Category: Weight Loss

A look at the major differences between gastric sleeve, gastric bypass, and the LAP-BAND

Posted on January 8, 2020

weight loss surgery differences

weight loss surgery differences
Making the decision to have weight loss surgery is huge. But even when you are certain that this is what you need to do, it can be overwhelming to move forward. Our surgeon and staff will be with you every step along the way, but we know that many patients like to be as informed as possible about their options. 

In this post, we will take a closer look at three of our most common procedures to discuss differences, advantages, disadvantages, and more. 

Differences between our three most popular weight loss surgery options

One thing we hear often is that patients want to have the least invasive surgery possible. As our name suggests — Birmingham Minimally Invasive Surgery — all of our options are indeed minimally invasive. Our three most common procedures are gastric sleeve, gastric bypass, and LAP-BAND. We perform each of these laparoscopically, which requires only four to six tiny incisions and less than two hours in the operating room.

Gastric Sleeve

During gastric sleeve surgery, we basically cut away the top and largest part of the stomach, which is called the fundus. About ⅔ of the stomach is removed. The removed section is where the hunger hormone, ghrelin, lives. If you’ve heard someone say they are never hungry after gastric sleeve surgery, it is because we have removed the hormone completely. Some people find this benefit more appealing than others. The combination of removing the hunger hormone and a large portion of the stomach typically leads to significant weight loss.

Who’s a good candidate for gastric sleeve? If using insurance to cover the procedure, you must have a minimum BMI of 35 to 40, along with various other health issues, such as diabetes, sleep apnea, or heart disease. If your BMI is higher than 40, these other health issues are not required. Gastric sleeve is a good option for anyone meeting these requirements without insurance coverage as well. Because the procedure has been shown to be acid inducing, anyone with severe acid reflux disease should probably avoid this option.

What are the benefits of gastric sleeve as opposed to other weight loss surgeries? Compared to other options, gastric sleeve is a simpler procedure. We do not reroute the intestines like we do during gastric bypass, and we do not put in a foreign body like we do with the LAP-BAND. It’s a quick procedure that involves cutting 2/3 of the stomach away, leaving a very small, banana-sized stomach.

Gastric Bypass

With gastric bypass (also called Roux-en-Y), we create a very small stomach pouch that restricts food intake. A Y-shaped section of the small intestine is attached to the pouch and allows food to bypass the lower stomach — the duodenum (the first segment of the small intestine) and the first portion of the jejunum (the second segment of the small intestine). This reduces the amount of food you can take in because your stomach holds only one to two ounces. This also decreases the absorption of food and nutrients, which aids in weight loss as well.

Who’s a good candidate for gastric bypass? Gastric bypass is often a better option for our heavier patients because most will lose up to 80% of their excess body weight as opposed to about 60% with gastric sleeve. This rapid weight loss can be very beneficial for those who have more severe health issues, such as sleep apnea, high blood pressure, and diabetes. It’s also a good option for anyone with severe acid reflux or poorly controlled diabetes since gastric bypass has proven to cure both. 

What are the advantages and disadvantages of gastric bypass? Some people like knowing that gastric bypass is technically considered reversible. However, this is something we always want to avoid, because reversal will cause you to gain the weight back. After surgery, you do have to take nutritional and vitamin supplements for life because of the malabsorption of food and nutrients.

We hear that people often have the impression that gastric bypass is more invasive than other options, but we take a minimally invasive approach. We typically make six incisions, and it’s done completely laparoscopically. It is a little more labor intensive because we do change your anatomy.  

The LAP-BAND

With this procedure, we place the LAP-BAND, a foreign body made of a special material, near the top of the stomach where it meets the esophagus. This creates a very small pouch that empties into the larger remaining portion of the stomach. The band is connected to a port, which is located underneath the skin of the abdomen. This is how we put fluid in the band, which allows us to make the band opening larger or smaller in size, giving patients more or less restriction.

Who’s a good candidate for the LAP-BAND? Many patients prefer the LAP-BAND because it is not permanent. We are not changing the anatomy of the stomach, and we can take the LAP-BAND out if the patient chooses to do so. It can be a good option for those paying out of pocket, because the cost is less than other options. It’s one of our more cost effective procedures.

What are the advantages and disadvantages of the LAP-BAND? With the LAP-BAND, weight loss may be somewhat slower than with other options. We have to find that “happy place” where the patient is able to get food down but also able to maintain smaller portion sizes. This is where band adjustments come into play.

Weight loss surgery with and without insurance

The role your insurance plays may be a big factor in which weight loss procedure is best for you. Many insurance companies have a BMI requirement for each surgery that you will need to meet in order to be a candidate. If you will be paying out of pocket, the cost of the procedure will likely play a major role in your decision. 

With all three of these weight loss procedures, the goal is for you to lose weight and become healthier, hopefully eliminating or reducing the severity of other health issues. But you must remember that no weight loss surgery option is a magic fix for permanent weight loss. While these procedures will certainly help, diet and exercise will still be important.

