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Who is a Candidate for Weight Loss Surgery?

Weight loss surgery, medically known as bariatric surgery, is common today as the dire consequences of obesity related health conditions are realized. You may have already tried an assortment of diet programs and medications without success. If that is the case, you may be a candidate for weight loss surgery at our Los Angeles surgery center. In general, weight loss surgeries may be recommended for those individuals that have a Body Mass Index (BMI) of 35 or greater and have one or more obesity related health conditions. For example patients often have high blood pressure, type 2 diabetes, GERD, sleep apnea, or osteoarthritis. If no other weight related conditions are present, the recommended BMI is 40 or greater which is about one-hundred pounds overweight. 

What Kind of Weight Loss Surgeries Are There? 

All weight loss surgeries are performed by making the stomach smaller in size and/or changing the area where food absorption occurs. The physicians at miVIP Surgery Centers will carefully listen to your weight loss goals and review your medical history to determine if you are a candidate for surgery.

Though there are similarities to weight loss surgery, there are also multiple custom approaches and techniques. At miVIP Los Angeles Surgery Centers, weight loss surgery has a high-tech tool on its side: the da Vinci SI Surgical System®, a robotically assisted surgical system. The da Vinci system offers several distinct benefits over traditional open or laparoscopic surgical procedures. Because the incisions are even smaller than laparoscopic or minimally invasive procedures, you have less scarring and reduced risk of post-operative complications. Smaller incisions also mean less post-operative pain following surgery. miVIP offers a variety different robotic weight loss surgery types using the da Vinci including:

Gastric Banding: An operation where a silicone band is wrapped around the upper portion of the stomach, creating a small pouch, where food is held. Since this pouch is smaller than your entire stomach, you will have feelings of being full even when you eat less. The band has a plastic tube where saline can be added or removed to adjust the pouch tightness causing food to be stored longer or released faster into the larger stomach area.

Weight Loss Results – Typically 40% of excess weight lost within three years. Evidence supports long-term weight loss maintained after 15 years to be an average of 60 pounds (Annals of Surgery, January 2013)

Sleeve Gastrectomy Surgery: A surgery where a portion of your stomach is removed, reducing the stomach to the size and shape of a banana. Post-operative the stomach will be approximately 75% smaller than before. This will help you feel fuller faster. Since intestinal absorption is not affected for this procedure you will continue to get the nutrients your body requires for optimal health- only in smaller quantities. 

Weight Loss Results – Average or 1/3 to 1/2 of your body weight over a two- to three-year period. 

Gastric Bypass Surgery:  During a gastric bypass, the physician removes a large portion of your stomach and reshapes a smaller stomach pouch. Then the smaller stomach is reattached in a new location, farther down, along the small intestine. Since the smaller stomach is attached lower on the small intestine the amount of food and calories that can be absorbed decreases dramatically. The da Vinci Surgical System is capable of two different types of gastric bypass surgery – a Roux-en-Y (pronounced roo-n-y) and biliopancreatic diversion with duodenal switch (typically performed for people with a body mass index greater than 50).

A 2008 study from the University of Texas Health Science Center published in the Journal of Robotic Surgery found robotic surgery helped to minimize the risk for gastrointestinal leak following gastric bypass weight loss surgery, over both laparoscopic and bariatric surgery procedures. Reducing these and other post-surgical complication risks allows you to achieve the weight loss you have desired for so long.

Weight Loss Results– Weight is shed faster with gastric bypass than other types of surgery. The majority of patients lose 10- 20 pounds per month in the first year after surgery. Within the first two years the estimation of weight loss is 100-200 pounds or 50% or more of your body weight. By sticking to your diet and exercise early on you will lose more weight. 

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