Two “Classes” of Weight Loss Surgery
Stomach Restrictive Operations
These surgeries, in which weight loss is achieved by limiting food intake by reducing the size of the stomach, are:
Combination Stomach Restrictive and Malabsorptive Operations
Weight loss is achieved by reducing 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. These surgeries include:
Deciding Which Surgery Is Right for You
To help decide which surgery is the best fit for your goals and lifestyle, start by asking yourself these questions:
What is my expected weight loss?
For those who have more excess weight to lose (high BMI), combination stomach restrictive and malabsorptive operations typically yield higher weight loss with lower regain rates.
Do I have weight-related conditions (comorbidities) such as type 2 diabetes?
The duodenal switch has a greater than 90 percent cure rate for weight-related diabetes.
What is my 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 ideal for those on-the-go.
Need to lose weight for elective surgery (ex hip or knee replacement or spine surgery?
Sleeve gastrectomy brings about fast, predictable weight loss and is a good option for patients seeking weight loss in preparation for knee and hip joint replacement, as well as spine surgery and other elective surgery.
During your initial consultation with Dr. Srikanth, he will discuss 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.
Treatment Goals 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 Heathy High Five:
|BMI (Body Mass Index)||< 30|
|Blood Pressure||< 130/80 (ideal 125/75)|
|Blood Sugar Level|| |
|Hemoglobin A1C||< 7.0 (ideal < 6.0)|
|Before Meals||90 – 130 mg/dL|
|After Meals||< 180 mg/dL|
|Low-Density Lipoprotein||< 100 mg/dL|
> 50 mg/dL (women)
> 40 mg/dL (men)
|Blood Triglyceride Level||< 150 mg/dL|
Weight loss surgery has a better track record of achieving these 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 comorbidities 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.”