Bariatric Surgery--Weight Loss Forever

Bariatric Surgery

What is Bariatric Surgery? (Weight Loss Surgery)

Bariatric surgery, or weight loss surgery, includes a variety of procedures performed on people who are obese. Weight loss is achieved by reducing the size of the stomach with an implanted medical device (gastric banding), through the removal of a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouch (gastric bypass surgery).

Long-term studies show the procedures result in significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors, and a reduction in mortality up to 89%. Benefits of bariatric surgery are not limited to weight loss; It can help improve your overall health, well-being and self-esteem.

The U.S. National Institutes of Health recommend bariatric surgery for people with a body mass index (BMI) of at least 40 and for people with a BMI of 35 and serious coexisting medical conditions such as diabetes. However, research is emerging that suggests bariatric surgery could be appropriate for those with a BMI of 35 to 40 with no comorbidities or a BMI of 30 to 35 with significant comorbidities. Bariatric surgery is an excellent alternative for people who cannot lose significant weight through exercise and dieting and whose general health is compromised.

Surgical Options

Here are the options for weight loss surgery:

Vertical Sleeve Gastrectomy (VSG, LSG)
Lap-Band®(LAGB)
Roux-en-Y Gastric Bypass Surgery(RNY, RGB)
Duodenal Switch(DS)

GHRELIN and Bariatric Surgery

Ghrelin makes people feel hungry, slows metabolism and decreases the body's ability to burn fat. It is a hormone produced mainly by P/D1 cells lining the fundus of the human stomach and epsilon cells of the pancreas that stimulate hunger.

Figure 1 Ghrelin Mechanism in Your Body

After the bariatric surgery, the ghrelin level is much lower in their bodies than before the surgery. Another interesting fact was discovered by a study taken in 2002 to measure ghrelin levels in dieters. Their ghrelin levels were measured before they began dieting and again six months later. The levels were markedly higher after the weight loss. This usually makes the dieters store more fat and fail in their weight loss process.

Effectiveness of Bariatric Surgery

Weight loss

Here is the research result showing a comparison of different weight loss surgeries on the weight loss process.

Figure 2 -- Post-operative weight loss in patients after LSG, adjustable gastric band placement (Band), Roux-en-Y gastric bypass(RGB), and LSG with duodenal switch(DS)

Time post-op (months)

LSG (vertical gastrectorny) patients lost weight as effectively as RGB and DS patienrts. Band patients lost approximately
half as much weight as the RGB and DS patients.
Adapted with permission from Lee CM, et al. Surg Endoscop. 2007; Mar 14 [Epub ahead of print].

Reduced mortality and morbidity

Several recent studies report decrease in mortality and severity of medical conditions after bariatric surgery. In the Swedish prospective matched controlled trial, patients with a body mass index (BMI) of 34 or more for men and 38 or more for women underwent various types of bariatric surgery and were followed for an average of 11 years. Surgery patients had a 23.7% reduction in mortality (5.0% vs. 6.3% control, adjusted hazard ratio 0.71).

Risks and Complications

Data from multiple studies suggests that the best bariatric operation for older patients may be the laparoscopic VSG because it achieves the greatest weight loss with the shortest operative time and the fewest complications.

You should be aware that any surgery may have complications and this is major surgery. Specific complications will be discussed further with you, in person, but it is statistically possible that death may result. You should therefore carefully weight the benefits versus the risks. The decision to undergo the surgery should not be taken lightly as it is intended to be permanent and for life. The changes which it can produce in your life are generally very positive but you should fully consider all implications.

Table 1 -- Complications in patients undergoing laparoscopic sleeve gastrectomy (LSG), adjustable gastric band placement (Band), Roux-en-Y gastric bypass (RGB),and LSG with duodenal switch(DS).
	LSG	Band	RGB	DS
Nonoperative readmissions(%)	2.3	1.5	4.0	7.1
Reoperations(%)	2.8	4.8	8.6	0
Deaths(%)	0	0	0	32.1
Major complications(%)	4.6	4.8	10.6	39.3
Total complications(%)	7.4	6.6	22.8	48.2

Adapted with permission from Lee CM, et al. Surg Endoscop. 2007 March
14 [Epub ahead of print].

What Weight Loss Forever Has Done!

