Tag: bariatric surgery

Potential Complications After Weight Loss Surgery

Posted on December 16, 2024

A female surgeon discusses potential complications from weight loss surgery with her female patient.

A female surgeon discusses potential complications from weight loss surgery with her female patient.

While no one wants to admit it, there are risks to any weight loss surgery. They should be talked about more often, as around 20% of patients will experience some type of complication during or after their bariatric procedure.

To start this conversation, the surgeons at BMI address common complications associated with weight loss surgery, like dumping syndrome, nutrient deficiencies, and gallstones, and ways to prevent or manage these issues.

What Complications Can Occur With Bariatric Surgery?

Knowing what to expect before surgery can alleviate anxiety and help you feel more empowered. Like any surgical procedure, bariatric surgery comes with the risk of complications. These include, but are not limited to: 

Dumping Syndrome

Certain bariatric procedures, like gastric bypass, impact how food moves through the digestive system. When food moves too quickly from the stomach to the small intestine, it can lead to a condition called dumping syndrome. Symptoms include:

  • Cramps
  • Diarrhea
  • Flushed skin
  • Headaches
  • Heart palpitations
  • Nausea or vomiting
  • Bloating
  • Feelings of fullness
  • Dizziness or fainting 

You can prevent or manage these symptoms by eating smaller meals and limiting your consumption of sugar. In most cases, dumping syndrome is a mild condition that goes away on its own within a few weeks. If symptoms last longer than that, consult with your surgeon for more effective treatment. 

Gallstones

Put simply, gallstones are hardened deposits of bile that form in the gallbladder as a result of a variety of issues, which include:

  • Too much cholesterol in the bile
  • High bilirubin levels
  • A lack of bile salts in the bile
  • The gallbladder does not empty properly

Symptoms of Gallstones

While gallstones sound harmless, if severe enough, you may require your gallbladder to be removed to resolve the issue. Fortunately, there are signs that indicate the presence of gallstones long before surgery becomes necessary, which include:

  • Pain, typically in the: 
    • Upper abdomen
    • Back
    • Right shoulder
  • Nausea or vomiting
  • Fever
  • Chills
  • Jaundice

If you notice these symptoms, contact BMI as soon as possible. We can treat gallstones, including through surgery. Gallstones and other gallbladder conditions can potentially be fatal if left untreated, so you need to act quickly. 

Risk Factors of Gallstones

Because certain bariatric procedures change how the body processes food, the risk of developing gallstones increases. Other risk factors include: 

  • Gender – Women are more susceptible to gallstones than men.
  • Age – Gallstones are common in adults over the age of 40.
  • Obesity – Being obese puts one at a higher risk of gallstones.
  • Genetics – Having a family history of gallstones increases your risk.

Your personal risk factors may vary. However, your surgeon can help you determine your risk and take steps to prevent the development of gallstones. 

Nutrient Deficiencies

Many bariatric surgeries, like gastric sleeves, reduce your stomach’s capacity. While this means you need to eat less, it also means you may not be getting enough of certain nutrients. Common nutrients patients who have had weight loss surgery may be deficient in include: 

  • Iron
  • Vitamin B12
  • Calcium
  • Vitamin D
  • Thiamine
  • Copper
  • Vitamin A
  • Folate
  • Vitamin C
  • Zinc
  • Selenium
  • Vitamin K

Consuming foods rich in these nutrients can help reduce your risk of developing deficiencies. However, you may not be getting enough from food alone. In this case, vitamins and nutritional supplements may be helpful. 

BMI even sells supplements specially designed for those who have had bariatric surgery at our surgical center and in our online store. Your surgeon can help you determine which nutritional supplements are right for you.

Take Steps to Prevent Surgical Complications With BMI

While the possibility of complications with weight loss surgery can be frightening, the good news is most can be managed or even prevented with simple diet and other lifestyle changes. 

A bariatric surgeon, like those at BMI, can help you determine your risk factors and how to best mitigate any complications that arise after your surgery. To get started, contact us at (205) 858-1211.

Determine Your Risk of Surgical Complications at BMI 

If you are considering bariatric surgery but are hesitant because of the risk of complications, the BMI team is here to help you make the most informed decision possible. Our surgeons can help you reach your weight loss goals based on your needs and individual risk factors. To learn more, contact us at (205) 858-1211.

Maintain Your Weight Loss After LAP-Band Surgery

Posted on December 2, 2024

A pair of feet on a scale belonging to a person who wants to maintain weight loss after LAP-Band surgery.

A pair of feet on a scale belonging to a person who wants to maintain weight loss after LAP-Band surgery.

Bariatric surgery, like the LAP-Band procedure, is only the beginning of your weight loss journey. After surgery, there are still steps you need to take to achieve your weight loss goals. The surgeons at Birmingham Minimally Invasive Surgery are here to offer advice to help you maintain weight loss after LAP-Band surgery. 

What is a LAP-Band?

The LAP-Band is just one of many options available for weight loss surgery today. It involves a hollow band being placed around the upper end of the stomach to create a small pouch and narrow passage into the lower portion of the stomach. 

