Frequently Asked Questions
Frequently asked questions about bariatric surgery often revolve around the procedure’s safety, effectiveness, and the lifestyle changes required for long-term success.
Patients commonly inquire about the different types of bariatric surgeries available, their potential risks and benefits, as well as the qualifications for becoming a candidate. Questions regarding the recovery process, expected weight loss, dietary modifications, and post-operative support are also prevalent
Additionally, prospective patients often want to know about insurance coverage and the costs associated with bariatric surgery. Clear and comprehensive answers to these questions are crucial for individuals considering this life-changing step toward improved health and well-being.
Absolutely. Our approach prioritizes safety by employing a reliable team of drivers who are part of our trusted network. We have extensive experience in creating comprehensive packages that provide patients with a strong sense of security.
Typically, the minimum age requirement is 18, and the maximum age is 65. However, there may be exceptions on a case-by-case basis. For more information, please feel free to reach out to us today.
The primary purpose of the pre-operative diet is to enhance the success of the surgery. One of the main objectives is to reduce the size of the liver, which facilitates easier access to the stomach during the procedure. In certain cases, the doctor may also set weight-loss goals based on specific procedures or body mass indexes (BMIs). Following the prescribed diet is crucial for preparing your body both physically and mentally for the surgery, as well as for the post-operative recovery process.
If your BMI falls below 30, it does not automatically disqualify you from bariatric surgery. A BMI of 30 is typically considered the threshold for medical necessity. To determine your current BMI, you can utilize our bariatric surgery calculator.
Yes, it is advised to stop taking NSAIDs at least 7 days before the scheduled surgery. NSAIDs are classified as blood-thinners, and ceasing their usage helps reduce the risk of excessive bleeding during the procedure.
Absolutely, it is essential to cease smoking for at least 30 days before the procedure. This applies to all forms of nicotine intake, including patches, nicotine gum, and nicotine vaping (except for 0% nicotine vape, which is permissible). Nicotine in any form can impede healing and lead to complications such as leaks.
It’s also crucial to abstain from smoking for a minimum of 4 weeks after the surgery. Smoking during the post-operative period can increase the risk of clotting and hinder the healing process.
Yes, it is recommended to stop taking these medications at least 7 days prior to the scheduled surgery. Hormones, including those found in birth control, are considered blood-thinners. Stopping their usage helps minimize the risk of excessive bleeding during the surgical procedure.
Yes, it is recommended to stop taking these substances at least 7 days prior to the scheduled surgery. Vitamins, herbs, and supplements are not regulated by the FDA, and there is limited research on their effects on surgery and clotting. Some of these substances may have blood-thinning properties, which can increase the risk of bleeding during the surgical procedure.
Miralax, docusate, bisacodyl, or any brand of laxative can be used, but it should be taken only once. Opting for an overnight laxative is generally considered the most effective approach.
Broth
Sugar-free popsicles
Sugar-free Jello
Sugar-free juice
Water with flavoring, electrolyte water, or plain water. It is important to consume at least 64 ounces (1.9 liters) of fluids per day.
The typical pre-operative testing includes the following, though additional tests may be required based on individual health history as determined by the doctors:
Blood Panel: This includes tests such as CBC (Complete Blood Count), CMP (Comprehensive Metabolic Panel), WBC (White Blood Cell Count), Platelets, blood type, screening for infectious diseases, and more.
EKG: An electrocardiogram is performed to assess the heart’s electrical activity.
Spirometry: This is a breathing test used to evaluate pulmonary function.
Full Exam by an Internal Medicine Doctor: A comprehensive examination conducted by an internal medicine doctor to assess overall health.
Anesthesiologist review: An evaluation by an anesthesiologist to ensure safe administration of anesthesia.
Thorax X-Ray: A chest radiograph is taken to examine the thoracic region.
Additional testing may be necessary in certain cases:
Barium swallow: Occasionally required for revisions.
Endoscopy: May be needed for Lapband or other revision surgeries.
In some cases, it is beneficial to undergo extra testing beforehand:
Cardiologist clearance: Assessment conducted by a cardiologist to ensure heart health.
