Author: bell

Decided to have weight loss surgery? Here are your options at BMI Surgery

Posted on September 3, 2020

BMI weight loss surgery

BMI weight loss surgery
Have you decided that weight loss surgery is something you are definitely going to do? We are happy to hear that! However, we know it can be overwhelming to take the next steps. This is a life-changing and life-saving decision. 

Our surgeon, Dr. Jay Long, is the absolute best when it comes to finding the right weight loss surgery option. He’s also the best when it comes to performing all of these procedures. Dr Long, along with other members of our team, will be with you every step of the way to make the best decisions. 

To help you wade through all of the information, we like to focus on educating our patients as much as possible about what to expect before, during, and after surgery.

We have three primary weight loss surgery options: gastric sleeve surgery, gastric bypass surgery, and the LAP-BAND. Let’s take a closer look at them all. 

Gastric sleeve surgery

During gastric sleeve surgery, we basically cut away the top and largest part of the stomach, which is called the fundus. We remove about two-thirds of the stomach. The removed section is where the hunger hormone, ghrelin, lives. The combination of removing the hunger hormone and a large portion of the stomach typically leads to significant weight loss.

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.

Compared to other options, gastric sleeve is considered to be a more simple procedure. We do not reroute the intestines like we do during gastric bypass, and we do not put in a foreign body as we do with the LAP-BAND. It typically takes only about 30 to 45 minutes, and we perform the surgery laparoscopically. This means we avoid the need for large abdominal incisions, which typically results in less pain, shorter hospital stays, and faster recovery.

Gastric bypass surgery

With gastric bypass (also called Roux-en-Y), we create a small stomach pouch that restricts food intake. We attach a Y-shaped section of the small intestine to the pouch. This 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). Doing so reduces the amount of food you can take in because your stomach holds only one to two ounces. This bypass also reduces the absorption of nutrients and thereby reduces calorie intake.

Gastric bypass is often a great option for our heavier patients because most 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. 

We sometimes hear that people 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 inpatient surgery takes one to two hours and requires a hospital stay of one or two nights.

The LAP-BAND

With this procedure, we place the LAP-BAND 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. We connect the band 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, providing more or less restriction.

We typically perform the LAP-BAND procedure in our outpatient surgery center, and you are usually discharged the same day. Some 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 you choose to do so. It can be a good option for those paying out of pocket, because it is a very cost-effective choice. 

With the LAP-BAND, weight loss may be somewhat slower than with other options. We have to find that “happy place” where you are able to eat well but also maintain smaller portion sizes. This is where band adjustments come into play.

Which option is right for you?

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. Which one is best for you will depend greatly on your individual situation. 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. 

You don’t have to figure this all out alone. You’ve made a huge first step in deciding to have weight loss surgery, and Dr. Long will now come alongside you to provide his expertise and experience to consider your unique needs and find the right option.

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. 

Amber’s Testimonial: Overcoming Mental Challenges for Huge Physical Progress

Posted on September 16, 2019

patient testimonial

 

 

By Amber Jones

I was larger than I had ever been. Even bigger than I was with both pregnancies. How could I let myself get into this pitiful shape? 

I was constantly struggling to keep up. To keep up with my friends, my busy life as a mom, and as a full-time employee. I was so depressed about my appearance and how I felt. I couldn’t sleep and was so tired all the time.

I finally got up the nerve to talk to Dr. Long. 

I waited to speak with him until after he was done in surgery, caught him in the hall, and just flat out asked him if I was a good candidate for weight loss surgery. His honesty was refreshing. He explained why I was a good candidate. He said it would be a game-changer for me. 

I trusted him. Dr. Long is very straightforward and honest. I’ve seen him interact with his patients, and I have seen him at work in the operating room. He didn’t sugar coat anything for me, but he has a great bedside manner. I needed someone I could trust, respect, and confide in. He was my only choice. 

The mental process was tougher than the diet!

I was an insurance patient, so it was a six-month process for me. It was a tough journey leading up to my surgery, but I made the commitment and got to work. There was a lot of studying to do, and tons to learn about the life-changing path I was about to take. 

