FAQ

If your question isn’t answered here, feel free to send us an e-mail. If you’d like to call with your question or book an appointment, call 702.671.5150.


What is weight-loss surgery?

Weight-loss surgery is a procedure that either limits the amount of food your stomach can hold, or limits the absorption of nutrients. UMC performs three types of weight-loss surgery:

  • Gastric Bypass
    This minimally invasive surgery makes the stomach smaller and also bypasses part of the small intestine, so you feel full sooner while you absorb fewer calories. This is accomplished through tiny incisions, resulting in minimal post-operative discomfort and speedier recovery.
  • LAP-BAND® Surgery
    This procedure places an adjustable polymer band around the upper part of the stomach, creating a small pouch at the top and a larger one at the bottom. This restricts the amount of food you can eat at one sitting, while slowing digestion so you feel full longer. There is no cutting of the stomach or intestinal rerouting, resulting in less scarring, less pain and quicker recovery.
  • Sleeve Gastrectomy
    This procedure removes most of the stomach, leaving it as a narrow tube. This slows the movement of stomach through the new "sleeve," making you feel full with smaller meals.

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Am I a candidate for weight-loss surgery?

You are a candidate for weight-loss surgery if you

  • have a BMI of 35 with obesity-related health problems, or a BMI greater than 40
  • have tried other weight-loss programs and still find yourself overweight
  • are willing to commit to lifestyle changes and life-long follow-up

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How much weight will I lose?

That depends on the procedure and on you. With the LAP-BAND®, weight loss progresses steadily over two to three years, and then levels off. The final result is usually 35% to 70% of your excess weight.

After gastric bypass, weight loss begins quickly, leveling off after one or two years. The total amount lost can exceed over 100 pounds, or up to 80% of the excess weight. The sleeve gastrectomy leads to 60% average weight loss over two to three years.

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How do I know which surgery is right for me?

Your medical history and weight will be evaluated. Together, you and Dr. Tsuda will decide which solution is best.

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Will my insurance cover it?

Many insurance providers cover weight loss procedures, depending on your specific benefits. We can help make inquiries into your coverage, as well as provide cash-pay prices for the procedures.

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Will weight-loss surgery improve my health?

Weight-loss surgery can improve or even eliminate obesity-related conditions such as Type 2 diabetes, high blood pressure, high cholesterol and triglycerides, sleep apnea, acid reflux and osteoarthritis. Your chances of getting some cancers and heart disease are reduced. Weight loss may also be associated with improved fertility and healthier pregnancies.

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How do I prepare for surgery?

You’ll undergo a thorough medical and psychological screening. You’ll need to commit to the lifestyle changes necessary to maintain good health, including a good diet and exercise. You’ll also have to limit alcohol intake and if you’re a smoker, you’ll have to quit.

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How long will I have to recover?

This depends on which surgery you have. LAP-BAND patients can go home after surgery on the same day, while gastric bypass and sleeve gastrectomty patients usually stay for one to three days. With all of the procedures, full recovery and return to work varies from patient to patient, but ranges between two weeks to a month.

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How will my diet change?

Right after surgery, you will be on a liquid diet. This will progress to a soft diet over the next two weeks. Ultimately, your diet will consist of normal, but healthy food choices. Care may need to be taken to avoid swallowing too fast without chewing. All patients are encouraged to take one to two multivitamins daily. In some cases, other mineral and vitamin supplements may be required.

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How will my life change?

We’ll want to see you for three to four follow-up visits in the year after your procedure, then at least annually. LAP-BAND may be seen as frequently as every two months. You’ll need to adopt a healthy lifestyle, with good nutrition and regular exercise.

As your weight stabilizes, you may find extra skin where fat used to be. Thus, you may want to consider reconstructive operations.

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Weight Loss Success
For some, losing weight is a life long struggle. Watch this story to meet a surgical weight loss patient who beat the scale once and for all.
 
2014 Support Group Meetings

Jan. 13, 2014    5:15pm – 6:15pm
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1707 W. Charleston Blvd
Suite 160 LOBBY

Robin P. Morello, RN
Bariatric Program Coordinator
702-671-5150
rmorello@medicine.nevada.edu

 
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Tuesday    Mar 18, 2014    5:30 – 6:30 pm
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