Contact Us to Learn More About Gastric Bypass Surgery

Birmingham Minimally Invasive Surgery is a caring group of professionals who specialize in all types of bariatric surgery.  Our surgeon Dr. Jay Long has highly specialized training in bariatric surgery, having completed a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, Texas, where he focused on taking care of patients that are morbidly obese.  And we are so proud of our pricing that we publish the costs right on the front page of our website!  Insurance won’t pay?  We have a variety of financing options we can offer you so that you are able to get the healthy body you’ve wanted for years.  Visit us today at http://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

Lisa’s testimonial: gastric bypass surgery saved my life

Posted on December 30, 2019

patient testimonial

patient testimonial
Gradual weight gain year after year, Type 2 diabetes, high cholesterol, high triglycerides, high blood pressure, obstructive sleep apnea, non-alcoholic fatty liver disease, unpredictable blood sugar, passing out at work.

This is where I was before coming to Birmingham Minimally Invasive Surgery. I was aggravated by my horrible health. I didn’t smoke, and I rarely drank even in social settings, but my health was terrible. 

Hearing the harsh reality

My cardiologist told me that my number one priority was losing weight. He said I had literally taken years off of my life by not eating healthy and exercising. I was so tired of hearing the same speech from him year after year, but then one time, it was different. He told me that I shouldn’t have had children if I wasn’t going to live long enough to take care of them. It was harsh. His words made me cry. But it was true, and it was exactly what I needed to hear in order to get motivated. So I had gastric bypass surgery. 

Finding Dr. Long

I attended a seminar that Dr. Long hosted at St. Vincent’s East where he answered questions and shared realistic expectations. I instantly felt that he was the one who needed to do this surgery for me. He is knowledgeable about all aspects of the surgery, including how to prepare in the months before surgery and what to expect after. He is so professional, yet comforting. 

In preparation for my surgery, I had seven months of check-ups with my primary care physician, which was required by my insurance. My initial appointment with Dr. Long was simple. I followed all of the instructions he gave me, because I was dedicated to this being my chance to lose weight and live longer. 

Success after surgery

My heaviest weight before meeting Dr. Long was 324.9. One year after surgery, I weighed 150. Today I weigh 134.

Aside from the numbers, I now have increased energy and freedom from joint pain. I can run five miles now in the mornings with no problem. I play baseball with my kids and fit into amusement park rides easily (like I never did before). I can run up flights of stairs skipping every other stair. There are so many things I can do now that I never even knew I was missing. 

Immediately after beginning to lose weight, I was able to live without my diabetes medication. I was no longer diabetic. I no longer had high cholesterol, high triglycerides, high blood pressure, or sleep apnea. Just being free from all of those diseases and corresponding medications so quickly was a huge surprise to me. 

My biggest “non-scale victory” has to do with the fun and playfulness in my marriage now. My husband wants to carry me all the time. He picks me up and raises me over his head. We are able to have a lot more fun together now that we couldn’t have before due to my weight. 

The challenges from other people

While I had a lot of success, there are, of course, challenges. Especially in the beginning, everyone expected me to be able to eat as much as they did. They didn’t always understand that my portions would be smaller. People have also made comments about me being too skinny or needing to eat more. 

I have found it surprising that people often bring their own eating habits into the conversation, sometimes feeling as though they have to explain what they eat or why. I have seen insecurities in others and had negative comments about why they would never have surgery. 

Follow your heart

While there may be this type of negativity for you too, follow your own heart. So many people are scared of your changes from surgery, but I assure you that it will be the best decision of your life. I will never regret one minute of my surgery or the process. It is the best thing that could have ever happened to me. Dr. Long is my hero. He believed in me, and it changed my life.

Contact Us to Learn More About Gastric Bypass Surgery

Birmingham Minimally Invasive Surgery is a caring group of professionals who specialize in all types of bariatric surgery.  Our surgeon Dr. Jay Long has highly specialized training in bariatric surgery, having completed a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, Texas, where he focused on taking care of patients that are morbidly obese.  And we are so proud of our pricing that we publish the costs right on the front page of our website!  Insurance won’t pay?  We have a variety of financing options we can offer you so that you are able to get the healthy body you’ve wanted for years.  Visit us today at http://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

Resolutions to lose weight for a healthier life in 2020

Posted on December 27, 2019

weight loss 2020 resolutions

weight loss 2020 resolutions

Making New Year’s resolutions gets a bad reputation. Some people make them, but many people don’t follow through for more than a few weeks at best. But we love the idea of making new commitments or renewing commitments as we embark on a brand new year: new beginnings, blank slates, a fresh start, and all that. 

We see many patients who need to make resolutions not just to lose weight, but to start living a healthier lifestyle. A healthier lifestyle will likely involve weight loss, and there’s nothing wrong with that. But there’s more to the story. 

In this blog post, we will focus on some of the reasons why it is important to make resolutions for weight loss and a healthier lifestyle, while also focusing on one really great option to help achieve this: gastric sleeve surgery.

Why focus on wellness more than weight & how to do it

Focusing just on weight loss can lead to a cycle of losing and regaining weight, low self-esteem, and too much time spent thinking about food and body image. We don’t want this for anyone. This is why focusing on overall health is often a much better mindset. What happens, though, is that focusing on health in general typically does lead to weight loss. 