I think what surprised me the most was how much harder the mental process was than the physical. I did a ton of research on food and exercise but quickly realized after the surgery that the biggest preparation you should make is mental. It’s about making a lifestyle change, not just a new diet fad. 

I knew it could help so many other people with their weight loss journey if I did open up.

At first, I was going to keep my surgery a secret, but then I felt very conflicted about that decision. I truly believe that when we share our experiences, we can help other people become more comfortable with themselves. We are bashing stereotypes so that others do not feel alienated because of their shortcomings. We all have our stuff to deal with, but when we are transparent about our experiences, we make others feel more normal about their journeys as well.

After surgery, I have never felt so confident. My family is proud of me, and I’m proud of myself. 

I am very active now, and I love it. I enjoy exercising, kayaking, hiking, and keeping up with my active kids! I also love getting dressed up and going out now, whether it be dinner with my husband or going to the movies with my friends. I actually enjoy getting ready and feeling comfortable in my own skin. This summer I had a ball at the beach. I wore a different swimsuit every time we headed to the pool and didn’t spend time trying to cover myself up! 

I have had to learn to pace myself with exercise and new experiences.

It really surprised me that I had to pace myself and go easy on myself. I wanted to meet crazy goals quickly, but I had to learn that it’s a process. 

My biggest non-scale victories are being able to go hiking and kayaking with my boys. And dare I say, I’m even proud of now having a thigh gap!

My only regret is not doing it sooner. 

If you are considering weight loss surgery, do it! Surround yourself with positive people who will support you in the process, such as good friends and family, and the team at Birmingham Minimally Invasive.

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 https://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

 

Gastric Bypass: Do You Meet The Requirements?

Posted on September 10, 2019

gastric bypass surgery requirements

Requirements for gastric bypass surgery.Gastric bypass surgery is one of the most common types of weight-loss surgery. It has a long history of success in the U.S., and this includes many patients of Birmingham Minimally Invasive Surgery. 

While it does often sound like a great option to many, there are qualifications that each patient must meet in order to have gastric bypass surgery. This is a major, life changing procedure. 

It’s also important to understand that the long-term success of gastric bypass surgery very much depends on your ability to make permanent lifestyle changes for the better. For those who do want to be considered for gastric bypass surgery, we will do a thorough exam and evaluation to find out if you are indeed a good candidate. Here are some of the things we will assess. 

Gastric bypass surgery qualifications

Generally speaking, gastric bypass surgery could be a good option for you if you meet any of these requirements:

  • Your previous efforts to lose weight with diet and exercise have been unsuccessful
  • Your body mass index (BMI) is 40 or higher
  • Your BMI is 35 or higher, and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure, or severe sleep apnea
  • You’re a teenager who’s gone through puberty, your BMI is 35 or more, and you have serious obesity-related health problems, such as type 2 diabetes or severe sleep apnea

Other considerations to determine if you are a candidate for gastric bypass surgery

While the above are the technical requirements for gastric bypass surgery, there is more to every story. Our team likes to consider several other factors before determining the best course of treatment for our patients, such as:

  • Nutrition & weight history — Weight trends, previous diet attempts, eating habits, exercise regimen, stress level, time constraints, motivation, and other factors are very important to consider and discuss.
  • Medical conditions — Some health problems increase the risks associated with having gastric bypass surgery or may be worsened by the surgery, such as blood clots, liver disease, heart problems, kidney stones, and nutritional deficiencies. We will look at which medications you take, how much alcohol you drink, and if you smoke. Other conditions, such as sleep apnea, are also considered. 
  • Psychological status — Gastric bypass surgery is not just about what’s on the outside. It’s also about what’s going on inside. Certain mental health conditions may contribute to obesity or make it more difficult for you to maintain health benefits after the surgery. We consider conditions, such as binge-eating disorder, substance abuse, anxiety disorders, major depression, schizophrenia, severe bipolar disorder, and others.
  • Motivation. It should go without saying that having great willingness and ability to follow through with recommendations for lifestyle changes will play a huge part in the success you see.
  • Age — There is no specific age limit for gastric bypass surgery, but this can impact our recommendations.