By reducing the stomach’s capacity, the LAP-Band induces weight loss. It is rather effective, with an expected loss of about 40% of excess weight within two years. A bariatric surgeon at BMI can help you determine if this procedure is right for you. 

How to Maintain Your Weight After LAP-Band Surgery

While bariatric surgery, including the LAP-Band procedure, is effective in helping patients lose weight, it is possible to regain weight afterward. This is a common occurrence, with 1 in 4 patients regaining weight lost within 10 years. 

Fortunately, there are steps you can take to maintain your weight loss after your procedure. Like other lifestyle changes, these steps should be implemented under the guidance of your bariatric surgeon and primary care physician. 

Diet

After any bariatric procedure, you will need to change your eating habits. To start, you will need to eat smaller portions of food as your stomach capacity is reduced. You should also add filling foods higher in nutrients, like protein and fiber, to your diet.

If you’re unsure which diet is right for you, consider taking a nutrition class designed for those who have had or are considering bariatric surgery. BMI offers such classes to our patients through a partnership with St. Vincent’s Hospital in Birmingham. 

Exercise

As soon as you can do so after surgery, start exercising, as it can help you maintain your weight loss. You only need around 30 minutes per day of moderate exercise to achieve your weight loss goals. Some exercises that are ideal for those who have had bariatric surgery include:

  • Aerobic Exercises – Walking, running, and cycling help you build endurance and stamina as you begin exercising. 
  • Joint Exercises – Swimming, yoga, and Tai Chi are exercises that are gentle on the joints while still increasing your balance.
  • Strength Training – Along with lifting weights, consider doing squats, pull-ups, and other exercises that strengthen your muscles. 

While many exercises can be done at home, some patients find joining a gym or fitness class adds a social component, which helps them enjoy these activities more. 

Join a Support Group

Seeking the support of others on your weight loss journey can help you achieve your goals. Having someone to encourage you and that you can lean on for emotional support can be a valuable asset. 

While friends or family members can fulfill this role, having others in your exact situation can be helpful. Joining a weight loss support group, like those hosted by BMI, can help you find that support. 

Revisional Weight Loss Surgery

As effective as surgery can be for weight loss, not every procedure is right for every patient. If you find you’re not seeing the results you desire after your bariatric procedure, revisional weight loss surgery may be an option.

One such procedure is a LAP-Band conversion, during which the LAP-Band is removed, and a gastric sleeve is performed. Your surgeon can help you determine if you are a good candidate for this type of procedure.

Manage Your Weight With BMI

Managing your weight, especially after bariatric surgery, can be challenging, but it doesn’t have to be. Through nutrition classes, support groups, and other resources, BMI makes reaching your weight loss goals easy. For more information, contact us at (205) 858-1211.

Maintain Your Weight With BMI 

If you have had bariatric surgery and want to maintain your weight, the BMI team is here to help. We offer nutrition classes, support groups, and resources designed to help you reach your weight loss goals. To get started, contact us at (205) 858-1211.

Surgical Team Highlight – Our CRNAs, Surgeon, & Anesthesiologist

Posted on October 16, 2024

The experienced surgical team at BMI, consists of our CRNAs, bariatric surgeon, and anesthesiologists.

The experienced surgical team at BMI, consists of our CRNAs, bariatric surgeon, and anesthesiologists.

When getting surgery, you want to know your care is being handled by experienced professionals. That’s why BMI uses a model of patient care in which a board-certified anesthesiologist supervises a Certified Registered Nurse Anesthetist (CRNA). This practice is common in the United States, with 65% of CRNAs practicing in collaboration with anesthesiologists. Below, we highlight our approach to surgical procedures, our team members, and the important role they play in your care. 

Our Approach to Patient Care

Regardless of which condition you are seeking treatment for, we start with an initial consultation to determine your needs and how we can best meet them. Then, we determine which procedure is best for you and provide any necessary preparation and follow-up associated with it. This allows our patients consistency in the care they receive before, during, and after their procedures. 

No matter which procedure you require, we use minimally invasive, laparoscopic approaches that allow for effective results, faster healing, and shorter recovery times than traditional surgical procedures. Most of our patients return to their regular routines within a week of their procedures. However, specific timelines may vary depending on the procedure and condition. 

Most importantly, in order to improve patient safety and outcomes, we require an anesthesiologist to be present for each of our surgeries. This sets BMI apart from other outpatient surgery centers in our region, as most do not have a board-certified anesthesiologist providing anesthesia during procedures. Instead, they are staffed by CRNAs only, with the surgeon supervising the CRNA. 

Meet The Surgical Team

At BMI, we only work with the best surgical professionals, including surgeons, anesthesiologists, physician assistants, medical assistants, and CRNAs. Below, we highlight our team members, their accomplishments, and their unique contributions to our team and patient care. 

Our Board-Certified Surgeon

Dr. Jay C. Long, MD, is our board-certified general surgeon. He has won awards for his accomplishments in laparoscopic surgery. His training included a fellowship in minimally invasive and bariatric surgery at The Methodist Hospital in Houston, TX, after completing his general surgery residency at Baptist Medical Center in Birmingham, AL. He attended the University of Alabama’s School of Medicine. 