What can you change on a daily basis? Are you totally inactive now? Do you eat fast food every day? In both of those situations, starting with small daily changes can go a long way. Go for a 10-minute walk every single day, then slowly start working up to longer times. Resolve to cut out fast food one day at a time until you are eating out much less frequently. Taking it one day at a time often feels more doable, rather than looking at things on a larger scale by the week, month, or even year.

For those who are already on their journey to a healthier life, including those who have already had weight loss surgery, it may be harder to find achievable goals. Maybe you typically skip breakfast, but then feel awful by lunchtime and overeat. Set a goal of eating a healthy breakfast every day. Or maybe you know fish is a healthy option on your diet plan, but you don’t cook it very often. Resolve to learn a few new recipes and cook fish at least once a week. If your fruit or veggie intake is a little low, make it a goal to eat at least one of each with every single meal. 

If you have serious health issues, such as hypertension or high cholesterol, we suggest focusing on improving those conditions rather than just losing weight. Again, you likely will lose weight in the process, but the shift in mindset can be a game-changer. 

Ideas for wellness & weight loss resolutions

  1. Establish or improve your workout routine. If you are currently overweight or obese, you have to start somewhere. If you are interested in weight loss surgery, a daily workout routine is part of the plan we will work with you on. For those who have had weight loss surgery, remember that there’s still work to be done to maintain a healthy weight, and a big part of that is exercising. Even if you struggle with joint or knee pain, use the New Year as an opportunity to discover the endless ways to get in a low-impact workout, or it may be time to find a new, exciting routine that you will look forward to more.
  2. Focus on eating proper portion sizes and nutrient-dense foods. This is important for those who are preparing for weight loss surgery and those who have already had it. It’s essential to keep portion sizes smaller and loaded with nutrient-packed foods. Since you’re eating less than you used to, it’s crucial to ensure you’re getting as many nutrients as possible. 
  3. Consider getting  involved in a support group. The new year may be the perfect time to join a support group. We’ve seen this be a huge motivator and predictor of long-term weight loss with our patients, and that’s why we encourage everyone to get the support they need. Whether through a Facebook support group or other online or in-person groups, there are plenty of options when it comes to finding one you enjoy being a part of.
  4. Share your story. As you are on your journey to better health, or once you feel like to have gotten there, consider sharing your story. This may mean you share with only close family and friends, or this may mean you share it more publicly, like on our testimonial page. It can help keep you accountable, but it can also be a huge encouragement to others. 
  5. Be proud of yourself. Even when daily changes seem small, they are a big deal. When you do achieve your goals, no matter what they are, let yourself be proud. You ate breakfast today; you had fruits and veggies with every meal; you went for a 20-minute walk. Those successes are awesome, and you may find that the more small achievements you have, the more you will want to keep going. It’s this day in and day out commitment that will help you achieve the overall goal of getting healthy. 

Gastric sleeve surgery — one really great option

Sleeve gastrectomy, also known as gastric sleeve surgery, is the most frequently performed bariatric procedure in the U.S. You may be a candidate for this procedure if your body mass index (BMI) is greater than or equal to 40 or between 30 and 40 with other medical problems, such as diabetes, sleep apnea, heart disease, and high blood pressure. The procedure, along with lifestyle modifications such as the right proportion of healthy food and exercises, can help improve your overall health and quality of life.

The surgery reduces the size and volume of your stomach to limit food intake and calorie absorption. The surgery results in a stomach that functions normally, enabling you to eat most foods, just in smaller amounts.

After losing a substantial amount of weight, most of our patients experience improvement in their overall health. When you combine weight loss surgery with other lifestyle changes, including the small daily ones, the results can be incredible.

We always encourage you to set attainable goals that you can accomplish with a positive attitude and wholehearted commitment. Losing weight and/or maintaining a healthy weight is something to be proud of, and 2020 is a fresh start to continue doing just that.

Contact Us to Learn More About Gastric Bypass Surgery

Birmingham Minimally Invasive Surgery is a caring group of professionals who specialize in all types of bariatric surgery.  Our surgeon Dr. Jay Long has highly specialized training in bariatric surgery, having completed a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, Texas, where he focused on taking care of patients that are morbidly obese.  And we are so proud of our pricing that we publish the costs right on the front page of our website!  Insurance won’t pay?  We have a variety of financing options we can offer you so that you are able to get the healthy body you’ve wanted for years.  Visit us today at http://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

 

Gastric Bypass Surgery Cost: Understanding What You Need to Know

Posted on November 25, 2019

gastric bypass cost

Gastric Bypass Surgery Cost

In this post, we’ll dive into the gastric bypass diet and address common questions about what you can and can’t eat before and after surgery. Diet is often a significant concern for those considering gastric bypass, but another critical question that arises early on is, “How much does gastric bypass surgery cost?” The bariatric surgery cost can vary significantly, with procedures in the US being much higher compared to countries like Mexico and Turkey, where patients can often find substantial savings.

Gastric Bypass Surgery Cost

To answer that question, the cost of gastric bypass surgery generally starts at $15,999 when paying out-of-pocket. For those opting for laparoscopic gastric bypass, the price can rise to approximately $18,500. In comparison, the costs associated with the gastric sleeve procedure can vary but are often similar, with average expenses including surgical costs, hospital stays, and follow-up care.

