Weight Loss Surgery

Weight loss surgery, also known as bariatric surgery, is designed to help you achieve significant weight loss when other interventions have proven unsuccessful. It’s generally considered for individuals with Class III obesity, typically those with a body mass index (BMI) of 35 or higher. 

There are different types of weight loss surgeries, including gastric bypass surgery and sleeve gastrectomy. These procedures work by restricting the amount of food the stomach can hold and by altering the digestive process. 

Weight loss surgery is not a one-size-fits-all solution and is typically recommended only after careful evaluation of your health and lifestyle. While it can lead to remarkable weight loss and improvements in obesity-related conditions, it is important to be well-informed about the potential risks, benefits, and lifestyle changes associated with the procedure that are life-long.

Weight Loss Surgery in Evansville, IN

The bariatric surgeons at Evansville Surgical Associates provide the highest level of surgical care in Evansville, IN, and the tri-state area. Our surgeons are board-certified with specialized training in bariatric surgery, acting as leaders in advanced surgical procedures. This ensures that you have the best patient experience possible.

The type of weight loss surgery you undergo will be based on your unique situation, taking into account your: 

• Choice
• Associated medical conditions 
• Patient-specific factors 

Your surgeon will carefully assess the pros and cons of each option to identify the most suitable procedure for you. Our surgeons can provide Lap Roux-en-y Gastric Bypass (gastric bypass surgery) and sleeve gastrectomy (lap/robotic sleeve surgery) to approved patients. 

These minimally invasive approaches involve: 

• Smaller incisions 
• Reduced discomfort 
• Shorter hospitalization
• Quicker recovery and return to normal activity

This serves to enhance your overall surgical experience when undergoing weight loss procedures.

Types of Weight Loss Surgeries We Offer

We offer two types of weight loss surgery at Evansville Surgical Associates:

• Laparoscopic Roux-en-Y Gastric bypass
• Laparoscopic or Robotic sleeve gastrectomy  

Gastric bypass involves creating a small stomach pouch and rerouting the small intestine.  This promotes weight loss by restricting the amount of food a person can eat and altering nutrient absorption patterns.

Lap sleeve surgery involves removing a portion of the stomach to create a smaller, tubular-shaped stomach. This slows down eating, limits the amount of food the stomach can hold, and reduces the production of hunger-inducing hormones. 

Sleeve surgery also eliminates the section of the stomach responsible for ghrelin production. This hormone is associated with hunger and removing it diminishes food cravings, enhancing your weight loss efforts. It’s crucial to note that lap sleeve surgery is irreversible, underscoring the importance of thorough discussions with your surgeon before undergoing the procedure.

Both procedures result in significant weight loss and can lead to improvements in obesity-related health conditions. This includes health problems such as: 

• Diabetes 
• Hypertension 
• Sleep apnea 
• Arthritis 

The choice between the two depends on factors like your health and preferences as well as your surgeon’s recommendation. 

Qualifying for Weight Loss Procedures

Bariatric surgery involves a comprehensive assessment to ensure that it’s medically necessary and appropriate for you. To qualify for weight loss surgery, patients typically have a body mass index (BMI) of 40 or higher. Alternatively, they can have a BMI of 35-39.9 with obesity-related health issues like diabetes, hypertension, or sleep apnea. 

The evaluation process includes a thorough: 

• Medical history 
• Physical examination 
• Psychological assessment

These help gauge your commitment to lifestyle changes post-surgery. Candidates must also demonstrate prior attempts at non-surgical weight loss methods. 

Additionally, consultations with a multidisciplinary team comprised of surgeons, dietitians, psychologists, and other specialists are required. This helps assess your: 

• Overall health 
• Readiness for surgery 
• Potential risks 

The comprehensive evaluation ensures that weight loss surgery is a suitable option for you, maximizing the likelihood of successful outcomes.

Preparing for Your Weight Loss Procedure

Preparing for weight loss surgery involves comprehensive counseling to equip you mentally and physically. Counseling encompasses detailed discussions about the: 

• Chosen surgical procedure 
• Potential risks 
• Expected outcomes 

You’ll receive guidance on: 

• Lifestyle modifications 
• Dietary changes
• The importance of following your surgeon’s instructions 

Psychological aspects are addressed to help you cope with the emotional challenges tied to significant weight loss. Establishing realistic expectations and building a support system are integral components. They help ensure that you are prepared for the transformative journey ahead. This thorough preparation enhances your outcomes and smooths the recovery process.

Dietary and Lifestyle Changes

Weight loss surgery requires significant dietary and lifestyle changes to maximize its effectiveness. Post-surgery, you may transition to a modified eating plan that emphasizes: 

• Protein intake 
• Portion control 
• Nutrient-rich foods

The reduction in overall caloric intake is coupled with the avoidance of high-calorie, low-nutrient options. 

