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

Question

Hi, white female turning 49 this year. Im just under 5'5' and weigh around 188lbs. I have hypertension and take losartan 100mg and Hctz 50 mg to control my blood pressure and im worried about becoming diabetic as well. Ive also had acl surgery about 6 years ago and finding the weight is really affecting my ability to hike due to that knee and now the ankle being affected. Ive always fluctuated with weight my lowest weight in the last 5yeaar 160lbs. Is this surgery even appropriate

Jorge Maytorena, MD · Answer

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

Reza Keshavarzi, MD, FACS, FASMBS · Answer

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.

Ali Solmaz, MD · Answer

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.

Islam Abdelkhalek, MD · Answer

The appropriate surgery for you will be gastric bypass surgery. It will control your blood pressure after losing weight.

Pablo Garcia, MD · Answer

Hello, hope you are well. Based on the metrics you provided, your calculated BMI would be 31.3, along with your comorbid conditions of hypertension, joint pain, and fluctuation with weight gain, you would be a good candidate for a gastric sleeve. However, you must be appropiately evaluated by a certified Bariatric Surgeon in order to reach this conclusion. Hope this answer was healpful. Please dont hesitate to contact us if any other questions come up.

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

Answers (7)

Answer: Gastric bypass

Answer: Gastric bypass

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

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

Recommended reading

Everything you need to know about Gastric Sleeve Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (7)

Answer: Gastric bypass

Answer: Gastric bypass

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

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

Browse related questions

Recommended reading

Everything you need to know about Gastric Sleeve Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.