Dr. Long started performing bariatric surgery during his surgical residency in 2002. In July 2006, after completing his fellowship, he opened his own practice at St. Vincent’s East. Dr. Long is a member of the American College of Surgery Center of Excellence for Bariatric Surgery.

Our Certified Physician Assistants

At BMI, we employ two certified physician assistants (PA-Cs), Rebecca Rosensmith and Rachel Goodwin. They are formally trained to perform many routine tasks a physician can do, like prescribing medications, taking medical histories, performing physical exams, and ordering testing. Our PAs work under the supervision of Dr. Long, consulting patients and providing post-procedure follow-up. 

Board-Certified Anesthesiologists 

To provide our patients with the most comfortable experience possible during their procedure, BMI has a board-certified anesthesiologist overseeing all of our surgeries. An anesthesiologist is a medical doctor who holds additional training in anesthesia. They, along with our CRNAs, provide anesthetics and pain management before, during, and after surgery. This collaboration leads to better quality care and patient outcomes than either practitioner working individually on a particular procedure. 

Certified Registered Nurse Anesthetists (CRNAs)

Certified Registered Nurse Anesthetists, or CRNAs, are advanced practice nurses who administer anesthesia and provide related services in a surgical setting. They also monitor patient’s vital signs and care for them immediately after surgery. To ensure patient comfort and safety during surgery, CRNAs at the Ambulatory Surgery Center work under the supervision of a board-certified anesthesiologist. This also helps CRNAs gain skills and experience to better serve patients in future procedures. 

Support Staff

The work BMI’s surgical team does is well-supported by our friendly and compassionate support staff members. They handle many basic clinical and administrative tasks that contribute to both patient care and managing our practice. Our support staff consists of our medical assistant, Hannah Siddle, and office manager, Haley Johnston. They are often the first members of our team that patients interact with, making their roles especially important to building rapport with them. 

External Partners

While not employed by BMI, we work with other medical professionals through our partnership with St. Vincent’s Hospital in Birmingham, AL, to provide more comprehensive patient care. Along with training and resources for our staff, this partnership allows patients to get the support they need during emergency situations or for other needs they may have while under our care. 

Experience the Difference a Compassionate Team Makes

Whether you want to lose weight through bariatric surgery or treat a health concern like acid reflux, the compassionate, experienced team at BMI is here for you. Our approach to patient care allows for the best possible outcomes, regardless of which procedure you need. To schedule a consultation, contact us at (205) 858-1211. Our team can help you create a custom treatment plan to address your needs and goals.

Schedule a Consultation With BMI’s Surgical Team

Specializing in the management of various conditions, such as obesity and acid reflux, the BMI team can create a treatment plan customized to your needs and goals. Experience the difference a professional yet compassionate surgical team can make in your care today. For more information or to schedule a consultation, contact BMI at (205) 858-1211. We look forward to being your partner in care. 

The Benefits of Staple Reinforcement for Gastric Sleeve Surgery

Posted on September 17, 2024

A young female weight loss doctor in a white coat with dark hair sitting at a desk hands a paper to an older male patient in a pink shirt explaining the benefits of a staple-reinforced gastric sleeve.

A young female weight loss doctor in a white coat with dark hair sitting at a desk hands a paper to an older male patient in a pink shirt.

There are many different types of weight loss surgeries available today. With so many options, it can be difficult to choose the right one for you. One thing to consider when making this decision is how the surgery is performed, as this can make a difference in your recovery time, risk of complications, and overall results. 

Gastric sleeves, for example, have the best results when using staple reinforcement. Birmingham Minimally Invasive Surgery exclusively offers this type of procedure to our patients in Alabama. Below, our bariatric surgeons highlight some of the benefits of staple reinforcement for gastric sleeves and other bariatric procedures. 

The Benefits of Staple Reinforcement in Bariatric Surgery

Approximately 70% of bariatric surgeons, including those at BMI, have adopted the practice of staple reinforcement in their procedures. Along with improving patient outcomes, staple reinforcement offers a variety of benefits, which we will review below. To learn more about this method of performing bariatric surgery, consult with your surgeon, who will answer any questions you may have during your consultation.  

1. Reduced Risk of Complications

Like any surgical procedure, bariatric surgery comes with a risk of complications. These can range from mild side effects like nausea to more serious concerns like internal bleeding. The use of staple reinforcement reduces the risk of such issues arising during or after surgery. 

In particular, for gastric sleeves it reduces the risk of leaking. A gastric sleeve leak occurs when gastric fluids leak outside of the gastrointestinal tract, leading to a potentially serious infection. The increased reinforcement from the use of the staple reduces, and often eliminates, the risk of these leaks. 

2. Faster, Easier Recovery

When you have surgery of any kind, including bariatric procedures, you want to recover as quickly as possible so you can return to your normal daily activities. Staple reinforcements in bariatric surgery allow you to do just that. By reducing the amount of time spent in surgery and in the hospital, you can return home sooner after your procedure, allowing you to heal in the comfort of your own space. 

Patients also report fewer symptoms like bleeding and nausea after their procedures with staple reinforcement. With fewer side effects, recovering from bariatric surgery is easier and more comfortable. However, your personal risk of these symptoms may vary. Your surgeon will discuss these during your initial consultation and provide you with aftercare instructions to manage any side effects you may have. 

