The Best Bariatric Surgeons in Virginia
There are two types stomach surgery: bariatric & weight loss surgery. The best Virginia surgeons perform both and use endocrinologists, orthopedic specialists, nutrition specialists, and psychologists to assist in both pre and post-operative surgery. Morbid obesity or adiposity is a chronic disease associated with high blood pressure, cardiovascular disease and diabetes and can easily lead to death if not treated properly and immediately.
Morbid obesity and type 2 diabetes mellitus is a major threat to Virginians today leading to macrovascular and microvascular complications, including myocardial infarction, stroke, blindness, neuropathy, and renal failure.
While the goal is to halt the uncontrolled diabetes by reducing hyperglycemia, hypertension and dyslipidemia…It has been proven that moderate-to-severe type 2 diabetic patients taking the newest pharmaceuticals only achieve glycemic control 50% of the time.
Bariatric surgery has been proven to reduce cardiovascular mortality and is a useful management of uncontrolled diabetes that can eliminate/reduce the need for medications. Cardiovascular patients improved allowing reductions in lipid-lowering and antihypertensive therapies. However, many unanswered questions remain with patients suffering from uncontrolled diabetes.
Morbid obesity results from incorrect eating habits and can be influenced by genetics. Bariatric surgeons divide surgery by restrictive, malabsorptive and combined restrictive/malabsorptive procedures, and procedures that affect the motility.
The top Virginia bariatric surgeons realize that surgery is the best alternative for obesity. Whereas weight loss surgery is performed with minimal invasive techniques and begin by defining a patient’s obesity by looking at their body mass index. Most surgeons agree that before any surgery is performed a patient should have tried a rigorous weight loss program and have:
- a BMI of 40 or above
- a BMI of 35 but has type 2 diabetes, hypertension or sleep apnoea.
- a BMI of 55–60, the most advisable form of weight loss operations is biliopancreatic diversion with duodenal switch (BPD-DS) which results in the highest degree of weight loss among all forms of bariatric surgery.
Today gastric band surgery has rapidly decreased while gastric bypass are increasing. Sleeve gastrectomy leads the way with malabsorptive surgery being the least performed procedure. Procedures by order of popularity:
• sleeve gastrectomies
• Roux-en-Y gastric bypass
• Omega-loop bypass
• biliopancreatic diversion with duodenal switch (BPD-DS)
• 3 BPD
• revisional surgeries (e.g., sleeve to Roux-en-Y for reflux, sleeve into omega or single anastomosis duodeno-ileal bypass [SADI] for failed weight loss).
In this video you will learn about the anatomy and physiology of the digestive tract and how gastric bypass surgery changes your body to help with weight loss in the morbidly obese patient. You will also learn about what types of things work well with patients that have undergone gastric bypass surgery, and what habits cause issues, like dumping syndrome, if not addressed.
Lap band surgery is performed on outpatients and usually takes 7-10 days to recover, according to the best Virginia weight loss surgeons. Lap band surgery reduces your stomach’s capacity, restricting the amount of food you are able to eat at one time. Small incisions are made and with the use of a tiny camera the best Virginia bariatric surgeons can view the inside your stomach as the band is placed around your stomach. Costs vary but expect an average cost of $15,000.
Learn more at The Lap Band.
In the video below you will learn how to tell your body mass index.
Weight loss surgery, also called bariatric surgery, is used to treat people who are dangerously obese. This type of surgery is only available on the NHS to treat people with potentially life-threatening obesity when other treatments, such as lifestyle changes, haven’t worked.
Types of Weight Loss Surgery
- Gastric band – Your stomach is implanted laparoscopically with bands to make it smaller so you eat less and feel full.
- Gastric bypass – Your digestive system is re-routed past most of your stomach, so you digest less food and it takes much less to make you feel full. Your Virginia bariatric surgeon divides your stomach to create a new, smaller stomach. This new stomach is then attached to the small intestine and bypasses the larger part of your original stomach.
- Sleeve gastrectomy – Also called gastric sleeve surgery. Some of the stomach is removed to reduce the amount of food that’s required to make you feel full. A gastric sleeve limits food intake and removes most of the ghrelin-producing cells in the gastric mucosa. Ghrelin is a hunger-stimulating peptide and hormone in the gastrointestinal tract. The vertical sleeve gastrectomy involves the laparoscopic vertical resection from the upper part of the stomach to where the stomach and small intestine meet. The first step is to stop the bleeding then resection the part taken out and close the wound.
Healthcare Heroes Episode 1012.2: Bariatric patient Angela Duran knew her family history meant she might have future health problems if she didnt take action soon. Because other family members had developed major health problems, Angela decided to take the preventative measure of having bariatric surgery to help with her weight loss.
Learn More about the Best Virginia Bariatric Surgeons:
- 1. Snyder BE, Wilson T, Leong BY, Klein C, Wilson EB. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010 Mar;20(3):265-70. Epub 2009 Nov 3.
- Hagen ME, Pugin F, Chassot G, Huber O, Buchs N, Iranmanesh P, Morel P. Reducing Cost of Surgery by Avoiding Complications: the Model of Robotic Roux-en-Y Gastric Bypass. Obes Surg. 2011 May 3. [Epub ahead of print].
- Fourman MM, Saber AA. Robotic bariatric surgery: a systematic review. Surg Obes Relat Dis. 2012 Jul;8(4):483-8. Epub 2012 Mar 29.
- Ayloo SM, Addeo P, Buchs NC,Shah G, Giulianotti, PC. Robot-assisted versus Laparoscopic Roux-en-Y Gastric Bypass: Is there a difference in outcomes? World Journal of Surgery, 2011, 35:637-642.
- Yu SC, Clapp BL, Lee MJ, Albrecht WC, Scarborough TK, Wilson EB. Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses. Am J Surg. 2006 Dec;192(6):746-9.
- Tieu K, Allison N, Snyder B, Wilson T, Toder M, Wilson E. Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis. 2012 Jan 16. [Epub ahead of print].