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Bariatric Surgery: Gastric Bypass Kennedy Health Bariatric Surgery Information Session STEPHANIE DRUZIAKO Just Imagine… Fitting comfortably in an airplane seat Boosting up your confidence Being able to play with the grandkids No longer needing to take medicine for Diabetes When to Consider Surgery Have you been trying unsuccessfully to lose weight for years? Do diets, exercise, or medicine fail every time? Is it difficult to do every day activities due to your size? Are you at a loss for what to do next? Surgery Myths Surgery is a cure for obesity False I do not have to prep much for surgery There are 6 months of prep work. Surgery is merely a tool when other options have failed. Surgery is an easy way to lose weight Weight loss is not guaranteed and takes a lot of commitment. It will be easy to avoid overeating postsurgery You can only fit in 1 oz. of food at a time, but you can still eat too often. Do You Qualify? Initial Criteria Between the ages 18 and 60 Void of serious medical conditions that might complicate surgery Psychologically stable Has not smoked or abused drugs within past year Does not abuse alcohol Is prepared to make a permanent change in his or her lifestyle and diet Do You Qualify? Weight Criteria Weigh 100 pounds overweight BMI of 40 and up BMI of 35 and up if you have… Type II Diabetes Heart disease Other obesity related disorders Weight makes you medically disabled Weight keeps you from completing daily tasks So you qualify. Now What? So you qualify. Now what? 1. Initial visit 2. Prepare your body 3. Pre-tests and screening Initial Visit Meet with Kennedy Bariatric Surgery Team Last 1-2 hours Will discuss… Medical history Surgery procedure, benefits, and risks Insurance qualifications Prepare Your Body Quit smoking Lose weight Takes roughly 6 months to best prepare your body for surgery Any amount helps Increase activity level of any kind Park further away Walk around the block Pre-tests and Screening Primary care examination Sleep Study Evaluation Age-Related Screenings Chest X-ray Cardiac Evaluation Upper Gastrointestinal X-ray Pulmonary Evaluation Upper Endoscopy Insurance Coverage Gain approval for procedure Verify coverage with insurance company Specify exclusions Document dieting and exercise Ensure procedure and hospital are both Undergo psychological evaluation covered Submit medical records and letter of medical Make sure you specify obesity versus morbid obesity necessity Support Pre-Operative education class Nutrition counseling Understanding the process and answering questions Pre and postoperative nutritional guidance Support group Support available for patient and family pre and post operation Procedure Minimally invasive Overall Result: Allows food to bypass part of stomach and small intestine so fewer calories are absorbed 1. Small pouch is created at top of stomach to hold only 1 ounce of food 2. Pouch is connected at a later point on small intestine to skip over lower stomach and upper small intestine Gastric Bypass Procedure What can I eat after surgery? Stage 1 Stage 2 2 weeks of low-fat, low-sugar pureed foods Stage 3 2 weeks of clear, sugar-free, caffeine-free, and uncarbonated liquids 2 weeks of soft, cooked foods Stage 4 Lifetime of low-fat, high-protein, high-fiber solid foods Risks Injury to intestines, stomach, organs Leaking from stomach Malabsorption of nutrients Negative reaction to simple carbs, high-fat foods, and refined sugars Breakdown of the stomach pouch or opening Life After Surgery Feel more full with less food at a time Patients lose up to 80% of excess body weight if plan is followed Patients are often shown to maintain weight loss for 15 years Minimally invasive means shorter recovery time Testimonials Eileen Grabosky of Washington Township, NJ Age 52, from 286 lb to 153 lb "Bariatric surgery changed my life completely. I can do things I haven't been able to do in years, including hiking up a hill." Harry Soards of West Berlin, NJ Age 47, from 338 lb to 238 lb "I was hardly in any pain at all after the surgery. Everyone at the hospital – from Dr. Neff to the nurses to the nursing assistants and even the people who cleaned my room – treated me like a king." References Kennedy Health System - Bariatric Surgery | What to Expect. (n.d.). Retrieved September 26, 2015, from http://www.kennedybariatric.org/are-you-a-candidate/what-to-expect.html Calculate Your Body Mass Index. (n.d.). Retrieved September 26, 2015, from http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm Myths and Misconceptions about Bariatric Surgery | Grand Rapids | Mercy Health Saint Mary's Campus. (2013, May 16). Retrieved September 28, 2015, from http://www.mercyhealthweightmanagement.com/saintmarys/myths-and-misconceptions/