These prices typically include the following:

  • Pre-operative testing, including blood work and EKG, if necessary
  • Pre-operative nutritional evaluation
  • The surgeon’s fee for the procedure
  • Anesthesiologist’s fee
  • Hospital fees, including one night’s stay after surgery
  • Post-operative consultation with a nutritionist within four weeks of surgery
  • Access to monthly support group meetings

It is crucial to understand the role of your insurance company in covering these costs, as policy coverage and eligibility criteria can significantly impact your out-of-pocket expenses. Insurance covers gastric bypass surgery, but coverage can vary considerably between health insurance plans. It is important to check specific insurance policies for coverage details, including pre-operative expenses.

Gastric Sleeve Surgery: Bypass Costs With and Without Insurance Coverage

Despite substantial evidence that weight loss surgery can significantly improve or even cure conditions like diabetes, high blood pressure, reflux disease, and sleep apnea, most insurance companies still do not cover the cost of gastric bypass or other types of weight loss surgery, with coverage varying depending on the specific insurance plan and state mandates. Most major insurance companies cover some of the costs associated with weight-loss surgery, so it is essential to understand your insurance policies and the requirements for gaining coverage.

If your insurance covers gastric bypass, it’s crucial to understand the specific requirements and coverage details fully. While insurance coverage might reduce the out-of-pocket cost, many policies require patients to complete a lengthy, physician-supervised diet plan, which can take up to seven months. Opting to pay for the procedure out-of-pocket allows you to embark on your journey toward better health without delay.

Bariatric Surgery: What You Get at Birmingham Minimally Invasive Surgery

Not all weight loss surgery centers are the same, nor are all bariatric surgeons. At Birmingham, Minimally Invasive Surgery, Dr. Jay Long, our highly specialized bariatric surgeon, leads the team. Dr. Long completed a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, Texas, focusing on treating patients suffering from severe obesity. According to the National Institute of Diabetes and Digestive and Kidney Diseases, obesity is linked to severe health conditions like digestive and kidney diseases, which insurance companies recognize as increased risks.

Dr. Long’s extensive experience is brought to bear at BMI Surgery, where our team excels in helping patients achieve long-term, sustainable weight loss. Our facilities are specifically designed for procedures like gastric bypass and other weight loss surgeries, ensuring patients have a comfortable and practical experience.

Dr. Long will provide a personalized, one-on-one consultation to discuss weight loss surgery when you visit us. This allows you to choose the best weight loss option for your needs. Additionally, our multidisciplinary team offers continued support through monthly meetings, a pre-surgery nutrition class, and tailored high-protein diets to help you achieve and maintain your weight loss goals.

Our personalized approach ensures patients can reach their weight loss goals, leading to healthier, happier lives. Contact us today to begin your weight loss journey.

Weight Loss Surgery: Contact Us to Learn More

Birmingham Minimally Invasive Surgery is dedicated to providing compassionate and expert care in all forms of bariatric surgery. Dr. Jay Long, our lead surgeon, has extensive specialized training in bariatric surgery, including a fellowship in minimally invasive and bariatric surgery from The Methodist Hospital in Houston, Texas.

We believe in transparency, so we openly publish our pricing on our website. If your insurance won’t cover the cost and you’re concerned about affordability, we offer various financing options to help make your weight loss surgery more accessible. Additionally, multiple methods are available to pay for weight loss surgery, including payment plans provided by some surgeons and hospitals. Take the first step toward the healthy body you’ve always wanted by visiting us at http://www.bmisurgery.com/ or call us for a consultation at 205-833-6907. Weight loss surgery can be an effective solution to help you lose weight and achieve your health goals.

 

 

All You Wanted to Know About the Pre-Op Gastric Bypass Diet

Posted on November 14, 2019

Two women following the gastric bypass diet

gastric bypass dietGastric Bypass Diet

When people are considering gastric bypass surgery, one thing they are often very curious about is the gastric bypass diet. What will they be able to eat before surgery? What can they eat after surgery? 

This can be a source of stress and anxiety, but it doesn’t have to be. Education beforehand is key to making this transition in your life as seamless as possible. 

To change your eating habits, you will talk extensively with your doctor — Dr. Jay Long — and possibly a dietician as well to come up with the right plan for you, before and after surgery. Remember that following this plan will help you lose weight safely. 

Pre-op gastric surgery diet

We will help you make a plan for a special diet you will need to follow before surgery. This pre-op diet is geared toward reducing the amount of fat in and around your liver to reduce the risk of complications during the surgery. 

Reducing this fat in and around your liver and abdomen may allow you to have a laparoscopic rather than open surgery, which is always our preference at Birmingham Minimally Invasive. This option is less invasive and requires much less recovery time. Overall, it’s easier on your body, so following this pre-op diet so that you can have laparoscopic surgery, if possible, is important.

Starting to make changes in your diet before surgery will also help you start getting used to a new way of eating. This is a lifelong change, so the sooner you start, the better. Your eating plan may begin as soon as you are cleared for the procedure.

