Metabolic Surgery

METABOLIC

 SURGERY


Endoscopic sleeve gastroplasty is for anyone who is significantly overweight and has tried diet and exercise without results. This procedure is an option for people who are not candidates for other bariatric surgeries, the endoscopic sleeve uses sutures to minimize the size of the stomach.


This non-surgical, minimally invasive procedure limits the amount of food a patient can eat, which increases fullness to help eliminate excess weight. Endoscopic sleeve gastroplasty, as with all other weight loss procedures we offer, patients must commit to a healthy lifestyle to best ensure long-term success.

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What is morbid obesity?


Morbid obesity is generally defined as anyone who has a "Body Mass Index" (BMI) of 40 or more. This constitutes a weight of approximately 100 pounds over ideal body weight. In addition, a patient may be considered morbidly obese if they have a BMI of 35 or more with two or more "comorbid" conditions. Morbid obesity interferes with quality of life, including basic physical functions such as breathing, sleeping and walking.

What is a comorbidity?

A comorbidity is the presence of one or more disorders or diseases directly related to a primary disorder or disease. In this metabolic surgery case, the primary disease is morbid obesity and comorbidities of morbid obesity may include diabetes, heart disease, physical discomfort with breathing, sleep apnea, joint damage and more.

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What causes morbid obesity?

The causes of morbid obesity are non-binary and difficult to pinpoint. Genetics, environmental and social factors play an important role in the development of morbid obesity cases.

What is metabolic surgery?

Metabolic surgery is a general term assigned to any weight loss surgery designed to create a permanent reduction in the patient's weight and an increase in the patient's quality of life. Metabolic surgery is designed for people with a BMI greater than 40 or a BMI greater than 35 with comorbidities.

Do I qualify for insurance coverage for my metabolic surgery?

Each policy and insurance company is unique. At Minimally Invasive Bariatrics we accept most insurance policies with certain requirements. The best way to make sure your policy will cover the procedure is to call us and schedule a consultation!

How long is the hospital stay after surgery?

Depending on the procedure and how it is performed (open or minimally invasive surgery), the length of your hospital stay will vary. For some procedures (e.g., gastric balloon), you may be able to leave the same day. Others may require you to stay in the hospital for up to two days under monitoring (e.g., gastric bypass).

What is type 2 diabetes?

Type 2 diabetes is a long-term metabolic disorder in which the body produces insulin, but resists it. Insulin is a vital peptide hormone necessary for the body to process and use sugar. This is known as insulin resistance. It can cause high blood pressure, high cholesterol and metabolic syndrome.

Who qualifies for revision bariatric surgery?

If you qualified for bariatric surgery, you are likely qualified for a revision bariatric procedure. Dr. Abel Bello will evaluate you on a case-by-case basis, determine what went wrong with the first procedure and create a customized plan to eliminate the problems discovered. In this way, you will pave the way to lasting weight loss and improved health.

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How is type 2 diabetes affected by metabolic surgery?


Studies have empirically shown that most patients who have undergone metabolic surgery experience resolution of their diabetes. The results are also positive and show a dramatic decrease in comorbidities associated with morbid obesity and type 2 diabetes.


What can I expect after my metabolic surgery?

Metabolic surgery is not a panacea, it is part of an important journey towards a complete lifestyle transformation and a better quality of life. After surgery, you will feel fuller and more satisfied with less food. If you maintain a healthier diet and exercise regimen as recommended by our staff, you will see results like you have never experienced before!

Can I get pregnant after metabolic surgery?

Yes you can! Often, our patients experience MORE success with their pregnancy attempts after their procedures!


Reproductive health is often a serious concern for women struggling with morbid obesity. Problems associated with morbid obesity include infertility (inability to have children), increased risk of miscarriage and menstrual irregularities.


Studies have shown, as well as the experiences we have seen firsthand with our patients, that metabolic surgery has greatly improved our patients' fertility and quality of life.

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