3. Better Patient Outcomes 

Patients who have a gastric sleeve with staple reinforcement have better outcomes than those who do not. The reduced risk of complications and easier recovery allows for better results. Patients who have had this procedure tend to lose more weight and keep it off longer, reducing the need for invasive revisional weight loss surgery. 

In fact, gastric sleeves with staple reinforcement can be done as a revisional procedure for those with LAP-Bands who are seeking better results. If you are such a patient, your surgeon can help you determine if this option is right for you, along with the potential outcomes of this procedure based on your individual goals.

4. Reduced Costs

Weight loss surgery can be costly, especially if your insurance doesn’t cover it. By reducing the amount of time you are hospitalized, if at all, staple reinforcement can lower the cost of your procedure. Gastric sleeves are typically performed at an outpatient surgical center, which is less expensive than a traditional hospital.

This method of performing this procedure, along with our partnership with St. Vincent’s Hospital in Birmingham, AL, is part of how BMI has been able to offer our patients the most affordable gastric sleeve procedure in the United States. To learn more about your financing options for this procedure, schedule a consultation today. 

Explore Your Weight Loss Surgery Options in Alabama

The decision to have weight loss surgery is one that should be well-researched. This includes learning how procedures are performed and how they can help you reach your weight loss goals. The more well-informed you are about your options, the more empowered you will be to make decisions about your care.

Birmingham Minimally Invasive Surgery offers a variety of bariatric procedures, including staple-reinforced gastric sleeves. Our bariatric surgeons can help you determine which one is right for you and create a customized care plan. To explore your options for weight loss surgery in Alabama, contact us at (205) 858-1211.

Learn More About Staple-Reinforced Gastric Sleeves at BMI

Finding the right bariatric procedure to help you reach your weight loss goals can be challenging, but it doesn’t have to be. The Birmingham Minimally Invasive Surgery team is here to help you explore the options you have for your bariatric treatment. To learn more about any of the procedures we offer, including staple-reinforced gastric sleeves,  contact us at (205) 858-1211.

Partners in Care – BMI’s Relationship With St. Vincent’s Hospital

Posted on September 3, 2024

A high-rise urban hospital building with a large “H” on the side with a cloudy blue sky in the background. Home to a bariatric surgical center.

A high-rise urban hospital building with a large “H” on the side with a cloudy blue sky in the background. Home to a bariatric surgical center.

Choosing where to have surgery, especially for weight loss, is a major decision that requires a lot of research and consideration. You want to know that your safety and comfort will be prioritized. With 63% of all bariatric procedures in the United States performed in outpatient settings, you may think that you do not need the resources of a hospital in this situation. 

However, choosing a bariatric surgical center with a connection to a hospital can provide peace of mind, knowing you have extra support in an emergency situation. Birmingham Minimally Invasive Surgery is proud to have such a partnership with St. Vincent’s Hospital in Birmingham, AL. Below, we highlight the numerous benefits this relationship provides to our patients.

Benefits of Choosing a Surgical Center Connected to a Hospital

Along with additional support in the event of an emergency, choosing a bariatric surgical center connected to a hospital offers a variety of benefits, which we discuss below. Please note that your personal risks and benefits may vary. Your surgeon will discuss these with you as part of your initial consultation for your procedure. 

1. Education & Training

To better serve our patients, the team at Birmingham Minimally Invasive Surgery participates in ongoing education on various weight loss procedures and topics. Much of this education has come from our relationship with St. Vincent’s Hospital. This has allowed us to offer seminars to other providers to help them better understand the needs of patients seeking bariatric care. 

Our partnership with St. Vincent’s Hospital has also allowed us to provide educational programming and informative resources, such as online nutrition classes and support groups, to our current and prospective patients in Birmingham, AL. By providing educational resources on weight-related topics, we empower patients to make more well-informed decisions regarding their care.

2. More Customized Care

Each patient is unique, so we customize their care to meet their needs. Each procedure starts with an initial consultation, where we discuss the patient’s desired outcome. Then, we create a care plan based on this conversation. Sometimes, that involves the support of partners outside of our surgical center.

In the case of patients with extremely high BMIs or those who require more invasive procedures, like revisional weight loss surgery, we recommend they have their surgery at St. Vincent’s Hospital. However, we will continue to support the patient by providing any necessary referrals and follow-up appointments. 

3. Emergency Assistance

Like with any surgical procedure, bariatric surgery comes with a risk of complications. While most procedures can be done on an outpatient basis, a partnership with a hospital can provide peace of mind. Often, these complications require support beyond what is available at the surgical center. 

In the event of an emergency, a patient can be easily transferred to a hospital for additional care. Most patients do not experience these issues during bariatric surgery, though your individual risks may vary. Your surgeon can discuss these with you at your initial consultation before your procedure.

4. Increased Affordability

While some insurance policies cover bariatric surgery, many do not, which can make accessing this type of care costly. Through hospital partnerships, bariatric surgical centers like BMI can negotiate more affordable rates for their patients. 