What Weight Loss Forever Have Done!

Weight Loss Forever is Canada’s only full-service weight loss surgery consultation company. We are proud to provide comprehensive care to our patients including ongoing education and support, surgical weight loss solutions, pre and post-operative care, nutritional guidelines, support groups, social advocacy as well as individual guidance and encouragement. Our team includes nurses, psychologists and nutritionists in order to ensure our patients have the support they need each step of the way.

Weight Loss Forever’s Bariatric Program has already helped hundreds of patients lose weight by offering the laparascopic sleeve gastrectomy and other bariatric procedures and the number is growing everyday. Our approach is multidisciplinary and addresses all aspects of your health - including psychological and nutritional support - before, during and after surgery.

In fact, we provide you with life-long, post-surgery support to be absolutely certain you can achieve and maintain the positive lifestyle changes attained through our program. Join our Facebook or upcoming events. See the comments from our patients. Their successes are impressive!

Is the Surgery Right for Me?

1. Identify your role

First read the above passage carefully to understand what a bariatric surgery is. It’s not for people who want to lose 10 to 15 pounds. It’s for those who have been suffering from obesity for a long time, especially for those who have some comorbidity.

2. Am I a Candidate?

After you have identified your desire for the surgery, you will be required to test whether you are a candidate for bariatric surgery or not. Please go to our candidate testing page (Am I A Candidate?).

3. Doing Research and Read Testimonials

After you have identified yourself as a suitable candidate for the bariatric surgery, you will need to do more research to understand what you need to do. Please read through all surgery pages (Bariatric Surgery, Vertical Sleeve Surgery, Lap Band Surgery, Gastric Bypass Surgery,Surgery Packages) so you will know how the surgery will be performed on your body. Then, read the success stories of our patients here. After that, join an information session to better educate yourself about bariatric surgery. Talk to your doctor about what you have heard from us and ask questions if there are any concerns. Weigh the risks and complications of the surgery.

4. Make the decision

After serious consideration and research about the surgery, you can proceed to our medical evaluation system. You will be required to fill out an online medical form. Our medical team will evaluate your conditions and medical history to decide whether you are qualified for the surgery or not. Remember, you and only you can make this decision.

Comments

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21 Feb am29 12:31 AM

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courtney says:

18 Feb pm29 07:59 PM

i have my surgery already booked paid for,plane tickets,all arrangments made .I just found your website today,did not know there was such a place like this in sask.I was wondering do you offer support to those who do not go threw WLF.Im currantly going to school in llodyminster.

Ashley says:

18 Feb pm29 07:25 PM

I am looking at getting nose surgery , do you offer free consultations?

amal says:

18 Feb pm29 04:58 PM

hi,
do u offer a free consultation (in saskatoon)? if so, when can I book for an appointment?
may I have an idea about the prices?? (tummy tuck,breast augmentation ,butt left & thigh liposuction)

thanks

amy says:

17 Feb pm29 06:37 PM

how much does this cost? Is there a long waiting period to have it done? And is any of it covered under provinchial health or insurance?

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stoongal says:

16 Feb pm29 02:12 PM

Tammy to you I say give a call to Julie who has lost over 210 lbs with us. Here is her day number 306 352-8446. We so understand your struggles, we all have our own stories with our obesity issues, none of us could keep weight off for any length of time, so we know how it is! OR email patientservices@weightlossforever.ca and any one can help you get your life back - 100% success rate! @ the others who recently contacted us on comments here, I have sent you answers privately. email us if need more info, OK? ((HUGS)) Donna
I have personally emailed answers to most of you.

tammy says:

16 Feb am29 10:00 AM

I would like more info please on cost and risks | have 200 plus pounds to loss and cant seem to do it on my own and i want my life back.

Claire says:

15 Feb pm29 04:03 PM

@ Larissa, you can actually go onto our website and fill out the 'Am I a Candidate' portion to get the ball rolling. Once you do this, you will be assigned a facilitator who will be in contact with you. Can't wait to speak to you!!

Claire says:

15 Feb pm29 03:59 PM

Larissa,
Hi there! I would like to invite you to call the office at 1-877-306-8891 and talk to me or any of our other staff about weight loss surgery. If you would like to contact me at claire@weightlossforever.ca I can send you some information via email. We are here for you!!

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