Gastric Bypass

Klhan,&nbsp; You may be a candidate for surgery, despite your BMI. A weight loss surgeon in your area (Germany?) can tell you more specifically about whether you are - or whether she/he considers you to be - a candidate for surgery. You do have a set of symptoms that could certainly be related to extra body weight, but would best be evaluated by medical specialists to rule out conditions that may not require surgery. There is a spectrum of surgical techniques that differ in level of complexity (bypass, sleeve, band, plication) that may be available to you, even at your current BMI.&nbsp; Donald J Waldrep, MD, FACS, FASMBS Weight Loss Surgery Beverly Hills and Thousand Oaks, CA

I have severe back pain and knee pain as a result of my weight. At night I can't sleep on my back because I can't breathe and the weight of my stomach puts pressure on my bladder. I take trips to the bathroom every ten minutes while I'm trying to fall asleep. I have very low energy because my body hurts and I never get good sleep. I'm afraid I am not heavy enough and will be told to do normal dieting. It is a struggle to just maintain my weight and if I don't get help I know I will gain more.

I weigh roughly 190 lbs and I am 5'2". Can I get a Gastric Bypass surgery?

Only_me2015 While it is possible that your insurance might cover weight loss surgery for a BMI below 35, it would likely require specific considerations and is uncommon. I believe there is a growing interest in WLS for lower BMIs as lower weight, but still overweight patients have many of the same daily concerns as traditional, heavier patients. With a spectrum of surgical techniques that now include outpatient procedures (band, or plication) I see more patients in the 30-35 range, who would not have typically considered a more complex surgery. Not all surgeons will consider non-traditional BMI patients, but see one or more experts to get more information specific to your goals. Best wishes for reaching your goal. Donald J Waldrep, MD, FACS, FASMBS Weight Loss Surgeon Beverly Hills and Thousand Oaks, CA

My BMI is 30 . I know insurance requires at least 35 but I am wondering if I can just pay it out of pocket.

Am I candidate for Gastric Bypass surgery ?

Briannalamar, You have an option to have either procedure first. I do agree that overall, it would probably be best to optimize your weight loss first so the landmarks that the Plastic Surgeon will use will be stable and reliable. There are a range of weight loss surgeries and they vary in how "complex" they are. If you and your weight loss surgeon find you are a candidate, your choice of surgeries and timing will depend on several factors. You don't mention your current body weight or Body Mass Index, or how much weight you would like to lose. To be complete, your choice of surgery may allow you to have the bariatric and a plastic surgery to be done at the same time; for example, our clinic provides two types of outpatient procedures. Discuss these options with your surgeons. Best wishes in reaching your goals. Donald J Waldrep, MD, FACS, FASMBS Weight Loss Surgeon Beverly Hills and Thousand Oaks, CA

This summer May 19,and I will be getting bbl and breast augmentation so that I can have a very nice figure but even though you have to do diet and exercise but the problem is sticking to it by trying to stay eating smaller size portions of food or watch the calories, I feel i need a more constant solution so that i have to eat smaller portions and purposefully watch my calorie intake so I have been looking into getting gastric bypass a year after my cosmetic surgery procedures.

Bariatric Surgery After Plastic Surgery?

Polarking, Your concern is not unusual regardless of the type of weight loss procedure. There are two mechanisms at play; 1) the perception that the "pouch" seems larger, or the possibility that 2) the "pouch" really is larger. Even gastric bypass patients, whose pouch is typically the size of your little finger, will adapt over time and feel as though the pouch has stretched when perhaps it hasn't. A plication can feel as though it can accommodate more food because of any number of changes: adaptation (a change in the sensation of fullness); "blame" on pouch stretching because of increased weight gain (actually due to eating more calories through smaller but more frequent portions); the in-folded portion becoming relatively smaller; the stomach space becoming relatively larger; and last, the plication becoming "un-done". Unfortunately, my experience indicates pouches don't shrink. A good first step in evaluating your stomach is to ask your doctor if an Upper GI x-ray is advisable that will show the relative size and shape of the stomach and your surgeon can assess if there have been any interval changes since the surgery. It may be possible to "re-WRAP" the stomach to re-establish the feeling of fullness, or other surgeries may also still be considered (bypass, band, sleeve) - though such decisions would be based on multiple factors that your physician and surgeon can address specifically.&nbsp; [Side-note] If you don't mind being asked, was your surgery done in Great Britain or elsewhere? Donald J Waldrep, MD, FACS, FASMBS Weight Loss Surgeon Beverly Hills & Thousand Oaks, California