Guidelines are individualized for each patient, but may include:

  • Eliminating or decreasing saturated fats, such as whole milk products, fatty meat, and fried food
  • Eliminating or decreasing foods that are high in carbohydrates, such as sugary desserts, pasta, potatoes, and bread
  • Eliminating high-sugar beverages, such as juice and sodas
  • Practicing portion control
  • Avoiding binge eating
  • Quitting smoking
  • Avoiding alcoholic beverages and recreational drugs
  • Not drinking beverages with meals
  • Taking a daily multivitamin
  • Taking protein supplements

With your pre-op diet, you will likely be drinking protein shakes and eating other high-protein, low-calorie foods that are easy to digest. As you get closer to your surgery date, you may need to follow a mostly liquid or liquid-only diet. Based on your weight and overall health, you may be able to eat some solids during this time, such as fish, watered-down hot cereal, or soft-boiled eggs.

Post-op gastric bypass diet

After your surgery, we will tailor a post-op diet specifically for you. It will consist of several weekly phases to help you recover, meet the needs of your smaller stomach, and get used to healthier eating habits.

The post-op gastric bypass diet is designed to:

  • Allow your stomach to heal without being stretched by the food you eat
  • Get you used to eat smaller amounts of food that your smaller stomach can comfortably and safely digest
  • Help you lose weight and avoid gaining weight
  • Avoid side effects and complications from the surgery

A gastric bypass post-op diet typically follows a staged approach to help you ease back into eating solid foods. How quickly you move from one step to the next depends on how fast your body heals and adjusts to the change in eating patterns. You can usually start eating regular foods about three months after surgery.

With each stage it will be important that you do the following:

  • Drink 64 ounces of fluid a day to avoid dehydration
  • Sip liquids between meals, not with meals (This means waiting about 30 minutes after a meal to drink anything and avoiding drinking 30 minutes before a meal.)
  • Eat and drink slowly to avoid dumping syndrome (This occurs when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, dizziness, sweating, and diarrhea.)
  • Eat lean, protein-rich foods daily
  • Choose foods and drinks that are low in fats and sugar
  • Avoid alcohol
  • Limit caffeine, which can cause dehydration
  • Take vitamin and mineral supplements daily
  • Chew thoroughly to a pureed consistency before swallowing

Stage 1 — Liquids

For the first day or two after surgery, you’ll only be allowed to drink clear liquids. Once you’re handling clear liquids, you can start having other liquids, such as broth; unsweetened juice; decaffeinated tea or coffee; milk (skim or 1 percent); and sugar-free gelatin or popsicles.

Stage 2 — Pureed foods

After about a week and if you are tolerating liquids well, you will begin eating strained and pureed foods. You will be able to eat three to six small meals a day, and each one will consist of four to six tablespoons of food. It should take you about 30 minutes to eat each meal. 

It will be important to choose foods that will puree well, such as lean ground meat, poultry, or fish; cottage cheese; soft scrambled eggs; cooked cereal; soft fruits and cooked vegetables; and strained cream soups. You may need to blend solid foods with a liquid like water, skim milk, no sugar added juice, or broth. 

Stage 3 — Soft foods

We will be keeping up with you during this entire process, and if your progress has been good, you will be able to add soft foods to your diet. Soft foods should be small, tender, and easy to chew. You will be able to have three to five small meals a day, and each meal should consist of one-third to one-half cup of food.

Soft foods include ground lean meat or poultry; flaked fish; eggs; cottage cheese; cooked or dried cereal; rice; canned or soft fresh fruit, without seeds or skin; cooked vegetables, without skin.

Stage 4 — Solid foods

The previous three steps take around eight weeks. If things are going well, at this time you will be able to gradually return to eating more solid foods. We often recommend starting with three meals a day and having each meal consist of 1 to 1.5 cups of food. It’s important to stop eating before you feel completely full.

It’s a good idea to add new foods back one at a time. Certain foods may cause pain, nausea, or vomiting after gastric bypass surgery. Foods that can cause problems at this stage include bread; carbonated drinks; raw vegetables; cooked fibrous vegetables; tough meats; red meat; fried foods; high seasoned or spicy foods; nuts and seeds; and popcorn. Over time, you may be able to try some of these foods again with the guidance of your doctor.

Stage 5 — Your new healthy diet

The gastric bypass diet can help you recover from surgery and transition to a way of eating that is healthy and supports your weight-loss goals. When you get to this point, you have been through a lot. But you will have learned a lot. By this time, most patients are very motivated to keep up the healthy habits they have learned, and we are confident that you will be too. 

Contact Us to Learn More About Gastric Bypass Surgery

Birmingham Minimally Invasive Surgery is a caring group of professionals who specialize in all types of bariatric surgery.  Our surgeon Dr. Jay Long has highly specialized training in bariatric surgery, having completed a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, Texas, where he focused on taking care of patients that are morbidly obese.  And we are so proud of our pricing that we publish the costs right on the front page of our website!  Insurance won’t pay?  We have a variety of financing options we can offer you so that you are able to get the healthy body you’ve wanted for years.  Visit us today at http://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

An in depth look at gastric sleeve surgery & alternatives

Posted on October 8, 2019

gastric sleeve surgery

gastric sleeve surgeryDid you know that sleeve gastrectomy, also known as gastric sleeve surgery, is the most frequently performed bariatric procedure in the U.S.? It’s an option many of our patients at Birmingham Minimally Invasive Surgery choose as well. 