Regular physical activity becomes a cornerstone of your lifestyle, aiding in weight management and overall well-being. Hydration is also crucial, with alcohol and sugary beverages ideally restricted. These changes, combined with ongoing support and adherence to medical recommendations, contribute to your sustained weight loss and improved health outcomes.

The Day of Your Bariatric Surgery

The day of your bariatric surgery is a carefully orchestrated process, beginning with admission and preoperative procedures. You’ll arrive at Deaconess Midtown Hospital or Ascension St. Vincent Hospital to undergo a thorough check-in process. 

This includes: 

• Verifying your medical history 
• Conducting final assessments 
• Ensuring that you’re well-prepared for the procedure 

Preoperative procedures may involve administering medications and placing intravenous lines for fluid and medication delivery.

Once ready, you will proceed to the surgical suite for your surgery. Throughout your procedure, the surgical team will monitor your vital signs to ensure your safety. Post-surgery, patients are closely observed during the initial recovery phase, setting the stage for your weight loss journey.

Postoperative Recovery and Care

Postoperative recovery and care following weight loss surgery are critical aspects for ensuring successful outcomes and minimizing complications. The immediate recovery period typically lasts the first few days after surgery. It involves close monitoring and specific protocols to manage pain and potential side effects. 

During this phase, you may experience: 

• Discomfort 
• Nausea 
• Fatigue 

Medical professionals will closely observe your vital signs to promptly address any issues.

Hospital Stay and Monitoring

Your hospital stay after weight loss surgery is variable. Generally, you can expect a hospital stay ranging from one to two days. 

During this time, healthcare professionals: 

• Closely monitor you for signs of complications 
• Administer pain medications 
• Guide early mobilization and breathing exercises 

Increasing your mobility and breathing will help to prevent complications like blood clots and respiratory issues.

Follow-Up Appointments

Monitoring continues after discharge through postoperative follow-up appointments. These appointments are crucial for: 

• Assessing your overall health 
• Ensuring proper healing 
• Addressing any concerns or complications that may arise 

Follow-up appointments are scheduled at specific intervals in the weeks and months following surgery. They allow healthcare providers to track your: 

• Weight loss progress 
• Nutritional status 
• The resolution of any postoperative issues

A Team Approach to Surgical Weight Loss

Overall, successful postoperative recovery and care after weight loss surgery involve a multidisciplinary approach, including nutritional guidance and psychological support on top of close medical supervision.

Under the guidance of a dietitian, you will begin to follow a gradual diet progression, starting with liquids and progressing to soft and solid foods. Nutritional supplements may be recommended to prevent nutrient deficiencies commonly associated with weight loss surgery.

In addition to physical recovery, postoperative care emphasizes psychological and emotional well-being. Support groups and counseling may be recommended to help navigate lifestyle changes and cope with the emotional aspects of weight loss.

Lifestyle Changes and Long-Term Success

Weight loss surgery requires significant lifestyle changes to maintain long-term success in managing weight. Adopting healthy habits is crucial post-surgery, involving a shift towards nutrient-dense, portion-controlled meals. Patients often develop a heightened awareness of their dietary choices, favoring good eating habits while limiting processed foods and sugars.

Physical activity plays a pivotal role in sustaining weight loss. Post-surgery, you are encouraged to gradually increase your activity levels. Initially, this might involve simple movements like walking, eventually progressing to more strenuous exercises. 

On top of weight maintenance, regular physical activity contributes to: 

• Cardiovascular health 
• Improved mood
• Overall well-being 

Your commitment to lifestyle changes is integral to fostering a sustainable, healthy routine. Weight loss surgery acts as a catalyst for transformative habits. When coupled with ongoing diligence and support, it can lead to enduring success in weight management and improved overall health.

Risks and Complications

As with all surgical treatments, weight loss surgery carries potential risks and complications. What’s important to know is that the complications are rare. 

Common concerns include infection, bleeding, blood clots, and adverse reactions to anesthesia. Long-term complications of weight loss surgery may involve: 

• Nutritional deficiencies 
• Gallstones 
• Gastrointestinal issues 

Psychological implications, postoperative lifestyle changes, and the possibility of inadequate weight loss or weight regain should be considered. 

Thorough consultation with your doctor will help you make an informed choice that aligns with your health goals. This emphasizes how important it is to understand your potential outcomes.

Insurance and Cost

How to pay for weight loss surgery is one of the biggest concerns patients have. Fortunately, employers and insurance providers have increasingly incorporated weight loss surgery into their coverage plans. They recognize the benefits of a healthier and happier workforce, which is both more productive and cost-effective. 

If you require weight loss surgery, consult with our office and your insurance provider. It’s crucial to recognize the individuality of insurance policies. Consult with your insurer in advance, especially if you’re considering weight loss surgery. This will help you understand the specifics of your coverage. 

This proactive approach is not only vital for bariatric procedures—but also essential for any significant surgery you might undergo.