Kettering Bariatric specializes in weight-loss surgery for morbidly obese patients in Dayton, Ohio, and the surrounding communities. Successful weight loss surgery depends a great deal on proper preparation. The Kettering Bariatrics team includes a variety of experienced specialists who can help you prepare for surgery and will support you at every step in the process. We’re ready to listen.
We take an active role in your health care, helping to assess your unique situation, analyze your previous attempts at weight management, discuss your specific goals and explore a variety of treatment options. The results of bariatric surgery also depend greatly on your personal dedication. Surgery will help you feel better and live well, but it can also dramatically alter your lifestyle in terms of what and how you eat, your energy and activity levels, attitudes toward yourself and others, and your entire outlook on life. While most of these changes will be positive and welcome, they can still be unsettling.
When you visit our office, you'll be surrounded by a patient-centered, compassionate team of bariatric professionals who are dedicated to helping you to change your body and change your life. Knowing what to expect and planning ahead can greatly improve a patient's chances of success. Part of our patient dedication includes providing information that helps you make informed decisions about your health. To learn more, please register for a free seminar that we present several times every month.
Common insurance requirements:
Calculate Your BMI
Body Mass Index (BMI) is currently the best assessment of a person’s obesity. BMI is an accurate way to determine the degree of an individuals obesity, and takes both height and weight into consideration. You can calculate your BMI by using the form below. A good candidate for weight loss surger would have a BMI of > 40, and meet our guidelines for surgical candidates (below right). You should also understand the risks of weight loss surgery.
Calculate Your BMI
Your Height: feet inches
Your Weight: pounds
Gender: Male Female
BMI Classification Health Risk
Who is a Surgical Candidate?
WHAT IS MORBID OBESITY
Benefits, Risks, Efficacy
Increased Quality of Life
Keep in Mind
Complications and Risks
The Hospital Stay
Preparing For Surgery
Paying For Surgery
Weight Loss Surgery Comparison
The following information provides an overview of the differences between surgical weight loss options. Only you and your surgeon can evaluate the benefits and risks of weight loss surgery and choose the most appropriate procedure for you.
Gastric banding / Sleeve gastrectomy / Gastric bypass
The REALIZE® Adjustable Gastric Band wraps around the upper part of the stomach, dividing the stomach into a small upper pouch that holds about ½ cup of food and a larger lower stomach. The degree of band tightness affects how much food you can eat and the length of time it takes for food to leave the stomach pouch. During the sleeve gastrectomy procedure, a thin vertical sleeve of stomach is created using a stapling device. The sleeve is about the size of a banana. The rest of the stomach is removed. In this procedure, the surgeon creates a small stomach pouch and attaches a section of the small intestine directly to the pouch. This allows food to bypass a portion of the small intestine.
How it works to help you lose weight
By creating a smaller stomach pouch, the REALIZE Band limits the amount of food that can be eaten at one time, so you feel full sooner and stay full longer. As you eat less food, your body will stop storing excess calories and start using its fat energy supply. By creating a smaller stomach pouch, a sleeve gastrectomy limits the amount of food that can be eaten at one time, so you feel full sooner and stay full longer. As you eat less food, your body will stop storing excess calories and start using its fat supply for energy. By creating a smaller stomach pouch, a gastric bypass limits the amount of food that can be eaten at one time, so you feel full sooner and stay full longer. By bypassing a portion of the small intestine, it also causes your body to absorb fewer calories. As you eat less food, and absorb fewer calories, your body will stop storing excess calories and start using its fat supply for energy.
How it affects digestion
Allows for normal digestion and absorption. Food passes through the digestive tract in the usual order, allowing it to be fully absorbed in the body. Allows for normal digestion and absorption. Food passes through the digestive tract in the usual order, allowing it to be fully absorbed in the body. Changes the body’s normal digestive process to reduce the number of calories and nutrients that are absorbed.
Total excess body weight lost
43% 33% to 85%, with an average of 55% 61.6% Type 2 diabetes 47.8% resolved1 80.2% resolved or improved3 56% resolved2 37% improved2 83.8% resolved3 90.6% resolved or improved3 High blood pressure resolved 43.2%3 49%2 67.5% 3 High cholesterol resolved 78% improved3 In addition, patients in the U.S. clinical trial experienced a 22% increase in good cholesterol (HDL) 36 months after surgery1 43% resolved2 94.9% improved3 Obstructive sleep apnea resolved 94.6%3 60% resolved2 86.6%3 Read more Read more Read more Resolution statistics above reflect observations in the confines of studies; EES has no independent data to suggest permanent resolution. 1. REALIZE Adjustable Gastric Band: Summary of safety and effectiveness data. Available at: http://www.accessdata.fda.gov/cdrh_docs/pdf7/P070009b.pdf. Accessed on November 11, 2009. 2. EES summary of data contained in review article: Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5:469-475. 3. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724-1737. 4. Crémieux PY, Buchwald H, Shikora SA, Ghosh A, Yang HE, Buessing M. A study on the economic impact of bariatric surgery. Am J Manag Care. 2008;14:589-596. 5. Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859-863. 6. Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515-529. Nutritional Guidelines A person's diet after weight loss surgery tends to be self-regulated, because the body may react to certain foods with discomfort, nausea, or diarrhea. With a little care and planning, however, patients can enjoy a wide variety of their favorite foods while enhancing the weight loss process. You can consult with dietary specialists on the Kettering Bariatrics team before and after surgery, and they will develop an effective diet plan for you based on your individual requirements and restrictions. In general, you can expect the following: Hydration is essential following surgery. It is important to drink a minimum of 64 oz per day. Sip fluids often, but stop if you feel pain, fullness, or nausea, and wait a few minutes before trying to drink again. Your first few meals after surgery will consist of clear liquids. Most patients eat soft, easily digested foods for 3 months after surgery. In many cases, the stomach is reduced to a 2- to 3-oz pouch that makes patients feel full faster and prevents consumption of a large amount of food at once. Meal size is very important. You should eat 3 daily meals, each consisting of 1/2 cup of food or less. You also will need 2 small protein snacks to ensure you get 60-80 grams of protein per day to promote healing and prevent malnutrition. See Protein Sources for more details. You should only introduce one new food item at a time to be sure your new digestive system will tolerate it. Every patient is unique, so pay attention to your body's cues. By one year after surgery, you will be eating 3 daily meals consisting of 1 cup of food or less. Be careful not to overeat. This can stretch out the stomach pouch dangerously and cause you to regain weight. Links In addition to our own website, there are other resources on the Internet that provide a great deal of information on weight loss surgery and the options available today. Because we are committed to improving the overall health knowledge of our patients, we are providing the following selection of website links you might find useful and informative. We have organized the links into categories in order to provide quick access to the topics of greatest interest to you. If you have a suggestion for a new link, please send us an email, as we are always looking for good resources to pass along to our valued patients and visitors to our website. We hope you find these sites helpful! Bariatric Associations The following links provide updated information on bariatric surgery by the largest bariatric assocations across the country. American Obesity Association The American Obesity Association (AOA) is an organization focused on changing public policy and the overall perceptions about obesity. The AOA serves as an advocate for obese people across the country with a goal to re-conceptualize obesity to be viewed as a disease rather than an individual failure. American Society of Bariatric Physicians Formed in 1950, The American Society of Bariatric Physicians (ASBP) is a non-profit international medical association of allied health care professionals with special interest and experience in the treatment of obesity and related disorders. The ASBP provides useful information to their members, the health care industry, and the general public. American Society For Metabolic And Bariatric Surgery The vision of the Society is to improve public health and well being by lessening the burden of the disease of obesity and related diseases throughout the world. Bariatric Interests The following links provide some good information on topics of interest to bariatric patients. Bariatric Advantage Nutritional Supplements Bariatric Advantage® provides a complete line of dietary supplements that have been specifically formulated to meet the unique demands of both the pre-operative bariatric surgical candidate, as well as the post-operative bariatric surgical patient. BariatricEdge.com Detailed bariatric (weight loss) surgery information, resources, and tools for people struggling with morbid obesity seeking to lose excess body weight for good. The site provides information on the health risks of obesity, diseases caused by morbid obesity, and the effectiveness and risks of bariatric surgery options available today. HealthWiseMetabolic HealthWiseMetabolic offers a wide variety of great tasting nutritional products. At HealthwiseMetabolic.com, great taste is our contribution to your success and to your goal of nourishing the new you. Quality, selection and flavor delivered directly to your home. Please check out the widest selection of protein products for surgical patients on the net. International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) IFSO is growing into a professional organization, with the goal to support its members in aspects directly related to their profession. IFSO's main activity is currently the organization of the yearly World Congress, which provides a forum to exchange knowledge on surgical treatment of severely obese patients, to present new techniques, research and concepts, and to meet the experts in the field. ObesityHelp.com ObesityHelp.com is dedicated to the education, empowerment and support of all individuals affected by obesity, along with their families, friends, employers, surgeons and physicians. Membership to ObesityHelp.com is free and provides patients with weight loss resources, message boards, chat rooms, and other interactive features. Post Surgery Instructions A complete physical recovery from weight loss surgery can take time, and it is only one factor in determining a patient's long-term success. The full benefits of bariatric surgery are possible only with diligent attention to post-surgery diet and lifestyle requirements. Click Here for Nutritional Guidelines Even a minimally invasive surgery such as laparoscopic Roux-en-Y is considered a major medical procedure, and your body will require time to recover. In addition, the result of your surgery is a dramatic restructuring of your digestive system involving surgical alteration of several internal organs. A full recovery and improved health are always expected, but the healing process can take time. Here's what you can anticipate: You will remain in the hospital for up to 4 days for monitoring and care during the critical post-surgery period. The ususal stay is 2-3 days. This allows time to address any complications that arise and help you adjust to your new situation and focus on what lies ahead. You may feel weak, drowsy, or nauseous occasionally for several days. Once home, you're welcome to walk, use stairs, shower, and engage in normal light activities as you feel comfortable and your physician allows—but refrain from lifting more than 5-10 pounds during the first week. The timeframe to resume driving depends on the type of surgery, the patient's physical comfort, and medication prescribed. If your job is not physically demanding, you could return to work in as little as 2-3 weeks. If your job involves a lot of physical activity, it may take 4-6 weeks before you can return. You should avoid strenuous activity for 4 weeks or longer. You should plan on several follow-up appointments to ensure the surgery was effective and help maximize its benefits. It is a good idea to consult your primary care physician within the first few weeks after surgery. Pain and Complications Patients are likely to experience some pain following surgery due to the extensive changes to their bodies. You may have a prescription for medication to help ease the pain or address other post-surgery needs. Be sure to call your doctor if you experience excessive pain or any of the following: Recurring nausea/vomiting Signs of infection around your incision(s)—redness, drainage, swelling, warmth, pain Fever (101 degrees) and chills Signs of dehydration—decreased urine, increased heart rate, flushed face, anxiety Severe shoulder pain Difficulty breathing Pain in the chest or calves