Weight Loss Options
Choosing the Right Weight Loss Program for You
There are many options available to help you lose weight and get healthy.
Dr. French specializes in weight loss surgery, intra-gastric balloons and medical weight loss therapy.
Why Choose Surgery
- Regular diet and exercise have not been successful
- Patients who continue to regain lost weight
- Patients with serious medical problems such as diabetes
Laparoscopic / Minimal Invasive Surgeries
In today’s day and age Laparoscopic surgery is the primary option for almost everyone undergoing bariatric surgery. That is because it is performed through 3 to 4 small incisions instead of a large incision in the middle of the abdomen. As a result, patients recover faster, leave the hospital sooner and have minimal post-operative pain.
GASTRIC SLEEVE SURGERY
Gastric sleeve surgery has become one of the fastest growing bariatric surgical procedures over the past few years. It is quickly becoming one of the most popular options because it yields significant weight loss with low complication rates and offers great benefits to patients.
Weight loss occurs relatively quickly with gastric sleeve surgery – a majority of the weight loss will occur in the first 18 months. During the procedure, the surgeon reduces the stomach size by 80% causing the patient to feel full sooner while eating. Hunger and cravings are also reduced, and, as a result, a patient may lose up to 70% of their excess body weight. Gastric sleeve surgery can also cure or alleviate a number of health problems that are associated with obesity, such as diabetes, heart disease, sleep apnea, and other conditions.
Gastric sleeve surgery has a shorter operating time than other procedures and typically only requires a two-day recovery time in the hospital. 80% of patients will be discharged the day after surgery. With this procedure, there is no re-routing of a patient’s intestines or any change in the ability to absorb calories or nutrients. There are also no adjustments needed following the procedure, unlike some other weight-loss procedures. While all procedures do come with potential complications, gastric sleeve surgery requires less frequent reoperation and check-ups than others.
Is Gastric Sleeve Surgery Right for Me?
- Patients with a BMI >35
- Patients suffering from an obesity related medical problem
- Patients who have tried diet/exercise or medical weight loss but haven’t been successful and have regained the weight.
The duodenal switch procedure, also known as the biliopancreatic diversion with duodenal switch (BPD/DS) is performed on morbidly obese patients. The duodenal switch operation permanently removes a majority of the most stretchable portion of the stomach, reducing a patient’s stomach size by 80%. The procedure also involves rerouting of the intestines and removal of the gallbladder, but basic stomach structure remains the same.
Patients will feel full sooner while eating due to a smaller stomach, and because the stomach is smaller, it will also secrete fewer hunger-causing hormones. The rearranged intestines and removed gallbladder cause the body to absorb fewer calories. Most patients will typically lose 70% or more of their excess weight within two years of this procedure. Duodenal switch surgery can also cure or alleviate a number of health problems that are associated with weight issues, such as diabetes, heart disease, sleep apnea, and other conditions.
The duodenal switch procedure takes longer to perform and is considered more invasive than the gastric sleeve of operating time and around three to five days of recovery time in the hospital following the procedure. However, unlike gastric bypass procedures, patients will not experience a “dumping syndrome” if they consume sugary or fatty foods. Patients will have to change their diets to get enough healthy calorie foods and take vitamin supplements after the duodenal switch procedure, as the stomach is less able to absorb minerals and nutrients. It is also essential for patients to follow-up on a regular basis with their doctors
Is the Duodenal Switch Procedure Right for Me?
- Patients who have already undergone a gastric sleeve but did not lose as much weight as they wanted/needed or have regained weight.
- Patients with a BMI >60 or who weigh over 450lbs.
Gastric bypass has been the most popular bariatric surgery procedure in the past years and is still widely accepted as the “gold standard” for bariatric surgery. Gastric bypass helps patients lose weight by making the stomach smaller and re-routing the intestines.
Weight loss occurs relatively quickly, with up to 60 – 80% of your excess weight lost within 18 months. Because of a reduced stomach size, the patient will feel full sooner while eating, and the re-routed intestines cause the body to absorb fewer calories. Gastric bypass surgery can also cure or alleviate a number of health problems that are associated with weight issues, such as diabetes, heart disease, sleep apnea, and other conditions. Patients’ hormones may adjust from this significant weight loss, which could lead to improved metabolism.
Gastric bypass surgery usually requires only a one to two-day recovery time in the hospital. However, it is important to note that patients may experience a “dumping syndrome”, which happens after the procedure when high-fat or high-sugar foods are ingested. Vomiting, nausea, weakness, sweating, faintness, and diarrhea can occur during a “dumping syndrome”. It is also important for the patient to supplement their diet with multivitamins (B12 and iron) and calcium.
Is Gastric Bypass Surgery Right for Me?
- Patients with a BMI >35 and have severe GERD or Barrett’s esophagus.
- Patients who have regained weight or developed GERD following Gastric Sleeve Surgery.
The Gastric Balloon (or Obalon Balloon) is the ONLY swallowable, FDA – approved balloon treatment for weight loss and is ideal for someone who wants to lose between 20 and 45 pounds.
The Obalon Balloon system helps facilitate weight loss by taking up space in the stomach so that the patient eats less and feels full faster. Over a 6-month treatment period, 3 balloons are swallowed in our office. Placement usually takes less than 10 minutes and doesn’t require sedation. There is no downtime and normal activity is usually resumed immediately after the balloon is placed. At the end of the 6 months, all balloons are removed in a 15-minute outpatient endoscopic procedure under light conscious sedation.
During the 12-month treatment program, patients will receive nutrition and exercise support to help facilitate lifestyle changes that promote weight loss. A patient’s readiness to modify their behavior and maintain this commitment after the balloons are removed are key to their success.
Is the Gastric Balloon Right for Me?
- Patients who cannot tolerate general anesthesia
- Patients with a BMI >28 or greater.
- Patients who are interested in a less invasive treatment.
- Highly motivated patients who just need a boost toward reaching their weight loss goals.
REVISIONAL BARIATRIC SURGERY
Patients who have undergone previous weight loss surgeries such as lap-band surgery, vertical banded gastrectomy or gastric bypass and are experiencing weight regain after their surgery are good candidates for revisional bariatric surgery. In revisional bariatric surgery, surgeons modify or repair an earlier operation that may have produced inadequate weight loss, weight regain, or persistent side effects.
Weight regain can occur due to an inadequate primary surgery or accommodation by the body to the initial procedure performed. While there is a higher risk of complications with revisional bariatric surgery than the patient’s initial procedure, the risk of significant complication is still extremely low (around 2%). There are several options to address previous unsatisfactory gastric sleeve operations: re-sleeving, converting the duodenal switch, or converting to gastric bypass.
The recovery time of a revisional bariatric procedure depends on the patient’s initial procedure, what the problem is with that initial procedure, and what is being modified or repaired.
Is Revisional Bariatric Surgery Right for Me?
- Patients who have regained weight following their initial bariatric surgery.
- Patients who have developed complications following their initial procedure.
- Patients who previously underwent open bariatric surgery.
medical Weight loss
Medical weight loss includes a combination of dietary and lifestyle modification along with prescription medication. New weight loss drugs have proven safe and effective for a select group of patients
Is Medical Weight Loss right for me?
- Patients with a BMI between 28 and 35.
- Patients who are not medically able to tolerate general anesthesia.