What gastric procedure for weight loss would be appropriate for me?

If you are a candidate to consider gastric sleeve as an option to control your comorbidities such as high blood pressure, you have a BMI of 31.3, you are overweight by 38 pounds

Thank you for sharing your medical history and concerns. Based on the information you provided, your Body Mass Index (BMI) is calculated at 31.3, which classifies you as having Class I obesity. This means that you do qualify for the gastric sleeve surgery. It's important to note that the decision to undergo bariatric surgery is based on a combination of factors, including your BMI, medical history, and weight-related health issues.
The gastric sleeve procedure can be a suitable option for individuals with Class I obesity who are struggling with weight-related health problems, such as hypertension and concerns about the risk of developing diabetes. It is also a valuable tool for those who have joint issues, like your knee and ankle problems, aggravated by excess weight. The weight loss achieved with the gastric sleeve can help alleviate the strain on your joints and potentially improve your ability to engage in activities like hiking.
Furthermore, it's worth mentioning that many patients who undergo the gastric sleeve procedure not only achieve significant weight loss but also experience improvements in their overall health. In some cases, patients have been able to reduce or discontinue medications, such as those for hypertension, as a result of the surgery.
I would recommend scheduling a consultation with a board-certified bariatric surgeon to discuss your medical history, weight loss goals, and whether the gastric sleeve is the most appropriate option for your specific needs. Bariatric surgery can have life-changing effects for many patients, and it is essential to have a thorough evaluation and discussion with a qualified surgeon to determine the best path forward for your overall health and well-being.

For someone in your situation, a non-invasive or minimally invasive weight loss procedure might be the most appropriate approach. Since you already take medication for hypertension and have joint concerns, a gastric balloon could be a good option to consider. The gastric balloon is a temporary device inserted into the stomach to help reduce hunger and limit the amount of food you can eat. This can result in significant weight loss over several months without the need for surgery. The procedure is outpatient, and the balloon is typically removed after 6 to 12 months.
Another option to explore might be endoscopic sleeve gastroplasty (ESG). This procedure involves reshaping the stomach using sutures, reducing its size without any incisions. ESG can provide more lasting weight loss compared to the gastric balloon and is often recommended for individuals who are not candidates for more invasive bariatric surgeries.
Traditional bariatric surgeries like the gastric sleeve or gastric bypass are also possibilities, but they are more invasive and typically recommended for individuals with a higher BMI or significant comorbidities. Since your BMI is around 31, and your main focus is on managing hypertension and preventing diabetes, less invasive options could offer effective results while minimizing risks.