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CLAIM YOUR PROFILEThe amount of stomach to remove for a sleeve gastrectomy has been extensively studied. Basically, surgeons want to balance effectiveness of the operation versus associated risks. We usually talk in terms of "Bougie Size" when referring to sleeve size. This relates to the tube-sizer that is passed into the stomach to guide the staple line formation. Most surgeons use a Bougie size of approximately 40 French for a sleeve gastrectomy. This correlates to the 80% of stomach removal.
Bariatric Surgeon, Board Certified in General Surgery
The Sleeve is the most commonly performed bariatric operation being performed. Great outcomes and safety. Acid reflux can be an issue. The Gastric Bypass patients tend to have slightly better weight loss and metabolic improvement over time.
The issue of epilepsy medication and absorption after a Sleeve or Gastric Bypass is still being answered. I probably wouldn't choose a particular operation based on seizure medication usage. Your neurologist should be able to monitor and adjust medication, if needed, regardless of your operation choice.
Our experience has been no issues with seizure medication with our epilepsy patients despite the risks of altered bioavailability related to decreased acid, malabsorption, and decreased transit time.
Bariatric Surgeon, Board Certified in General Surgery
It's not uncommon to have an umbilical hernia. Your Bariatric Surgeon will commonly utilize an umbilical access to perform the sleeve operation. When this portion of the operation is completed, they can repair the belly button hernia.
Bariatric Surgeon, Board Certified in General Surgery
First Point: Revisional Bariatric Surgery is not to be taken lightly, and regardless of which operation you undergo, the risks are greater. The should be done in concert with the dietician, psychologist, and surgeon.
Second Point: You need to find out what your anatomy is. I recommend returning to your Bariatric Surgeon and obtaining an UGI to see what the shape of your stomach looks like. This will help in choosing what, if any, operation is appropriate.
Third Point: If the operation is for failed weight loss, why would you repeat the same operation that isn't working? Discuss with your surgeon the option of Duodenal Switch, or maybe a Gastric Bypass.
Bariatric Surgeon, Board Certified in General Surgery
Surgery is never 100%, and patients can experience weight regain. You're not alone.
Try contacting your Bariatric Center that performed the original procedure and see what their recommendations are. You will most likely need an evaluation that will look at behavioral issues as well as possible mechanical causes. An UGI Swallow X-ray will help determine appropriate options.
Most surgeons offer revisions in what they are most comfortable. Be sure to evaluate the surgical options of (1)Re-sleeve, (2)Gastric Bypass, and (3)Duodenal Switch.
Bariatric Surgeon, Board Certified in General Surgery
Sleeve Gastrectomy can be considered for individuals with Type II Diabetes and BMI >30. Not all insurance companies follow this guideline. In general, individuals with a BMI >35 and with other weight related health condition may be considered a candidate.
Bariatric Surgeon, Board Certified in General Surgery
For these types of cases, my OB/GYN colleague will join me during the operation to do a quick tubal ligation. Adds maybe five minutes to the operation and does not increase your risk of complications.
Bariatric Surgeon, Board Certified in General Surgery
I think this is on the low side. The price is highly variable. Just make sure you go to a program that performs these adjustments on a regular basis. The right kind of needle in an office-based setting. I would avoid fluoroscopy (X-ray).
Bariatric Surgeon, Board Certified in General Surgery
Most of the time, your surgeon can adjust your medications to control the nausea symptoms. In addition, checking in regularly with the Dietician can help in optimizing your diet. In rare cases, patients just can't tolerate the Gastric Balloon. You always have the option of early removal. In my experience, closer follow up with your support team can avoid early removal. Good Luck!
Bariatric Surgeon, Board Certified in General Surgery
Gastric Balloon is contraindicated for people who are pregnant or breastfeeding. If you are no longer breastfeeding, then you may be an appropriate candidate. See your Bariatric Team to make sure you qualify.
Bariatric Surgeon, Board Certified in General Surgery
He’s whole team has been amazing! It was a very easy process with the insurance they did everything for me. From consultation to procedure day it took about 3 months! The preop diet was just 1 week of low carb foods which is good considering a lot of programs make you do a 2 week liquid diet. The surgery scar looks like freckles and hardly noticeable! He’s been wonderful in the aftercare as well! I’ve lost 75lbs in 7 months so far. I’m so glad I found him!
Weight-loss surgery is such a personal choice with a lot of factors. I really appreciate Dr. Fowler who took the time to listen to my concerns and give me all the facts that I needed to make what would ultimately be one of the best decisions of my life!! I was the first in the State of Hawaii to do the SADI loop and couldn't be happier. Dr. Fowler has always been super encouraging and very personable. Megan, his nurse is super helpful as well. I am so glad I took the time to learn more about his program.
I am so happy that I found him! I couldn’t be happier with my results. Not only is he a talented surgeon but he has wonderful bedside manner and really listens to all questions and concerns. I am so glad that he was my surgeon.
If you are looking for a friendly, professional surgeon, with a great staff, you should visit Aloha Surgery. I was fortunate that I found Dr. Fowler via the vast internet. I trusted my gut instinct and made an appointment. Upon meeting Dr. Fowler, I knew he was the one who was going to repair my hernia. He described the various methods in repairing hernias, the amount of post surgery expectations, and the probable minimal scarring. Everything sounded comforting so I requested he move forward and lo and behold a week later, I was at Castle Medical. The finest nurses and people at Castle made me feel very special and well cared for. Another week later, I had my follow up meeting at Aloha Surgery in town, and with no waiting past my scheduled appointment, saw Dr. Fowler for the last time.
The best thing anyone can do for themselves! It's never an easy fix. It's how much u want it! Obesity is such a bad addiction. With the help of Dr. Fowler and staff they can succeed! Also it takes lots of determination, he also tells us if u don't want to change and change your life style then it's not for u! My husband was a great example. He suffered from lots of ailments. he's doing great! I suffered from depression and no motivation cause of my obesity..my husband lost 145lbs. And I lost 120lbs..
Glad I got SmartLipo of the inner thighs. It helped me achieve the thigh gap I wanted, and to adjust the proportions of my body. The recovery from the procedure was a bit more painful than I was expecting, and I was sore and bruised and could not exercise for about a month. I did go back to work within 3 days of the procedure, and was awake during it, which was a cool experience. The swelling was mostly gone after two months, at which point the coveted thigh gap emerged. Updated on 7 Apr 2015: Also just wanted to mention that a total of 400 CCs of fat was removed.
Poor results $2000 wasted. I went in for laser lipo on the upper and lower tummy area. I followed the after care instructions, wore my undergarment as instructed and attended all follow up appointments. I wasn't expecting a miracle but I did expect to see and feel a difference in the before and after.
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