This is how BMI is able to offer one of the lowest prices for a gastric sleeve in the United States. We also offer financing options for patients who qualify. If you are in need of such assistance, please inquire about it at your initial consultation. 

5. Consistent Care

Many hospitals have primary care clinics that can refer patients to surgical centers like BMI for bariatric treatment. Through a relationship with one of these hospitals, surgical centers can easily access patient records to provide more consistent care. 

Primary care physicians also have easier access to their patients’ records from the surgical center, allowing them to provide the necessary follow-up care. This saves patients the time and hassle of obtaining records and sharing them with providers. 

Find the Right Bariatric Surgical Center in Alabama

The decision to have weight loss surgery should not be taken lightly. This includes the choice of where to have the procedure done. Choosing a bariatric surgical center that partners with a local hospital, like Birmingham Minimally Invasive Surgery, offers a variety of benefits. To learn more about our bariatric surgical center and its partnership with St. Vincent’s Hospital in Birmingham, contact us at (205) 858-1211.

Learn More About BMI’s Partnership with St. Vincent’s Hospital

Finding the right bariatric surgical center to help you reach your weight loss goals can be a challenge, but it doesn’t have to be. Birmingham Minimally Invasive Surgery’s partnership with St. Vincent’s Hospital provides you with the options you need for your bariatric treatment. Contact us to learn more about this partnership or any of the procedures we offer at (205) 858-1211.

Why Not Everyone Can Lose Weight with Diet & Exercise Alone

Posted on August 15, 2024

A heart-shaped bowl of produce on a table surrounded by a glass, weights, sneakers, a stethoscope, and a prescription script.

A heart-shaped bowl of produce on a table surrounded by a glass, weights, sneakers, a stethoscope, and a prescription script.

Losing weight and keeping it off can be challenging. While diet and exercise are important to maintaining a healthy weight, they may not be effective for everyone. Today, there are many options available to those looking to lose weight. The bariatric surgeons at Birmingham Minimally Invasive Surgery are here to explore these options and how they can help you achieve your goals.

What Are My Options for Weight Loss? 

Starting a weight loss program is a common experience, with half of American adults attempting to lose weight in the past year alone. That doesn’t mean that it can’t be challenging. With so many options to choose from, you may not know where to start. Below, we discuss some common methods individuals use to lose weight. 

Diet 

Eating a healthy diet is an essential first step in any weight loss journey. Reducing the number of calories you consume, along with choosing healthier options, can help you kickstart your journey. If you’re not sure how to start eating healthier, consider signing up for a nutrition class. You will learn about the health benefits of certain foods and how to prepare them in a way that is both nutritious and delicious. 

Diet is especially important for those who have had weight loss surgery, like a gastric sleeve. The nature of some of these procedures requires you to modify your eating habits to avoid regaining any weight you may have lost. You may need to eat smaller portions or different foods. Your bariatric surgeon can provide you with a detailed diet plan to help you maximize the weight loss benefits of your procedure. 

Exercise

Both the number of calories you consume and the amount you use are important to consider when trying to lose weight. You want to burn more calories than you consume. Exercise can help you to do that. However, it is not always effective on its own and should be combined with other methods, like a healthy diet. 

If you’ve had weight loss surgery, exercise can help you maximize the benefits provided by your procedure. Starting a fitness regimen can begin soon after your surgery with walking or other gentle exercises. Your bariatric surgeon can help you to determine the amount and types of activities you can safely partake in. 

Medication

While still fairly new, weight loss medications like Ozempic have been proven to be effective for those looking to lose a significant amount of weight. They are recommended for individuals with a BMI over 30. Like any medication, there is a risk of side effects. You may also need to follow a special diet and exercise plan while taking the medication. Your doctor can help you to determine if this option is right for you. 

Bariatric Surgery

Although you should attempt to lose weight through non-surgical methods first, sometimes, surgery may be the only option to help you reach your goals. If that is the case, there are a variety of different surgical procedures available to help you lose weight, including:

Gastric Sleeve

A gastric sleeve, or sleeve gastrectomy, works by changing the size and structure of your stomach in order to limit the amount of calories you can consume from food.

Gastric Bypass

A gastric bypass involves creating a small stomach pouch to which a section of the small intestine is attached to reduce the absorption of nutrients and calorie intake.

LAP-Band

A LAP-Band is a device that is placed around part of your stomach to reduce its capacity and, therefore, the amount of food that you can consume. 

Gastric Balloon

A gastric balloon is a device placed into the stomach to help you feel fuller faster. Due to its temporary nature, it is a less invasive option compared to other procedures.

Regardless of which procedure you choose, surgery is only recommended for those with a BMI over 30 or who have other health concerns. While surgical options are very effective, you may regain weight over time and require revisional weight loss surgery. A consultation with a bariatric surgeon, like those at BMI, can help you explore your options.

Discover Effective Weight Loss Solutions at BMI

With so many options available for weight loss today, you may be wondering which one is best. The team at Birmingham Minimally Invasive Surgery is here to help you explore these options and select the best one for your needs. To get started on your weight loss journey, contact us at (205) 858-1211. 

