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Bariatric Surgery Kentucky FAQ

General Questions

General Questions

  • Obesity is cause by a multitude of factors. If you have obesity in your family, your chances of becoming obese are increased. If you consume a high calorie diet full of processed foods and high in fat, you are very likely to become overweight or obese. Lack of exercise, a sedentary lifestyle also contribute significantly to the development of obesity. Some studies indicate that environmental factors such as pesticides and pollutants increase the likelihood of obesity. Evidence also suggests that obesity causes biological changes in our body that render us more susceptible to fat accumulation and further weight gain.

  • You are a candidate for surgery if you:
    = are 100 pounds or more overweight
    = Have a body mass index (BMI) of 35 or higher AND two or more obesity related diseases (co-morbidities) such as Type II diabetes, high cholesterol, high blood pressure or sleep apnea.
    = Have a BMI of 40 or higher with or without co-morbidities
    = Are unable to achieve a healthy body weight for a sustained period time through medically supervised dieting.

  • Use our BMI calculator (click here)

  • Obesity becomes “morbid” when it significantly increases the risk of one or more obesity related health conditions (co-morbidities) or serious diseases that result in physical disability or even death According to the National Institutes of Health, morbid obesity is a serious chronic disease, meaning that its symptoms build slowly over an extended period of time.

  • Individuals with clinically severe or morbid obesity are generally resistant to long-term weight loss by conventional therapies such as diet, behavior modification, exercise and pharmaceuticals. According to the National Institutes of Health surgery is the only consistent way to lose a significant amount of weight and keep it off.

  • Yes. If your BMI > 30 you are at 70% increased risk of coronary artery disease, which leads to heart attacks. Your also have a 75% greater risk of stroke and a 400% greater risk for developing diabetes than someone whose BMI is < 30.

  • Diseases caused by obesity are called co-morbidities. Below is a list of SOME of those diseases and conditions brought on by obesity: diabetes, hypertension, gastric reflux, heart diseasse, enlarged heart, asthma, sleep apnea, blood clots in the legs which can travel to the lungs, depression, gallstones, liver disease called non-alcoholic steatohepatitis or non-alcoholic fatty liver, infertility and polycystic ovarian syndrome, chronic back pain, arthritis, immobility, ulcers on the skin called venous stasis ulcers, high cholesterol and dyslipidemia, urinary incontinence, cancers: esophageal, breast, ovarian, cervical, uterine, prostate, and colon.

  • All patients are on a liquid diet with protein supplements and vitamin therapy immediately after surgery. As you are able to tolerate more solid foods, you can advance your diet. Eventually, everyone is able to eat normal foods again, in much smaller portions. How soon this happens, is determined by the surgical procedure you have and how quickly your body recovers. Usually Laparoscoic Adjustable Gastric Band patients are eating solid food within 3-4 weeks, and bypass patients within 3-4 months. Sleeve patients usually mimic bypass patients with their diet progression. You will receive your specific diet information when you attend the pre-operative consults.

  • Weight loss results vary from patient to patient, and the amount of weight you lose depends on several things: The type of surgery that you have, your adherence to the nutritional guidelines, exercise, and follow-up. Laparascopic gastric bypass patients can expect to lose as much as 70% of their excess body weight in the first year if they follow the guidelines for nutrition and exercise, and attend all their follow-up appointments. Laparascopic Gastric Band patients can expect to lose the same amount of weight, 3-5 years after surgery, if the follow the guidelines and attend their follow-up appointments. Laparascopic Gastric Sleeve patients have results very similar to the bypass patients.

  • Obesity is a progressive disease and causes biological changes within the body that increase the risk for weight regain. This is why individuals who go on diets generally regain all of their weight loss. Some weight regain can occur with time for individuals who do not appropriately utilize their surgical tool and those who fail to practice lifestyle changes important for weight maintainence. In a small number of patients, weight regain is the result of problems with the surgical tool such as an increase in pouch or stoma size for individuals having gastric bypass. This incidence is significantly less with patients who receive “micro” pouches; the 3-4 ounce pouch is the only surgical technique used by Dr. Weiss and Dr. Smith.

  • Attend one of our informational seminars.