Ask Our Bariatric Surgeon
How do I know if I'm a candidate for bariatric surgery?
Based on the recommendations from the National Institute of Health Consensus panel, bariatric surgery candidates must be morbidly obese, which usually means 100 pounds overweight for men or 80 pounds overweight for women, with a body mass index (BMI) of 40 or higher. Alternatively, the procedure may be appropriate if a patient is 80 pounds overweight with a BMI greater than 35 and a serious obesity-related condition. Before becoming eligible for surgery, patients meet with the team for a full evaluation. Your insurance company may also have additional criteria that you may have to fulfill.
What kind of weight loss surgery experience can I expect at the Miriam Hospital?
The Miriam team is delighted to take care of our weight loss patients with respect, dignity and great insight into the daily difficulties our patients encounter. We are proud to offer a state-of-the-art, multi-disciplinary surgical weight management program for our patients. Not only do we utilize the most up-to-date surgical technology, but we also have expert physicians taking care of our patients’ medical and surgical needs. Our strong nutrition program and compassionate and caring nursing staff work together with the surgical team to offer long-term (at least five years), close follow-up care to our patients.
What are the risks of weight-loss surgery?
All major surgery comes with risks, which differ for each patient and from one type of procedure to another. Opting to have bariatric surgery is a very personal decision, and only a discussion with a physician can clarify the individual risks and benefits each patient can expect.
How much weight will I lose?
The average patient loses between 50 to 80 percent of excess body weight. This occurs over 18 to 36 months, depending on the type of procedure.
Can I become pregnant after bariatric surgery?
Women should avoid pregnancy for at least 18 to 24 months after surgery. It is important to discuss pregnancy plans with your surgeon during your first appointment.
Will my insurance cover the surgery?
Insurance coverage varies with each patient's insurance plan. Check with your insurance provider before coming in for an appointment.
What is my first step?
How long will I be hospitalized?
Gastric bypass and gastric sleeve patients usually stay in the hospital for one to two days; the adjustable gastric lap band patients usually leave one day after surgery.
How soon will I be able to return to work after surgery?
It varies depending on the surgery and the type of work you do. On average, gastric band surgery patients may return to work within two to four weeks. Gastric bypass and sleeve patients may take 4-8 weeks to return to work after surgery.
How often will I need to exercise after bariatric surgery?
Exercise is vital to your short- and long-term success. At The Miriam, patients are able to walk approximately two hours after completion of the surgery; walking one to two blocks within a week is generally encouraged. You should seriously consider joining a gym or physical therapy program (if you have physical limitations) after surgery when your surgeon gives you approval to do so. An exercise program is crucial for optimal weight loss and maintenance of weight loss. We often enroll some of our patients in our cardiac rehabilitation program, which can make their transition to an exercise program safer.
What types of bariatric surgeries are performed at The Miriam Hospital?
There are many terminologies that are being used to describe the Roux-en-Y gastric bypass surgery. Almost all our bariatric procedures use minimally invasive techniques (laparoscopic). The following four procedures are performed at The Miriam Hospital:
- Roux-en-Y gastric bypass
- Adjustable gastric band
- Vertical sleeve gastrectomy
- Biliopancreatic diversion
Are there age restrictions for the bariatric surgery?
Generally you need to be 65 or under to meet the qualifications and requirements that your insurance company may have. However, this is a case-by-case basis.
I recently spoke to my diabetes doctor and she suggested weight loss surgery. How do I go about getting everything started?
Is there a weight limit for bariatric surgery? I know some hospitals won't perform it if you weigh more than 350 lbs. I'm male and 6 feet tall. I weighed 426 but I'm now 396.
There are reasons why there are some weight limitations. Many CAT scanners and barium study machines cannot accommodate patients over 350 lbs. Also, the heavier the patient-especially men over 400 pounds-the more likelihood of severe complications from surgery and the more likely the operation must be "open" rather than laparoscopic. At The Miriam Hospital, we prefer you to be less than, or close to, 400 pounds to ensure the best results of surgery with limited complications, by a planned pre-op weight loss program.
I'm 58 years old. I weigh close to 260 lbs. and am 5'3". I had a vertical banded gastroplasty surgery about 8 years ago that failed. Is there anything that can be done surgically to correct this?
Our surgeons are experienced in revisional surgeries. There are options such as sleeve gastrectomy and gastric bypass. Revisional operations are always higher risk than first-time procedures and may need to be performed "open" rather than laparoscopically.
How much does it cost to have bariatric surgery and does health insurance cover some or all of it?
Most insurance companies cover the majority or all costs, if you qualify. We get preapprovals from insurance companies before surgery to ensure that the patient does not have to pay a huge bill after surgery. The cost of surgery is variable and there are financing programs that will assist patients without insurance coverage.
My insurance does not cover obesity surgery. If I am eligible for lap band surgery, would you consider a discounted fee?
We are working with the hospital for a flat fee structure for patients seeking surgery. The band companies have also made arrangements with certain banks for financing so that patients can utilize an additional mode of payment. The surgeon's fee is usually less than 8% of your total cost. We could also work out a monthly payment plan for the surgeon's fee.
I weigh 350 lbs and have been hospitalized for new onset atrial fibrillation for which I now take an aspirin and a beta blocker daily. I also have minor bulging of a disc in my back, for which I am told I must lose weight.
It sounds like you might be a good candidate. We will have to evaluate you further to determine the risks and your benefits. Please call 401-793-3922 to find out about our orientations that are held free of charge monthly, or complete the online orientation, for patients considering surgery.