Bariatric Surgery Overview
Adolescents with class II obesity and any obesity related condition, or class III obesity and higher, can be referred to the Bariatric Surgery program at Renown Health by placing a referral through Epic or through the outpatient referral department. The pathway is an opportunity for families and young people to learn more about bariatric surgery and whether it would be the right option for further management of their obesity.
The pathway includes the following: |
1. |
Surgical consultation |
2. |
Psychological assessment |
3. |
Dietary assessment + additional nutrition sessions, if indicated |
4. |
Upper GI |
5. |
Preoperative lab assessment |
6. |
Anesthesia evaluation, if indicated |
Once a young person completes all the above requirements, their application will be submitted to their insurance carrier for a preoperative authorization.
Sleeve Gastrectomy Surgery( also known as“ gastric sleeve surgery”) It is the most common type of weight loss surgery in the US. A tube-like sleeve is created from your stomach by taking out 80 % of your stomach and stapling the rest closed.
How does it work? Makes the stomach smaller and limits how much food you can eat at one time, which allows you to feel full sooner and longer. Changes gut hormones to feel less hungry and full for a longer time.
Average Surgery Time: 45 minutes to one hour Hospital Stay: 1-2 nights
Risks:
• Staple line leak
• Bleeding from divided tissues
• Gastric outlet obstruction( a block in your intestine)
• Gastroesophageal reflux disease( GERD): stomach pain, burning, or an acidic feeling in your throat or mouth
Benefits of the sleeve gastrectomy:
• Fewer nutrient deficiencies compared to Roux-en-Y gastric bypass
• Less risk of dumping syndrome compared to Roux-en-Y gastric bypass
• Weight loss is similar to gastric bypass, 20-25 % of total weight loss.
• This is an average, meaning it is what most people lose. Some people lose more, and some people lose less.
• Remission or improvement of other obesity-related conditions
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