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Weight loss surgery is not for all overweight people. It offers an option for people who have not been able to maintain weight loss and control their health through dieting alone. To qualify for weight loss surgery, patients must:
These free sessions provide an overview of the bariatric surgery process at your pace. In our series of short videos, Marc Michalsky, MD, discusses the three types of weight loss surgery available for teens to combat obesity and the benefits, risks, advantages and disadvantages of each. Take advantage of our new online information sessions to start learning about bariatric surgery today!
To maintain weight loss after surgery, you will still have to exercise and limit food amounts. You will also need to change the types of food that you eat every day. It is important to remember that bariatric surgery is only a tool to support you in achieving lasting weight loss. Healthy eating patterns and regular exercise are the keys to success.
On average, people steadily lose one to two pounds per week. This means you will lose 50-100 pounds or more in a year. The amount of weight loss and the ability to keep it off depends on how well you follow the diet and exercise program after weight loss surgery.
Leading up to surgery, a complete evaluation is needed. This includes a physical exam, nutrition, activity and social work evaluations, psychological testing, evaluation by other specialists and other medical tests. This process can take 6-12 months and requires your full participation at each step. Patients will have regular visits before surgery, during the first 12 months after bariatric surgery and then every 6 months for years to come. Patients are required to attend at least two support group sessions before surgery and at least one after surgery.
At Nationwide Children’s Hospital, we offer three types of bariatric surgery: Gastric Bypass, Gastric Sleeve, and Laparoscopic Adjustable Band (currently, based on FDA regulations, you must be at least 18 years old to have laparoscopic adjustable band surgery). All of these surgeries cause restriction in the amount of food that can be eaten at one time, so patients feel full faster. The weight loss for any surgery depends on how well patients follow the recommended nutrition and exercise program.
Most patients are candidates for laparoscopic bariatric surgery. In this type of surgery, several small incisions are made in the stomach, through which small, thin instruments, including a telescope and camera, are inserted. The camera and telescope send pictures of the internal organs and surgical instruments onto a TV screen. Laparoscopic surgery reduces the pain and complications after surgery, since the incisions are so small.
For medical reasons, some patients may need an open surgery. If this is needed, the surgeon makes one large incision in the stomach to access the organs. The surgeon will explain each type of surgery and determine which type of surgery is best for you.
This bariatric surgery practice tool includes information on evaluation, management and outcomes.
Nationwide Children's Hospital is one of only five institutions nationally to join a multi-institution clinical research study to understand the benefits and risks of bariatric surgery in adolescents. Learn more.
In a May 2011 article, "Surgery Is No Quick Fix for Obese Teens," Dr. Marc Michalsky explains teen weight loss surgery is not a cosmetic procedure and is generally not performed on teens until they have gone through puberty. The article also follows patients and discusses their outcomes along with how life is changed after bariatric surgery.
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