  Your overall health and health problems, often referred to as comorbidities, will be a big factor.  Obviously, the less invasive and less disruptive to the gastrointestinal system, the better.  Also, surgical risks are reduced with the less invasive procedures as well.

 

 

  • Gastric Bypass (Roux-en-Y) – Reduction of stomach size by division into a small pouch and a larger pouch. The smaller stomach component is then connected to the intestine, bypassing the rest of the stomach.
  • Gastric Sleeve (vertical sleeve gastrectomy, VSG, partial gastrectomy) – Reduction in stomach size by approximately 75%, resulting in a sleeve-like appearance.
  • Gastric Plication – Similar to a gastric sleeve, except the stomach is folded and made smaller using sutures.
  • Gastric Band (lap band) – Stomach size is reduced by application of an adjustable silicone ring.
  • Duodenal Switch (gastric reduction duodenal switch, GRDS) – Approximately 70% of the stomach is removed and joined to a shortened part of the intestine….More at Weight Loss Surgery, Turkey

Depending on the type of bariartic surgery a person undergoes, nutritional needs will be a VERY important component and should also be a part of counseling before surgery takes place.

Weight Loss From Bariatric Surgery Has Helped Psoriasis Skin Disorder

Although a very small study of just 10 bariatric patients who had gastric bypass surgery, psoriasis went into remission up to six months for 70% of them.  Three of the bariatric patients even went off medication.
 Bariatric Surgery Improves Psoriasis
This is yet another benefit from weight loss associated with bariatric surgery. At least that is what the study indicates; however, could it be related to the restricted diet that all bariatric patients must follow?   Perhaps, the high protein diet with added nutritional supplementation plays a role.

 

Psoriasis is a chronic systemic disease with important skin manifestations, affecting 2 % of the population. It is more frequent and severe in obese patients, and both have been associated with a higher cardiovascular risk. Recent studies suggest that weight loss may improve psoriasis and metabolic comorbidities in obese patients. We reviewed our prospective electronic database for all patients with psoriasis who underwent bariatric surgery between 2008 and 2011. We assessed surgical complications, weight progression, and psoriasis-related outcomes. The Dermatology Life Quality Index was used retrospectively to assess quality of life (QoL) before and after the operation.

Ten patients were included; body mass index was 38.8 ± 5.2 kg/m2. Pre-surgical treatment for psoriasis was topical (50 %) and systemic (40 %). Eight patients underwent laparoscopic Roux-en-Y gastric bypass and two underwent laparoscopic sleeve gastrectomy. At follow-up, the mean percent excess weight loss 1, 6, and 12 months after surgery was 45 %, 80 %, and 88 %, respectively. Comorbidity resolution was 75 % for diabetes mellitus, 100 % for insulin resistance, and 57 % for hypertension. Related to psoriasis, 70 % of the patients stayed in remission 6 months after surgery and three of the four patients who were previously medicated with systemic drugs discontinued medication. The impact of psoriasis on QoL improved from 14.9 ± 6.8 before surgery to 5 ± 6.3 after surgery (p = 0.005). Bariatric surgery for positive metabolic, skin, and quality of life results should be considered as a useful adjuvant therapy for obese patients with psoriasis….More at Psoriasis Following Bariatric Surgery: Clinical Evolution and Impact on Quality of Life on 10 patients