Insurance factors for gastric bypass surgery

If it’s determined that gastric bypass surgery is appropriate for you, there are also insurance qualifications to consider. Most national insurance companies do cover weight loss surgery, but there are requirements you must meet. Whether or not gastric bypass surgery is covered will depend on your specific health insurance plan.

You will likely need to get preapproval for the surgery from your health insurance company. This typically requires documentation from your doctor justifying your medical need for gastric bypass surgery.

Our patients are typically able to navigate these insurance requirements, and our team is available and happy to help as necessary. If you suspect that you do meet many of the requirements mentioned above, your next step is to contact us so we can get your health evaluated and get you started on your journey to weight loss.

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 https://www.bmisurgery.com/ or give us a call to set up a consultation at 205-833-6907. 

Everything you need to know about the gastric bypass procedure

Posted on August 20, 2019

gastric bypass procedure

gastric bypass procedureIf you are interested in pursuing bariatric weight loss surgery, you have probably heard of gastric bypass surgery (also called roux-en-Y gastric bypass). It is a great treatment option if you are dealing with weight-related health problems and hoping to lose weight and keep it off long-term. It is one of the most commonly performed bariatric surgeries in the United States, and it has a track record of effectiveness. 

If you think this may be the right option for you, we know that you probably have many questions, especially about the gastric bypass procedure itself. We will take you through the process step by step in this post. 

What to expect with the gastric bypass procedure

Prior to the procedure, you will be given a general anesthetic. This will allow you to be asleep throughout the duration of the surgery, and you will not feel any pain. At Birmingham Minimally Invasive Surgery, we perform laparoscopic gastric bypass, so once you are asleep, your surgeon will create six small surgical openings on your abdomen. The laparoscope and small surgical instruments are introduced through these openings.

During the procedure, your surgeon will divide your stomach and reroute your small intestine to create a small stomach pouch and new digestive route. The small stomach pouch will restrict your food intake. 

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 route reduces the absorption of nutrients, which also reduces the calorie intake. At the end of the surgery, your surgeon will check the new connections to make sure there are no leaks.

The surgery typically takes one to two hours and requires a stay of at least one night in the hospital. 

After the gastric bypass procedure

While that’s it for the procedure itself, we want to share more information about exactly what happens after the procedure. Depending on your condition, you may be given a clear-liquid diet the day of your surgery. You may be able to start a pureed diet before you go home. You will be given medications to help alleviate any pain or discomfort. We will also instruct you on a special diet plan to follow after surgery. You may have restrictions or limits on how much and what you can eat and drink.

We will ask you to come in for regular checkups to monitor your health in the first several months after your gastric bypass procedure. You may need laboratory testing, blood work, and other various exams. We will also be monitoring your weight loss.

By restricting your stomach’s ability to hold food, you will naturally eat less and feel full sooner. This often allows patients to rapidly lose weight and regain control of their lives. With our competitive pricing options and the help of our experienced surgeon and staff, you’ll be able to lose weight and start feeling better physically and mentally. Find more information about gastric bypass costs here.

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. 

Addressing weight regain with revisional weight loss surgery

Posted on August 15, 2019

revisional weight loss surgery

revisional weight loss surgeryA few years ago, you had bariatric surgery with successful results. It’s a great option for those suffering from excess weight and obesity. But now? Well, life happens. For even the best patients, it’s hard to continue a strict diet and exercise routine. Things change, and your anatomy may change as well.

It is possible to regain some weight several years after a successful weight loss surgery. You may realize that the volume of food you have been consuming has increased, which means that your gastric pouch or “sleeved” stomach may have increased as well. The result is weight regain, and the answer may be revisional weight loss surgery.

What is revisional weight loss surgery?

Before discussing revisional surgery with patients, it is important that we ensure that the weight regain is indeed caused by something other than simply overeating. To help with this, patients should come to our office prepared with a food journal detailing a week or more of meals and exercise. 

Once the determination has been made that it is not a behavioral issue, we will discuss surgical options. For patients who need help getting back to the right kind of post-bariatric diet, we offer a comprehensive back-on-track program.

A revisional surgical procedure will be undertaken only when all other options are exhausted since there is a greater risk of complications. Which revisional option is the best fit for you will depend on your specific situation and what surgery you had initially.