To qualify for weight loss surgery, your body mass index (BMI) must be greater than or equal to 40 or between 30 and 40 with other medical problems, such as diabetes, sleep apnea, heart disease, or high blood pressure. In addition to these requirements, gastric sleeve and alternatives are options for those who have not been successful losing weight through diet and exercise alone. These procedures, along with lifestyle modifications, such as the right proportion of healthy food and exercise, can help improve your overall health and quality of life.

So gastric sleeve surgery is a great solution for many, but there are other choices. Why should you choose one over the other? We will explore three common procedures in this blog post to help you learn more, and as always, our surgeon and staff will be happy to discuss with you more.

Gastric sleeve surgery explained 

Gastric sleeve surgery works by changing the structure and reducing the size of your stomach. About two-thirds of your stomach is surgically removed during this procedure. You benefit from a smaller stomach which fills up more quickly. This limits the quantity of food you eat and the amount of calories absorbed by your body. The surgery results in a stomach that functions normally and enables you to eat most foods, just in smaller amounts.

Gastric sleeve surgery is a simpler procedure and helps avoid the associated risks of an intestinal bypass. It typically takes only about 30 to 45 minutes and  is performed laparoscopically. This means we avoid the need for large abdominal incisions, which typically results in less pain, shorter hospital stays, and faster recovery.

Considerations for gastric sleeve surgery: 

  • Stomach tube may stretch over time, leading to late weight regain
  • If weight is regained, a second stage operation known as duodenal switch or Roux-en-Y gastric bypass can be performed
  • The procedure is not reversible
  • There is no malabsorption of nutrients
  • Not an option for patients with severe reflux disease

Gastric sleeve surgery alternative #1: LAP-BAND

In the LAP-BAND procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution. The entire procedure is done laparoscopically as well and induces weight loss by reducing the capacity of the stomach. This restricts the amount of food that can be consumed.

LAP-BAND is usually performed in the outpatient surgery center, and you are usually discharged the same day of the procedure.

Considerations for LAP-BAND:

  • Least invasive surgical option
  • No intestinal re-routing
  • No cutting or stapling of the stomach wall or bowel
  • Reduced pain, hospital length-of-stay, and recovery period
  • Lower mortality risk than other obesity surgery procedures
  • Low risk of nutritional deficiencies associated with gastric bypass
  • Reduced risk of hair loss
  • No “dumping syndrome” related to dietary intake restrictions

The lap band procedure is also adjustable and reversible. It allows for an individualized degree of restriction for ideal, long-term weight loss, and adjustments can be made without additional surgery. The band can also be removed, allowing the stomach and other anatomy to be restored to their original forms and functions.

While there are many benefits to LAP-BAND, it isn’t an overnight fix. We often have to work with patients to find their “happy place.” This involves finding the right fit so that you can eat freely but also maintain smaller portion sizes. This is where band adjustments come into play, which could be a process that takes a little time to perfect.

Gastric sleeve surgery alternative #2: Gastric bypass

Gastric bypass has the longest track record in the U.S., having been performed since 1967. It combines “restriction” and “malabsorption.” With restriction, we are creating a stomach pouch that holds 1 to 2 ounces. It is very effective in obtaining and maintaining long-term weight loss.

During the laparoscopic procedure, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the absorption of nutrients and thereby reduces calorie intake.

Gastric bypass is an inpatient procedure requiring a hospital stay of 1 to 2 nights. The surgery takes about 60 to 120 minutes.

Considerations for gastric bypass:

  • Rapid weight loss in the first six months
  • Best operation to cure diabetes, high blood pressure, and sleep apnea
  • Tend to lose more weight than patients after gastric band or gastric sleeve
  • Longer recovery time
  • Not considered reversible, but could be reversed if medically necessary
  • Staple line can leak after surgery
  • Minor late weight regain (10-20%) after 2 to 5 yrs
  • Nutritional/mineral supplements required for life

As you can see, there are advantages and disadvantages to each option, and which one is best for you will depend greatly on your individual situation. The good news is that you don’t have to figure it out alone! Our surgeon, Dr. Jay Long, is extremely experienced in working with each patient to consider their needs and issues to find the right option.

Contact us to learn more about gastric sleeve and other weight loss surgery options.

Birmingham Minimally Invasive Surgery is a caring group of professionals who specialize in all types of bariatric surgery.  Our surgeon Dr. Jay Long has highly specialized training in bariatric surgery, having completed a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, Texas, where he focused on taking care of patients that are morbidly obese.  And we are so proud of our pricing that we publish the costs right on the front page of our website!  Insurance won’t pay?  We have a variety of financing options we can offer you so that you are able to get the healthy body you’ve wanted for years.  Visit us today at http://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

Strategies for healthy eating during the holidays

Posted on October 4, 2019

healthy holiday food

healthy holiday foodIt’s October, and the holiday season is upon us. It starts with Halloween with candy and treats galore. Then Thanksgiving. Then Christmas. It’s a lot: A lot of food, a lot of treats, a lot of parties and get-togethers. And all of that is okay, even for someone who has had weight loss surgery. 

Sustained weight loss is really about making lifestyle changes that last, and how you approach the holiday season is just part of this. 

