Which Surgery is Right For You?
There are several safe and effective methods of surgical weight loss available today. Each bariatric surgery can offer excellent weight loss results—there is no single surgery that is better than another for the treatment of obesity. We have had patients experience success across the spectrum of surgical options. See our patient gallery for pictures and patient testimonials.
There are two “classes” of weight loss surgery:
Stomach-restrictive operations: Weight loss is achieved by limiting food intake by reducing the size of the stomach.
Combination stomach-restrictive & malabsorptive operations: Weight loss is achieved both by limiting food intake, as well as limiting the absorption of calories in the intestinal tract by bypassing a portion of the small intestine. The amount of malabsorption is dictated by the length of the intestine that is bypassed.
- Proximal gastric bypass (mild malabsorption)
- Single-Anastomosis Duodenal Switch (moderate malabsorption)
- Duodenal switch (significant malabsorption)
- Malabsorptive (medial) gastric bypass (significant malabsorption)
To help decide which surgery will be the best fit for your goals and lifestyle, start by asking yourself these questions:
- What is your expected weight loss? For those who have more excess weight to lose (BMI >50), combination stomach-restrictive and malabsorptive operations typically yield higher weight loss with lower regain rates.
- Do you have weight-related conditions (comorbidities), like type 2 diabetes? The duodenal switch has a nearly 99% cure rate for weight-related diabetes.
- What is your lifestyle? Are you a busy professional who travels often? If you lead a busy life, the sleeve gastrectomy is a relatively low maintenance surgery that is great for those who are on-the-go.
At your initial consultation with Dr. Srikanth you will discuss all of your surgical weight loss options so that you can make an informed decision. For more information about which surgery is right for you we also recommend attending our free informational seminar or viewing our online webinar.
Goals of Treatment for Obesity-Related Diseases
Above all else, Dr. Srikanth’s goal is to move patients from heavy to healthy. Over the years he has come up with five simple indicators of health that he calls his “Healthy High Five.”
Dr. Srikanth’s Healthy High Five:
|BMI (Body Mass Index||< 30|
|Blood Pressure||< 130/80 (ideal 125/75)|
|Blood Sugar Level
< 7.0 (ideal < 6.0)
Low-Density Lipoprotein (LDL)
High-Density Lipoprotein (HDL)
< 100 mg/dL
|Blood Triglyceride Level||< 150 mg/dL|
Weight loss surgery has a better track record of reaching these health goals than standard medical therapy for morbidly obese patients.
Resolution of Obesity-Related Diseases
According to the American Society for Metabolic and Bariatric Surgery (ASMBS), bariatric surgery is “associated with massive weight-loss and improves, or even resolves (cures), obesity-related co-morbidities for the majority of patients….including high blood pressure, sleep apnea, asthma and other obesity-related breathing disorders, arthritis, lipid (cholesterol) abnormalities, gastroesophageal reflux disease, fatty liver disease, venous stasis, urinary stress incontinence, pseudotumor cerebri, and more.”
In a study published in the Journal of the American Medical Association (JAMA), 10,172 weight loss surgery patients demonstrated significant resolution of obesity-related diseases (1). The table below represents the percentage of patients in remission for each obesity-related disease by surgery.
According to a meta-analysis of studies done between 2003-2012, diabetes remission rates have improved, and mortality rates have decreased in association with bariatric surgery (2). The analysis included outcomes from 164 studies and nearly 162,000 patients and was published in the Journal of the American Medical Association (JAMA).
This study shows that bariatric surgery is safer and more effective than past studies have reported. "With the 2004 study, we now have 22 years worth of data from over 180,000 patients and 300 studies," said study co-author J. Esteban Varela, MD, MPH, MBA, Fellow of the ASMBS. "The data continues to prove bariatric surgery is not only safe and effective in providing significant and sustainable weight loss, but is the most effective treatment today for diabetes, hypertension and an array of other diseases and conditions in people with obesity." Analyses included 161,756 patients with a mean age of 44.56 years and body mass index of 45.62:
|Diabetes Remission Rate||92%|
|Hypertension Remission Rate||75%|
|BMI Loss (5 Years Post-Surgery)||12-17 points|
|30-day Mortality Rate||0.08%|
In addition, analysis found that the sleeve gastrectomy had comparable weight loss to the proximal roux-en-y gastric bypass at 5 years, without any of the known adverse consequences of gastric bypass such as dumping, gas, anemia, risk for protein, calcium and vitamin D deficiency, and potential for late weight regain.
Emilie, Sleeve Gastrectomy