To determine this, we may perform an upper GI study, which is an x-ray of the esophagus and stomach. This will allow us to evaluate the general shape of your anatomy and make a plan based on that information. 

What to expect after revisional weight loss surgery

Once your revisional weight loss surgery has been completed, your recovery time may be a little longer than it was with your original procedure. This increased recovery time is because revisions involve dealing with scar tissue and altered blood supply. You may have to stay in hospital for two to three days to be monitored. Most patients do resume their normal schedules within a couple of weeks. 

For many patients, a revisional weight loss surgery is almost like a second start. They typically have a renewed commitment to proper diet and exercise, which makes a significant difference long-term. But it is important to mention that obesity is a chronic disease. While weight loss surgery and revisional weight loss surgery can be life-saving, they cannot be counted on as cure-alls. Success depends so much on your lifestyle and nutrition. 

It is also important to remember that a revisional bariatric procedure should only be performed by a qualified surgeon experienced in this type of procedure, such as our Birmingham Minimally Invasive surgeon, Dr. Jay Long. Please contact our office to schedule a consultation and learn more about the surgical options to correct weight regain.

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. 

 

Tami’s Testimonial: Gastric sleeve surgery helped put me back in control of my life

Posted on July 30, 2019

before and after photos of a woman who had gastric sleeve surgery

before and after photos of a woman who had gastric sleeve surgery

By Tami M.

I was skinny my whole life up until I got pregnant. I was 23 years old and in my last year of college at the time. During the pregnancy, I gained almost 100 pounds, and after I had my son, I continued to gain weight. 

I guess I can say I’ve seen both sides. I knew what it was like to be skinny, but I also experienced what it’s like being bigger… and people really do treat you differently.  

Before surgery, I was miserable. I was unable to do certain things with my son. I had trouble breathing. I struggled to get off the sofa and out of bed. I even had trouble tying my shoes. I couldn’t fit on a roller coaster. I couldn’t cross my legs, and I was sweating all the time.

I saw my entire family affected by weight-related health issues, high cholesterol, sleep apnea, diabetes, you name it; I could tell it was just a matter of time before the same thing happened to me.

I hit a point in my life where I wanted to find me again. I was just ready. I was ready to take control of my life.

I decided I wanted to lose some weight, so I started going to the gym, but the weight just wasn’t coming off. I honestly didn’t know what I was doing wrong. I had my mind right; I just couldn’t get my physical appearance right. 

I had met Dr. Long quite a few years ago when he took my gallbladder out. I knew I liked him and I trusted him, so I immediately thought of him when I started considering weight loss surgery. 

After going over my options with Dr. Long, I decided gastric sleeve surgery made the most sense for me and my journey.

I chose to use insurance to cover my gastric sleeve surgery, so I had to go through the process of getting approval. After 6 months of regular doctor visits and making sure I met all of the pre-qualifications, I was ready to schedule my surgery. 

I had my surgery in March of 2018, and so far, I’ve lost 101 pounds.

My main focus was my son. I’m a single mom and I knew I had to get healthy for him, but also for myself. I wanted to be here to see him when he grows up. 

Overall, my journey has been relatively easy. I didn’t have any complications. I do everything Dr. Long tells me to do and so far it’s been great. I was kind of shocked at how — I don’t want to say easy because I still had to put in work — well I have recovered. I just stuck to the diet and followed the plan.

I can do everything I couldn’t before. 

Little things like being able to cross my legs again is exciting, but one of the best things is being able to play with my son. We can go outside and run around together, and I don’t have to worry about if I’m going to lose my breath. 

Now that I’ve had my surgery, shopping for clothes is fun again. I can wear different things. I can go into a store and buy outfits off the rack. I don’t have to special order anything or worry about if it will fit. 

I haven’t had the chance to ride on a roller coaster yet, but I know I can fit and I’m excited to do it! 

 Surgery truly is a tool, and you have to change your lifestyle to make it work. 

If you’re considering weight-loss surgery, I say do it. It’s absolutely life changing. I try not to live with what ifs or regrets. I recommend weight loss surgery to anybody who is overweight or struggling. It literally changed my life. My sister recently had surgery as well, and it’s already changed her life, too. 

 

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 www.bmisurgery.com or give us a call to set up a consultation at 205-833-6907. 