Explore Your Options for Weight Loss at BMI

When you want weight loss solutions that are safe and effective, look no further than Birmingham Minimally Invasive Surgery. We offer a variety of both surgical and non-surgical options to our patients to help them reach their weight loss goals. To explore these options, contact us to schedule a consultation at (205) 858-1211.

Should I Get a Gastric Sleeve for Weight Loss?

Posted on July 18, 2024

A female doctor in a white coat is holding up a tablet with an illustration of the digestive system to show a male patient in a tan plaid shirt.

A female doctor in a white coat is holding up a tablet with an illustration of the digestive system to show a male patient in a tan plaid shirt.

There are many options available for weight loss surgery. One such option is a gastric sleeve, also called sleeve gastrectomy. It is the most commonly performed bariatric surgery in the world. In the United States alone, over half of bariatric surgeries performed per year are gastric sleeves. 

Despite its popularity, many patients wonder if a gastric sleeve is a suitable option for them. The experienced bariatric surgeons at Birmingham Minimally Invasive Surgery are here to discuss the potential benefits and risks associated with this increasingly popular bariatric procedure. 

What is a Gastric Sleeve?

Gastric sleeve surgery, or sleeve gastrectomy, is a procedure that changes your stomach’s size and structure. After the procedure, your stomach will be smaller, which will limit the number of calories you can consume from food. However, it will still function normally. This, in turn, will help you reach your weight loss goals faster with minimal downtime after surgery. 

This procedure, performed laparoscopically, does not involve large abdominal incisions, making it less invasive than other options. It also takes less than an hour to complete. During the procedure, your surgeon will divide your stomach to remove about two-thirds of it. The remaining portion will be joined together using surgical staples, resulting in a smaller stomach. 

Who is the Ideal Candidate for a Gastric Sleeve?

Different patients have different needs and desires when it comes to weight loss surgery. A gastric sleeve is ideal for those with a body mass index (BMI) greater than or equal to 40 who have been unable to lose weight through diet and exercise. However, patients with BMIs between 30 and 40 who have other health concerns like diabetes, sleep apnea, heart disease, or high blood pressure will also be considered for a gastric sleeve. 

Gastric sleeves can also be a good option for those who have had weight loss surgery in the past and regained weight or did not achieve the desired results. Converting a LAP-Band to a gastric sleeve is a common revisional weight loss surgery. In this case, the original LAP-Band is removed before a standard gastric sleeve procedure is performed. Regardless of whether the gastric sleeve is your first or second weight loss surgery, a consultation with a bariatric surgeon can help you determine if you are a candidate for the procedure. 

What Risks Are Involved With Gastric Sleeves?

Like with any surgery, a gastric sleeve does come with the risk of potential complications. You may experience some pain after the procedure, but it can be managed with medication. Most commonly, the stomach stretches over time, which leads to weight gain. In this case, revisional weight loss surgery, like a duodenal switch or Roux-en-Y gastric bypass, may be required to achieve the desired result. 

Though most patients respond well to this procedure, it is not recommended for those with severe reflux disease and other similar health conditions. As your individual risks may vary, it is best to discuss your concerns with your surgeon at your initial consultation. They will be able to determine your specific risk of complications after a gastric sleeve and provide you with alternatives to this procedure, if necessary. 

What Dietary Restrictions Come with a Gastric Sleeve? 

Like with any weight loss surgery, you must follow a special diet after a gastric sleeve procedure to maximize results and avoid stretching your stomach. Immediately after, you will be started on a clear liquid diet. After about two weeks, you will be able to consume pureed food before moving on to soft foods one month post-surgery. 

You will be able to return to a normal diet while consuming smaller portions after two months. To learn more about this diet, consider signing up for a nutrition class through BMI. We discuss the dietary needs presented by bariatric surgery and give you the skills to manage your diet before and after your gastric sleeve procedure. 

Learn if a Gastric Sleeve is Right for You at BMI

If you’re still not sure whether you’re a candidate for a gastric sleeve, call on the experienced bariatric surgeons at Birmingham Minimally Invasive Surgery. We offer a variety of options to help our patients lose weight, including gastric sleeves. Our experienced team will discuss your options with you to find the best one for your needs. To learn if a gastric sleeve is right for you, contact us at (205) 858-1211. 

Schedule a Consultation for a Gastric Sleeve at BMI

As a leader in bariatric surgery in Alabama, Birmingham Minimally Invasive Surgery offers a variety of options to our patients to help them reach their weight loss goals, including gastric sleeves. If you have specific concerns or questions about our weight loss procedures, including gastric sleeves, contact us to schedule a consultation at (205) 858-1211. We look forward to helping you along your weight loss journey.

Gastric Sleeve vs. Gastric Bypass – Which is Right for You?

Posted on July 1, 2024

A woman with brown hair in a pink shirt sitting next to a female doctor with dark hair in a white coat holding a piece of paper with a green plant behind them.

A woman with brown hair in a pink shirt sitting next to a female doctor with dark hair in a white coat holding a piece of paper with a green plant behind them.

Getting bariatric surgery for weight loss is a major decision that could be potentially life-altering. However, it has become increasingly popular, with an estimated 250,000 procedures performed each year in the United States alone. Despite its popularity, deciding on weight loss surgery can prompt many questions.