Healthy eating strategies to last the whole holiday season

We don’t want anyone to experience stress, anxiety, or dread over the holidays because of food. It is absolutely possible to enjoy the season while sticking to your healthy lifestyle. You’ve probably heard a lot of the standard tips before, but here are a few strategies that we think will really help.

Don’t save your calories for parties

It may sound like a good idea to skip meals to save room for treats. However, this is a bad strategy, and we encourage you to stick with your regular eating habits, including times when you typically eat and what you typically eat. You are more likely to overeat if you arrive at a party hungry. Instead, eat your normal, healthy meal before the party, then it will be easier to skip the party food that most likely does not include many healthy options.

Take a healthy dish you would want to eat to share

Maybe you do want to be able to participate in eating at the party. This is totally fine! One good strategy is to take something to share with others that you can also eat: Maybe something simple like a veggie or fruit platter. There are also many healthy recipes of all kinds out there today. Whether it’s a dish that’s simple or elaborate, you will know there’s a healthy option for yourself and others. 

Have a plan for other holiday circumstances

Let’s say you need candy for the neighborhood trunk-or-treat, or you are asked to make cookies for your child’s Christmas party at school. How can you deal with these possibly tempting situations in a smart way? Don’t even open the bags of candy until it’s time for the event. Make the cookies, but save ONE for yourself to enjoy and immediately pack the rest up to send to school. 

The office break room can be another challenge if co-workers are constantly bringing in treats. In this situation, just avoid the break room. Keep your own snacks — including some special fun ones — that are nutritious at your desk and enjoy those throughout the season. It’s important to think about these situations that might come up, and have a plan. Knowing how you plan to handle it alone will help you handle it better. 

Don’t put exercise on the back burner

The holidays are a busy time, and it rarely gets better until it’s all over. There is no justification for taking time off from exercise, so prioritize it each day. This will help keep you feeling your best and motivated to keep up your healthy lifestyle, including your healthy diet. Make sure you don’t  need to make a resolution to start exercising again at the beginning of January. 

Make a healthy eating holiday wish list

Gift cards to healthy restaurants, healthy eating cookbooks, and fun kitchen supplies, such as juicers, blenders, vegetable steamers, and more, are all great options to add to your Christmas wish list. Maybe you are even in need of some new clothes after losing weight, so you could ask for gift cards or new wardrobe pieces. While you may not be indulging in all the holiday treats, having these items on your list will give you something extra special to look forward to on Christmas morning.

Ask that people avoid other gifts

Don’t we all have that family member who likes to give tins of caramel popcorn or boxes of chocolate covered cherries as gifts? Ask those in your life you will exchange gifts with to avoid those types of items. It is completely okay to give your family and friends gift suggestions, including asking them to skip candy, desserts, or other holiday-specific food treats. Obviously, try to do this in a kind and gracious way, and explain to them why you are making this request, if needed.

Focus on the basics

Don’t forget or ignore all that you’ve learned about healthy eating. Pay attention to portion sizes, start with protein, eat slowly, and track your intake. Be especially mindful while socializing, and always drink plenty of water. 

For those of us who are committed to a healthy lifestyle, the holidays can still be the most wonderful time of the year. The key is being aware of possible challenges, making a plan, and following through with it!

Contact Us to Learn More About Gastric Bypass Surgery

Birmingham Minimally Invasive Surgery is a caring group of professionals who specialize in all types of bariatric surgery.  Our surgeon Dr. Jay Long has highly specialized training in bariatric surgery, having completed a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, Texas, where he focused on taking care of patients that are morbidly obese.  And we are so proud of our pricing that we publish the costs right on the front page of our website!  Insurance won’t pay?  We have a variety of financing options we can offer you so that you are able to get the healthy body you’ve wanted for years.  Visit us today at http://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

Gastric Sleeve Surgery and Losing Weight

Posted on December 27, 2017

woman weighing herself

According to the CDC, more than 36 percent of adults in the United States struggle with obesity. Losing weight and getting healthy is a goal many people find difficult to achieve. Gastric sleeve is a procedure that can help you lose weight and eliminate a variety of weight-related health conditions.

Why Is Losing Weight so Difficult?

The diet industry will often tell you how easy it is to lose weight if you follow their plan or take their pills. You already know, however, there isn’t a simple fix. Taking off excess weight is hard because of several factors. In society, you are surrounded by poor food choices and often live a sedentary lifestyle. You may also struggle against a genetic predisposition to gain weight and a slow metabolism.

Many scientists also believe that set point theory may contribute to your inability to lose weight. According to MIT Medical, a set point is a system of controls similar to a thermostat that’s built into each person. This determines how much fat each person should carry. Changing a set point to achieve weight loss can be extremely difficult.

How Can Gastric Sleeve Help You Lose Weight?

Gastric sleeve is a procedure that can be far more effective in achieving and maintaining weight loss than exercise and diet alone. While you are under general anesthesia, a surgeon removes part of your stomach through a small incision. This procedure reduces the overall size of your stomach and allows you to only eat a small amount at one time.

You can expect to lose weight over the course of several months. While success rates will vary, you may reduce excess weight by approximately 70 percent. The Cleveland Clinic reports there are several health benefits that can be obtained through weight loss surgery. A few include improved cardiovascular functioning, remission of type 2 diabetes and joint pain relief.