 

*Individual results may vary.

EVERYTHING YOU NEED TO KNOW ABOUT GASTRIC BYPASS SURGERY

Posted on July 30, 2019

illustration depicting what a stomach looks like before and after gastric bypass surgery

gastric bypass surgery

 

Carrying excess body weight takes a toll on you, not just physically but mentally as well. The longer you stay overweight, the higher your risk of developing life-threatening, weight-related health problems. For many, diet and exercise alone are insufficient for shedding excess body fat.

To qualify for gastric bypass surgery, you must meet specific requirements, such as BMI calculations and healthcare provider recommendations.

Because of the increased health risks associated with obesity, bariatric surgery has become one of the safest and most effective treatment options. Gastric bypass surgery, also called Roux-en-Y Gastric Bypass, is one of the most commonly performed weight loss procedures in the United States and has a long track record of success. If you are considering weight loss surgery, here are a few things about laparoscopic gastric bypass.

What is gastric bypass surgery?

Gastric bypass surgery performed is an inpatient procedure that typically takes 1-2 hours. There are different types of gastric bypass surgery performed, including techniques such as laparoscopy. A small stomach pouch is created to limit your food intake. The next step is to attach a Y-shaped section of the small intestine directly to the new stomach pouch. By doing this, food will skip part of the digestive system so that you will absorb fewer calories and nutrients.

Why should you consider bariatric surgery?

Gastric bypass surgery has been performed in the United States since 1967. It has the longest track record of all bariatric surgery options and has proven effective in obtaining and maintaining long-term weight loss.

Body mass index (BMI) is a key factor in determining eligibility for gastric bypass surgery. Individuals with a specific BMI may qualify for the surgery.

For most patients, 66% of weight loss occurs within the first 6 to 8 months after surgery, allowing patients to lose weight rapidly and keep it off. Because the surgery has been performed for over 50 years, we have more long-term data to support its effectiveness. For instance, at the 10-year mark, the average gastric bypass patient has lost 70% of their excess weight and successfully kept it off.

What is the laparoscopic surgery procedure like?

Before the procedure, you will be given a general anaesthetic to allow you to sleep through the surgery and prevent you from feeling any pain. Once you are asleep, your surgeon will create 6 small surgical openings on your abdomen. These openings will be used to insert a small camera and surgical instruments to perform the laparoscopic surgery, which offers advantages such as smaller incisions and faster recovery.

During the procedure, your surgeon will divide your stomach and reroute your small intestine to create a small stomach pouch and a new digestive route. The entire surgery typically takes 1 to 2 hours and requires a 1 night hospital stay.

What kind of diet do you need to follow after gastric bypass surgery?

 

You will have to change your diet after gastric bypass surgery. Sticking to your doctor’s diet plan to achieve long-term success and avoid any complications or nutritional issues is crucial.

The gastric bypass post-op diet starts with clear liquids and allows you to slowly work up to incorporating more solid foods. While it is possible to include most foods back into your diet after surgery, starchy options like rice, pasta, and high volumes of processed foods should be avoided.

Your stomach will be smaller, and you will feel full quickly, so it is essential to strategically plan your meals to ensure you get the necessary nutrients. Rerouting the small intestine will also affect how your body processes nutrients. You must incorporate ongoing nutritional supplements and vitamins to prevent dietary deficiencies as part of your new diet.

 

What are the benefits of gastric bypass surgery?

One key benefit of gastric bypass surgery is losing weight rapidly and maintaining it long-term. By restricting your stomach’s ability to hold food, you will naturally eat less and feel full sooner. You can also expect lasting results. The average patient can lose and maintain their weight loss long-term.

Gastric bypass patients tend to lose more weight than those who undergo gastric band or sleeve gastrectomy. Gastric bypass is regarded as one of the best operations to cure diabetes, high blood pressure, and sleep apnea in patients who are severely overweight.

What are some of the disadvantages of gastric bypass surgery?

