Which Surgery is Right for You?
Goals of Treatment for Obesity Related Diseases
In addition to Percent Excess Weight Loss (%EWL), Dr. Srikanth is driven to move his patients from "heavy to healthy". There are five metrics Dr. Srikanth uses as goals for the treatment of obesity with bariatric surgery. Dr. Srikanth refers to these as a "Healthy High Five". Weight loss surgery has a better track record of reaching these goals concurrently than standard medical therapy for morbidly obese patients.
| Index |
Goal |
| BMI |
< 30 |
Blood Sugar Control
A1C
Before Meals
After Meals |
< 7.0 (ideal < 6)
90 - 130 mg/dL
< 180 mg/dL |
| Blood Pressure |
< 130 / 80 (ideal < 125/75) |
Cholesterol
Low-density lipoprotein (LDL)
High-density lipoprotein (HDL) |
< 100 mg/dL
> 40 mg/dL |
| Triglycerides |
< 150 mg/dL |
Resolution of Obesity Related Diseases post Weight Loss Surgery
In a study documented in the Journal of the American Medical Association (JAMA) of 10,172 patient, weight loss surgery - from Gastric Banding to Gastric Bypass - presented demonstrable resolution of obesity related diseases. The table represent the percentage of patients in remission from the specific with a given surgery. See the section on Diabetes and Weight Loss Surgery for more information specific to diabetes. In summary:
| |
Gastric Band
(1,848) |
Gastric Bypass
(4,204) |
Duoednal Switch
(2,480) |
| Diabetes |
48% |
84% |
99% |
| Hypertension |
43% |
68% |
83% |
| Sleep Apnea |
95% |
80% |
92% |
| Cholesterol |
78% |
95% |
87% |
(Buchwald, H et al. JAMA 2004; 292-14:1724-37)
Each bariatric surgery option can deliver excellent weight loss results - there is no single surgery that is better than another for the treatment of obesity. At the Center for Weight Loss Surgery, our patients have experienced success across the spectrum of surgery options - see the Patient Gallery for pictures and patient testimonials. Which surgery is right for you depends on many factors - your starting BMI, co-morbidities, your overall health etc. Dr. Srikanth will personally work with you to ensure that you have the information you need to make an informed decision. Want more detail on each surgery? Head to the Surgery Options to access detailed information on the surgery of interest.
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