Surgery Questions

Possible complications are not limited to, gallstones, liver problems, hernia, pouch leak, intestinal blockage, deep vein thrombosis (DVT) and pulmonary embolus (PE).

Whether or not you have to undergo any medical testing will depend on your health history, your current co-morbid conditions, and other indications of risk. Your surgeon or bariatrician will discuss any necessary tests required during your consultation.

For individuals with a body mass index (BMI) greater than 55, weight loss prior to surgery may be required in order to perform surgery more safely. If this is the case with you, our bariatric dietitian will work with you one-on-one to establish a program for weight loss success. In addition, all patients go on a two-week pre-operative high protein, low carbohydrate diet, as obese individuals tend to have enlarged, fatty livers. All weight loss surgery procedures require surgical access to specific areas of the abdomen, and access to these areas may be compromised if a patient has an enlarged, fatty liver. Putting patients on liquid-diet regimen allows the liver to shrink, making surgery easier to be performed, and ultimately safer for you.

No staples are used in the adjustable gastric banding procedure; however, with gastric bypass and sleeve gastrectomy, staples are used. They are made of stainless steel or titanium, and are very small.

For band and bypass patients, the pouch will hold about one ounce of food after surgery.

Adjustable gastric banding surgery is generally performed in 30 to 45 minutes; gastric bypass is generally performed in 45 to 90 minutes; and sleeve gastrectomy is generally performed in an hour. Revision surgeries require more time and generally run two to three hours, depending on existing scar tissue and other findings within the abdomen.

No. We do not allow patients to go home in taxis, buses, or any other form of public transportation. You will be required to have a responsible adult (at least 18 years of age) accompany you on the day of surgery and upon your discharge.

All weight loss surgery is performed under general anesthesia and our anesthesiology team and nursing staff will make sure you are kept comfortable during surgery and throughout your recovery while in the hospital. Everyone’s goal is that you experience as little pain as possible, but surgery does involve some inherent pain. We will send you home with a prescription for pain, but most patients report very little to no pain after laparoscopic surgery. You may experience discomfort from the gas (CO2) used to insufflate your belly for the procedure, and walking will help eliminate this gas from your abdominal cavity.

Both respond well, though men tend to lose weight faster than women. We encourage our patients not to compare their weight loss with the weight loss of others, because each person’s journey is unique and factors such as age, medical history, co-morbid and pre-existing conditions, and other factors all play a part in the rate at which individuals lose weight. The key to successful weight loss is to stay the course, follow your specific program instructions, make healthy food choices, take your vitamins and minerals, eat sufficient protein daily, drink plenty of fluids, and exercise.

Most patients are discharged home one to three days after surgery.

Your band is designed to be permanent and is not meant to be removed; however, in rare circumstances such as a band slippage, it may need to be removed. If removal is necessary, it can be done laparoscopically, usually as an outpatient procedure. Studies show that the stomach typically returns to its original, normal shape once a gastric band is removed.