Severe obesity is increasingly recognized as a serious medical problem.
According to the Centers for Disease Control and Prevention (CDC), during the past 20 years, there has been a dramatic increase in obesity in the United States and rates remain high. More than one-third of U.S. adults (35.7%) and approximately 17% (or 12.5 million) of children and adolescents aged 2-19 years are obese.
At Dignity Health-St. Rose Dominican's, Rose de Lima and San Martin Campuses, doctors are providing bariatric or gastric bypass, surgery. Gastric bypass surgery can be a successful solution for seriously overweight individuals who are more than 100 pounds above their medically recommended weight. Many such individuals have health risk factors associated with serious obesity including high blood pressure, heart problems, diabetes, shortness of breath, depression , back and joint pain.
All patients who undergo bariatric surgery at St. Rose Dominican go through a comprehensive education program that typically lasts up to 6 months - before the surgery occurs. During this time, preparations, including the following, occur:
- Psychological evaluations
- Nutrition evaluations and testing
- Lifestyle modification classes
- Other tests the physician may feel are needed, such as sleep studies and/or cardiac testing.
The six-month pre-surgery period also allows the patient time to complete all necessary medical insurance requirements.
Bariatric Surgery Options at St. Rose Dominican
Three types of surgical procedures are currently widely used: sleeve gastrectomy, Roux-en-Y Gastric Bypass and adjustable gastric banding.
All three procedures are effective in helping patients lose weight and improve co-morbidities; however, different procedures are more appropriate for certain patients. The type of procedure used is determined by the patient and physician.
Sleeve gastrectomy is a procedure that uses stapling to decrease the size of the stomach, limiting the amount of food that can be eaten at one time. During this procedure, a thin vertical sleeve of stomach is created and the remainder of the stomach is removed. The patient feels more full sooner and stays more full longer. Sleeve gastrectomy allows for normal digestion and absorption of nutrients.
Roux-en-Y Gastric Bypass
Roux-en-Y gastric bypass surgery is a combined procedure that uses stapling to create a very small stomach pouch. This greatly reduces the amount of food that can be eaten at one time. (The rest of the stomach and a segment of the small bowel are bypassed, which delays food from mixing with digestive juices and stops a portion of calories from being absorbed). In most cases, patients report an early sense of fullness and satisfaction that reduces the desire to eat.
Adjustable Gastric Band
Adjustable banding is a laparoscopic, restrictive procedure. An adjustable silicone band is placed around the uppermost part of the stomach to create a small pouch. The restriction of the band can be increased or decreased without further surgery, which is a process called "adjustment" or "fill" and is performed in the surgeon's office. The stomach and intestines are not permanently altered, so this procedure does not change the way food is digested or absorbed.
To learn more about our bariatric options at Dignity Health-St. Rose Dominican, please call 702.616.4900.