IF you stretch your stomach after gastric plication (WRAP) is it only the stoma tissue that will stretch or will the stitches burst and come undone? or if going back on a liquid diet for 2 weeks reduce the size of the stomach tissue again and the stiches be intact and the same as they were? please any help would be great... I am 1 year and 5 months post opp and I am eating far too much.

What are the risks of stretching your stomach after gastric plication? (WRAP)

Starrr, Congratulations on your 100 pound weight loss - that is quite an accomplishment! Your concern about hitting a plateau is very common and it would be important to know the time period for your weight loss and how long your weight has been stable. Fluctuations in weight loss, and even times when the scale seems stuck is normal... you are normal. The&nbsp;first step&nbsp;is always to look at the calorie count and see if there is "calorie creep", or minor -&nbsp;seemingly insignificant - calories are getting back into the daily routine. Working with a&nbsp;registered&nbsp;dietician may help someone reassess her intake. Sometimes structured commercial meal plans&nbsp;employed over a month or so may break some&nbsp;eating and behavior habits, and allow&nbsp;an encouraging&nbsp;change in weight. Traditional BMI guidelines&nbsp;support surgery for&nbsp;a person with a BMI between 35-40&nbsp;if that person has&nbsp;health conditions associated with extra body weight (for example, diabetes, high blood pressure, sleep apnea; but there are many others).&nbsp;In light of the growing number of people who battle extra body weight daily, I believe that many surgeons are becoming more accepting of&nbsp;treating lower BMI patients, especially with techniques that we provide that&nbsp;seem less complicated as band or plication. Again, great job on your weight loss so far and best wishes for your continued success. Donald J Waldrep Weight Loss Surgeon Beverly Hills & Thousand Oaks, California &nbsp;&nbsp;

I've lost almost 100lbs, but with no combination of diet, exercise, or medication have I been able to lose any more. Are there surgeons that will preform this surgery on someone with a BMI of 36? I'll be self paying, not going through any insurance company.

Surgeon that does gastric bypass on BMI'S of 36

Lynn - Great question. Heart health can be affected by several kinds of disease, and even some&nbsp;diseases&nbsp;that do not seem to be directly related to the heart itself. Simply put, high blood pressure (HBP),&nbsp;diabetes (DM), and other conditions&nbsp;can contribute to creating higher "back pressure" on the heart,&nbsp;affect the small blood vessels that 'feed' the heart, or can cause direct or indirect strain/injury to the actual muscle that make up the heart. Many, many studies, have shown that weight loss by any method will eliminate or improve these issues in a majority of patients - but typically, it's&nbsp;surgery that leads to the most predictable, significant, and&nbsp;lasting weight loss when compared to dieting. The renowned Cleveland Clinic published a report&nbsp;on the benefit of weight loss surgery&nbsp;to heart disease in 2012. Your&nbsp;surgeon will ensure that your&nbsp;heart disease and&nbsp;other health issues are thoroughly evaluated&nbsp;before proceeding with surgery to ensure your safety. Donald J Waldrep, MD, FACS, FASMBS Weight Loss Surgery Beverly Hills & Thousand Oaks, California&nbsp;

Have heard lots about improvement such as HBP and Diabeties, but what about overall heart issues that lead to heart attacks and/or he congestive heart failure, etc thank you. I am 63, female, weigh 270.

What sort of affect does Gastric bypass have on heart disease overall?

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