What Are the Qualifications for Gastric Sleeve?

Gastric sleeve is a procedure that is usually reserved for individuals who are considered morbidly obese. Many patients will also have additional health conditions, such as sleep apnea or hypertension. Being able to handle the physical stress of surgery is also a requirement.

It’s important to remember that even though gastric sleeve can provide effective and dramatic weight loss, long-term success is maintained by incorporating good exercise and eating habits into your daily routine.

Many insurance plans now cover weight loss procedures including gastric sleeve. If you’ve been struggling with losing weight, now is the time to consider gastric sleeve to help you reach your weight loss goals. Gastric sleeve can be part of an effective and lasting weight loss plan.

Why You Should Use Google Fit After Gastric Sleeve Surgery!

Posted on December 27, 2017

walking

Around 106,000 Americans had gastric sleeve surgery in 2015 — significantly more than the previous year. Experts recommend exercise after a major weight-loss procedure in order to strengthen the heart and bones, build muscle, reduce stress, improve mood and burn calories. Walking is a great idea after gastric sleeve surgery, and the latest technology makes it easy to track this type of exercise. If you have recently undergone a gastric sleeve operation, Google Fit lets you monitor your walking goals and weight loss progress directly from your smartphone.

What is Gastric Sleeve Surgery?

A gastric sleeve operation is a procedure where surgeons reduce the size of your stomach by around 15 percent of its original size. This surgery limits the amount of food you can consume, so you should feel fuller after eating small meals.

Why is Walking Important After Gastric Sleeve Surgery?

Walking improves your blood flow and expedites wound healing after surgery. Lack of exercise after a major operation could put you at a higher risk of developing a blood clot and conditions like pneumonia. Walking also helps you burn calories. A 180-pound person burns, on average, 100 calories for every mile they walk, while a 120-pound person burns 65 calories per mile.

The Benefits of Google Fit

Google Fit is a mobile app that uses the built-in sensors on your smartphone to detect walking steps. This platform tracks more than 120 activities, from slow walking to brisk jogging.

How to Use Google Fit

Download Google Fit from the Google Play Store on your Android device. You can then customize your exercise goals from the Daily Goals tab in the Settings menu. Google Fit will track the number of steps you take every time you hold your phone.

Want to track your progress over time? Head over to the See Graph Details tab for an overview of your walking steps from the previous days, weeks and months. You can also connect third-party exercise apps — RunKeeper, Strava, Runtastic, etc. — with Google Fit.

Google Fit monitors your fitness goals after gastric sleeve surgery. The result? You can improve recovery times and boost your overall health.

Avoid These Common Mistakes After Bariatric Surgery

Posted on December 27, 2017

If your focus is long-term weight loss, bariatric surgery is a proven way to accomplish this goal. But just as with anything worth having, you have worked hard and follow the guidelines provided by your physician in order to lose the weight and keep it off. Avoiding these common mistakes is a great way to ensure you finally reach your goal weight and stay there.

1. Neglecting Important Vitamins

Your physician will recommend vitamins to help your body recover from the surgery and maintain the best health possible. Don’t try to save money by purchasing over-the-counter vitamins. Take the ones recommended by your doctor to ensure your body is getting all the vitamins and minerals it needs.

2. Not Getting Proper Nutrition

Surgery is serious business, and it is important that your body heals properly. Now that your caloric content is constructed, it’s vital that you pack your diet with healthy nutrients. Your body won’t function well if you use your calorie rations to only eat potato chips or other foods that have no nutritional value. If you don’t eat the foods your physician recommends, you are at risk of developing medical problems, such as heart disease, memory loss, fatigue, etc. Stomach and gastrointestinal problems are also a concern.

3. Forgetting to Stay Hydrated

Drinking plenty of water or healthy liquids is one of the most important things anyone can do to enjoy maximum health. Water helps every part of your body function well. Staying hydrated is particularly important for surgical patients since it helps the body heal provides energy and hastens weight loss. If you don’t like tap water, buy flavored water, add lemon to your water or drink another healthy beverage, such as unsweetened ice tea.

4. Not Watching Your Calories

You may think that a tiny handful of nuts, chips, crackers or candy won’t affect your diet, but these foods pack a lot of calories in small portions. If you don’t count the calories of every morsel, you may wind up consuming hundreds more calories each day. This common mistake is one of the ways bariatric patients fail to reach their long-term weight goals.

5. Indulging in Alcohol

Almost everyone enjoys an alcoholic beverage at times, especially if there is a special occasion. Be cognizant of the fact that alcoholic beverages are full of calories and can quickly cause you to go over your calorie limit.

6. Drinking Carbonated Beverages

Carbonated beverages are quite refreshing but shouldn’t be your beverage of choice when you’re thirsty. They are full of sugar, which substantially increases your calorie intake. Carbonated drinks can also cause gas pain. At times, more serious issues can be mistaken for gas pains, and this can cause you to neglect medical care when you really need it.

Having bariatric surgery is your chance for a new life filled with the quality living you crave. Following the guidelines the doctor gave you ensures you stay focused on this long-term goal and eventually reap the rewards!