Weight loss surgery requires a serious commitment from the patient. Patients can expect a great deal of preparation and education before and after the surgery to ensure that they are able to gradually lose weight and remain healthy. Weight loss surgery has helped millions of people shed excess weight and live healthier lives.
What is Weight Loss Surgery
Weight loss surgery, sometimes referred to as bariatric, obesity or gastric bypass and laparoscopic adjustable gastric band surgery, requires a serious commitment from the patient. Weight loss surgery involves a great deal of preparation and education before and after the surgery to ensure that the patient is able to gradually lose weight and remain healthy.
Are You a Candidate for Weight Loss Surgery?
Weight loss surgery has helped millions of people shed excess weight and live healthier lives. You may be a candidate for weight loss surgery if you:
Are 100 pounds or more above your ideal weight or have a BMI of at least 35 and are diagnosed with at least one or more serious obesity related conditions such as high blood pressure, diabetes, or sleep apnea.
Are diagnosed with at least two other significant illnesses related to obesity. (Consult your physician.)
Have no severe medical, psychological or emotional conditions that would render surgery too risky.
Have no dependence on drugs or alcohol, or have been sober for a year.
Have tried and failed at previous efforts to lose weight.
Understand the seriousness of the surgery and the necessity for a lifelong personal commitment to a healthier diet and lifestyle. Sentara Weight Loss Surgery Options
Gastric bypass involves surgically altering portions of the stomach and, in some cases, the small intestine. This weight loss surgery option may be performed as a traditional open surgical procedure or through less-invasive, laparoscopic methods. Laparoscopic Adjustable Gastric Banding System
Laparoscopic adjustable gastric banding involves inserting a band on the top of the stomach, which gives a feeling of fullness. Since there is no cutting, stapling or stomach re-routing involved in the laparoscopic adjustable gastric banding system procedure, it is considered the safest and least traumatic compared with other weight loss surgery options. Sentara offers two alternatives: the LAP-BAND® system
and REALIZE® band
.Laparoscopic Gastric Bypass Surgery
Laparoscopic surgery is a minimally invasive procedure that involves 5-6 small incisions. The surgeon uses a small camera and instruments to make a small stomach pouch that is separated from the rest of the stomach, and bypasses the first part of the small intestines so that malabsorption occurs, resulting in faster weight loss compared to the adjustable lap banding surgery. This laparoscopic weight loss surgery option involves less pain, less scarring and a faster recovery than the traditional "open procedure." Laparoscopic Sleeve Gastrectomy
In a laparoscopic sleeve gastrectomy or gastric sleeve, approximately 75 percent of the stomach is removed permanently, leaving a cylindrical or sleeve-shaped stomach. The outlet valve and the nerves to the stomach remain intact. While the stomach is drastically reduced in size, its function is preserved. Surgery takes about two hours and patients typically stay in the hospital for two days. Most patients are able to return to work after two weeks.Revisional Gastric Pouch Reduction Surgery (Natural Orifice Surgery)
These operations are generally reserved for those who have had prior weight loss surgery but failed to lose adequate weight or have regained significant weight. Revisional surgery is generally more complex with higher operative risks. Gastric pouch enlargement from overeating is one of the most common causes of weight regain. In select patients, pouch reduction can be performed by a very minimally invasive technique using a device called StomaphyX™.
Many insurance programs will cover the cost of surgery. Please keep in mind that some insurance carriers may have specific requirements to be met before weight loss surgery is covered. For example, you may need to attempt a set period of medically managed (and documented) weight loss before surgery will be authorized.
You may pay for the surgery yourself if insurance coverage is not provided. Pricing information is available through the physician offices.