With so many options available, you may not know which is right for you. Fortunately, the team at Birmingham Minimally Invasive Surgery is here to discuss the pros and cons of two popular bariatric procedures: gastric sleeves and gastric bypass surgery. We perform these procedures, along with others, at our Birmingham center. 

Gastric Sleeves vs. Gastric Bypass Surgery

Two commonly performed bariatric procedures are gastric bypass surgery and gastric sleeves. While both are effective for weight loss, each has its advantages and disadvantages, depending on the patient’s needs and desired outcomes. Your surgeon can discuss these with you further during your initial consultation. 

What Is a Gastric Sleeve?

A gastric sleeve, or sleeve gastrectomy, is a procedure that changes the size and structure of your stomach. Since the stomach is smaller after the procedure, the number of calories you can consume from food is limited, helping you reach your weight loss goals. Performed laparoscopically, it requires minimal downtime. 

The ideal candidate for this procedure has a body mass index (BMI) greater than or equal to 40 and has been unable to lose weight through diet and exercise. Patients who have BMIs between 30 and 40, along with other medical problems such as diabetes, sleep apnea, heart disease, or high blood pressure, will also be considered. 

While most patients respond well to this procedure, it does come with some potential complications. Like with any bariatric surgery, you must follow a special diet afterward. The stomach may stretch over time, leading to weight regain. In this case, revisional weight loss surgery may be a possibility to obtain the desired result. 

What Is a Gastric Bypass?

Having been performed since 1967, the gastric bypass is one of the first bariatric surgeries to become available in the United States. It is one of the most effective for achieving and maintaining long-term weight loss. Patients tend to lose a significant amount of weight rapidly in the first six months and then slow down in their weight loss for the next six months.

After gastric bypass surgery, patients will stay in the hospital overnight. The procedure is performed laparoscopically, like a sleeve gastrectomy. However, the procedure is more complicated than sleeve gastrectomy, secondary to disconnecting and reconnecting the intestines. It combines restriction and malabsorption by creating a stomach pouch that only holds around two ounces, with a 150 cm limb of the small intestine bypassed by attaching it to the pouch.

Before and after the procedure, patients must follow a special diet, including nutritional supplements, to maximize results. However, it is considered the ideal procedure for individuals with diabetes, high blood pressure, sleep apnea, and other health concerns, as it can be reversed if medically necessary. 

Find the Right Bariatric Procedure for You at BMI

Each patient’s situation is different and requires a customized approach to weight loss. That’s why Birmingham Minimally Invasive Surgery offers a variety of options to help our patients lose weight, including gastric sleeves and gastric bypass surgery. To get started on your weight loss journey with bariatric surgery, contact us at (205) 858-1211. Our experienced surgeons will discuss your options with you to find the best one for your needs and desired outcome. 

Achieve Stigma-Free Weight Loss at BMI

No matter which bariatric procedure you choose, the team at Birmingham Minimally Invasive Surgery can provide the support you need to be successful in your weight loss journey. If you have specific concerns or questions about our weight loss procedures, including gastric sleeves and gastric bypass surgery, contact us for personalized support at (205) 858-1211.

Is Revisional Weight Loss Surgery Right for You?

Posted on June 25, 2024

Tan folders with white tabs with “obesity,” “bariatric surgery,” “gastric bypass,” and “sleeve gastrectomy” written on them in black.

Not everyone understands that weight loss surgery can sometimes require refinement based on certain factors, like complications or weight regain. In this blog, the bariatric surgeons at Birmingham Minimally Invasive Surgery explain what revisional weight loss surgery is and why it’s necessary for some patients.

What is Revisional Weight Loss Surgery?

Revisional weight loss surgery is a procedure for those who have previously had bariatric surgery. While weight loss surgery can lead to effective long-term results, it is possible to start regaining weight later on. In most cases, this may be corrected with diet and exercise. For others with more significant weight regain, revisional surgery may be needed to correct their previous procedure. 

Reasons for Revisional Weight Loss Surgery

Up to 15% of bariatric surgery patients undergo revisional weight loss surgery for various reasons. As time goes on, strict diet and exercise regimens may fall by the wayside, resulting in weight gain. However, there are medical conditions and other complications related to initial weight loss surgery that may result in a patient requiring revisional procedures. Among these are:

  • Weight loss that is not as desired
  • Complications and side effects of an initial bariatric procedure
  • Medical conditions like GERD and hernias
  • Malnutrition

While there are many other reasons why a bariatric procedure may not be as effective as intended, your surgeon can determine if your specific situation warrants revisional weight loss surgery. 

Frequently Asked Questions About Revisional Weight Loss Surgery

Like any medical procedure, you may have questions about revisional weight loss surgery and whether it is right for you. The surgeons at Birmingham Minimally Invasive Surgery are willing to answer any questions you may have about this type of procedure. Here are some common questions we hear from patients about revisional weight loss surgery.

1 . When should I consider revisional weight loss surgery?

Due to a greater risk of complications, revisional weight loss surgery should only be considered when all other options are exhausted. Consulting with a bariatric surgeon experienced in bariatric and revisional surgeries can help you understand your options to correct weight gain.