ECG: An electrocardiogram performed by a cardiologist.
Endoscopy: A procedure that allows visual examination of the gastrointestinal tract.
It is normal to experience some degree of pain following a surgical procedure. However, laparoscopic bariatric surgery generally involves less pain compared to other surgical methods. It’s important to remember that pain tolerance and perception vary from person to person.
If you experience pain, it’s essential to inform your surgical team or nurse. Some patients may not require any pain medication once they are home, while others may need it. Each individual has unique needs.
It’s worth noting that patients who have previously used pain medication may have a lower pain threshold due to tolerance that has built up over time. Intravenous medication is available during your hospital stay for $150, subject to approval by the doctor, and the dosage is determined by the medical team.
Most of the pain experienced after surgery is often attributed to gas, and walking is recommended to help alleviate it.
For patients who regularly use pain medication:
Managing pain in the hospital and post-operatively may be challenging due to your history of opioid use. On the day of surgery, your pain management will be evaluated by the anesthesiologist and doctor, and if approved after pre-operative testing review, the pain medication will be upgraded to buprenorphine. It’s important to note that even with frequent use of pain medication, patients may still experience pain with buprenorphine.
The number of incisions you will have during the surgery can range from 4 to 5, depending on your adherence to the pre-operative diet.
If you have followed the pre-op diet effectively, it may eliminate the need for one incision used for the liver retractor.
In the case of SILS (Single-Incision Laparoscopic Surgery), there will be one incision made above or at the belly button, along with a drain.
The specific time of your procedure cannot be determined until the day of surgery. Surgery times are subject to various factors, including:
OR schedule: The schedules of other doctors, potential delays, and emergencies can impact the order of surgeries.
Arrival time: The time at which you are expected to arrive at the medical facility.
It is recommended to wait until the incisions are fully healed before swimming or bathing, which typically takes around 4 weeks. During this period, it is important to avoid submerging the incisions in water.
The recommended duration for taking time off work after bariatric surgery varies depending on the nature of your job. Here are some suggestions:
Desk Job: Typically, it is advisable to take at least 1 week off work for a desk job. This allows for sufficient recovery and adjustment to the post-operative phase.
Physical Job without lifting, bending, or twisting: If your job involves physical activity but does not require significant lifting, bending, or twisting, it is recommended to take approximately 2 weeks off work. This provides time for the initial healing process.
Physical Job with lifting, bending, or twisting: For jobs that involve frequent lifting, bending, or twisting, it is generally recommended to take a longer break from work. Around 6 weeks off is suggested to allow for proper healing and to avoid strain on the surgical site.
It is important to refrain from lifting anything over 10-15 lbs for a minimum of 6 weeks.
For a period of 6 weeks following the surgery, it is crucial to avoid lifting heavy objects, as well as bending and twisting movements. Additionally, engaging in strenuous exercise should be avoided during this time. However, you are permitted to engage in low-impact activities such as walking or using a stationary bike immediately after the surgery. It is important to ensure that you are consuming an adequate amount of fluids, aiming for at least 64 ounces of water per day, and incorporating 2-3 protein shakes into your daily routine. This is essential to provide your body with sufficient energy for recovery and healing.
During a revision to a Roux-en-Y gastric bypass, our primary goals are to reduce the size of the pouch and remove the ‘candy cane’. The ‘candy cane’ is the portion of the small intestine that is surgically connected to the pouch, forming the anastomosis. Over time, a section of this anastomosis can stretch and act like a secondary pouch.
It’s important to note, however, that the weight loss outcomes can vary significantly from patient to patient following this revision. While the procedure can help to restart weight loss, it will not typically yield results as dramatic as those experienced after the initial Roux-en-Y bypass surgery. This is because the body has adjusted to the initial changes brought on by the surgery, including malabsorption.
If you are a US-born citizen, you will only need a valid ID such as a driver’s license and a certified birth certificate. However, a passport is also acceptable. Non-US citizens are required to have a passport to cross the land border from Mexico to the US.