2. Should I have revisional weight loss surgery or go on a diet? 

If you notice weight gain after bariatric surgery, you may be considering various options, including revisional surgery, to handle it. Before pursuing any procedure, it is critical to evaluate all possible causes of weight gain, including health concerns, diet, and exercise habits. Keeping a food diary detailing a week or more of meals and exercise can help you determine if overeating or a lack of exercise is the root of the issue. If this is determined to be the case, it is better to pursue those options before considering another surgery to avoid complications.

3. Can you reverse my previous weight loss procedure?

Most weight loss procedures are irreversible. However, revisional weight loss surgery can correct previous procedures to obtain more desirable results. For example, a LAP-BAND Conversion removes an existing LAP-BAND and replaces it with a gastric sleeve, often producing better results than the initial procedure.

Learn if Revisional Weight Loss Surgery is Right for You

While bariatric surgery can be an effective method of weight loss, its result can vary by patient. If you have previously had bariatric surgery and are not experiencing the outcomes you desire, revisional weight loss surgery can help. The surgical team at Birmingham Minimally Invasive Surgery can help you determine if you are a candidate for these types of procedures. Contact us to schedule an initial consultation today!

Get Back on Track with BMI’s Revisional Weight Loss Surgery

If you’re unsure whether you are a candidate for revisional weight loss surgery, the experienced bariatric surgeons at Birmingham Minimally Invasive Surgery can help. We are available to answer any questions and concerns you may have about these types of procedures. To schedule a consultation for revisional weight loss surgery, contact BMI at (205) 858-1211.

Is LAP-BAND to Gastric Sleeve Conversion Right for You?

Posted on June 11, 2024

A man in a light blue shirt holds a yellow measuring tape around his waistline. 

There are many methods available today to help you lose weight. Using a gastric band, or LAP-BAND, is just one way you can effectively reach your weight loss goals. However, it may not be the right option for everyone. Approximately 20% of patients will not lose the amount of weight they expected from this procedure. Fortunately, there are alternatives available to help these patients achieve the results they desire. Corrective procedures, like LAP-BAND conversions, can be done. The bariatric surgeons at Birmingham Minimally Invasive are here to help you determine if this procedure is right for you.

What is a LAP-BAND Conversion?

A LAP-BAND conversion to sleeve, also known as a gastric band-to-sleeve conversion, is a bariatric procedure. It involves removing an existing gastric band, also known as a LAP-BAND, and replacing it with a gastric sleeve, which reduces the size of the stomach by about two-thirds. This procedure is less invasive than other weight loss surgeries as it is typically performed on an outpatient basis and does not alter any part of the gastrointestinal system. While removal of the band alone is possible, it may lead to the patient regaining the weight they previously lost. 

Ideal Candidates for LAP-BAND Conversion

Ideal candidates for this procedure are those who have a LAP-BAND but are not experiencing the results they desire. You may also have complications that force you to remove the band but still want to continue your weight loss journey through the use of bariatric surgery. Converting the LAP-BAND to a gastric sleeve often produces better results than other weight loss methods for these patients. However, your surgeon can further discuss the benefits and risks of this procedure with you as part of your initial consultation to determine if you are a suitable candidate.

Side Effects of LAP-BAND Conversion

Since a LAP-BAND conversion is a repeat operation performed on an individual who has already had bariatric surgery, it does increase the risk of potential side effects. These include an increased risk of bleeding, post-operative leaks, and the need for an open operation instead of a laparoscopic one for both the gastric sleeve and band removal procedures. This risk and the side effects experienced may vary. However, your surgeon can discuss these with you during your initial consultation.

Gastric Sleeves: The Next Step in LAP-BAND Conversion

Once the LAP-BAND is removed as part of the conversion procedure, it is replaced with a gastric sleeve. While it sounds like another band will be added to the stomach in place of the original device, this procedure actually changes the structure of the stomach. These structural changes reduce the size of the stomach, thereby limiting the quantity of food you can eat and the number of calories you consume.

Since you are already under anesthetic for the LAP-BAND removal, the gastric sleeve procedure can be done faster than a standalone surgery. Performed laparoscopically, this procedure does not involve large abdominal incisions. After your LAP-BAND is removed, your surgeon will divide your stomach in a vertical manner to remove a major portion of it, about two-thirds. The remaining portion is joined together using surgical staples, resulting in a smaller stomach.

Get the Results You Desire With LAP-BAND Conversion

Bariatric surgery can be an effective method of weight loss. However, not every procedure is right for every patient. If you have a LAP-BAND and are not experiencing the results you desire, a LAP-BAND conversion may be a better fit. The surgical team at Birmingham Minimally Invasive Surgery can help you determine if you are a candidate for this procedure. Contact us to set up an initial consultation today! 

Enhance Your Weight Loss With BMI’s LAP-BAND Conversion

If you’re not sure whether you are a candidate for a LAP-BAND Conversion, the experienced bariatric surgeons at Birmingham Minimally Invasive Surgery can help. We are available to answer any questions and concerns you may have about this procedure or other weight loss methods. If you have specific concerns or questions, contact BMI for personalized support. You can call us anytime at (205) 858-1211.