Like any surgery, there are also a few drawbacks to consider. Gastric bypass involves a more complicated procedure than other bariatric surgeries, like gastric sleeve. Because of this, there is a chance that the staple line will leak after surgery, an increased chance of developing ulcers, and a chance of developing an internal hernia, which occurs if the intestine twists on itself. Additionally, there is a risk of developing blood clots as a potential complication of gastric bypass surgery. Nutritional supplements are also required for life to ensure you stay healthy and maximize the effects of the surgery.

Is gastric bypass surgery right for you? 

Gastric bypass is a great treatment option for anyone dealing with weight-related health problems and looking to lose weight and keep it off long-term. As one of the most commonly performed bariatric surgeries in the United States, gastric bypass has a track record of effectiveness. It allows patients to lose weight and regain control of their lives rapidly. Metabolic and bariatric surgery are alternative options for weight loss in cases of moderate to high-risk obesity, especially when diet and exercise have not been effective. With our competitive pricing options and the help of our experienced surgeon and staff, you’ll be able to lose weight and start feeling great.

 

CONTACT US TO LEARN MORE ABOUT GASTRIC BYPASS SURGERY

Birmingham Minimally Invasive Surgery is a caring group of professionals specializing 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 who 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 offer various financing options to get the healthy body you’ve wanted for years. Visit us today at www.bmisurgery.com or call us to set up a consultation at 205-833-6907.*

The four stages of the post-op gastric sleeve surgery diet

Posted on June 27, 2019

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THE FOUR STAGES OF THE POST-OP GASTRIC SLEEVE SURGERY DIET

 

Gastric sleeve surgery drastically reduces the size of your stomach, leaving it a fraction of its original size. A smaller stomach means a stricter diet. In order to allow your stomach to properly heal and adjust, you will be required to follow a post-op diet plan that can be broken down into four stages. 

 

Stage one of the gastric sleeve diet: liquids

 

Stage one of the post-op gastric sleeve diet begins the first week after your surgery. During this time, you will be restricted to clear liquids like water, broth and unsweetened gelatin. This may sound challenging to follow, but most patients experience little to no hunger the first few days after surgery.

Important guidelines for stage one of the post-op diet:

  • Avoid Sugar – Do not consume any sugary liquids during the first week after surgery. Sugar can have negative side effects on the body and can even lead to dumping syndrome, a digestive problem that can occur after bariatric surgery, when food gets “dumped” directly from your stomach into your small intestine without being digested.
  • No Carbonation – It may be tempting to reach for a bubbly drink to ease your stomach after surgery, but carbonation can lead to gas and bloating and should be avoided.
  • Stay Hydrated – It is important to drink plenty of fluids and stay hydrated during your recovery process. Just remember to take it slow and only drink small amounts at a time. 

 

Stage two of the gastric sleeve diet: protein rich liquids

 

Your doctor will confirm when you are able to move onto stage two of the gastric sleeve diet. This usually takes place 5 days after surgery. During this stage, you will be allowed to introduce more liquids into your diet and begin drinking high protein shakes. You may experience an increase in appetite, but it is important that you stick to the diet plan you are given and avoid any solid food, as your body will not be able to handle it yet. 

Stage two food options include: 

  • Thin broth and creamed soups (no chunks)
  • Sugar free protein/nutrition shakes
  • Sugar free nonfat yogurt or pudding
  • Thinned oatmeal

The goal of stage two is to make sure you are consuming the correct amount of protein and staying hydrated. New foods should be introduced slowly and in accordance with your diet plan. Sugary liquids should still be avoided, along with carbonation, high fat options and chunky foods. 

 

Stage three of the gastric sleeve diet: pureed soft foods

 

It’s time to break out the blender. Once you are around two weeks out from your gastric sleeve surgery, you can begin incorporating pureed soft foods into your diet. The key here is to eat slowly and chew thoroughly. You may find that your tolerance for certain foods has changed, so you should take your time testing new food options. 

At this stage, your food should be the consistency of a thick liquid or smooth paste. You should continue to avoid chunky or fatty foods, sugar, seasonings, starches and fibrous vegetables like broccoli and asparagus.  

Stage three of the gastric sleeve diet includes pureeing the following food items with water, skim milk, broth or sugar-free juice:

  • Cooked vegetables (steamed or boiled until soft)
  • Eggs
  • Beans
  • Lean ground meats
  • Soft fruits 
  • Cottage cheese
  • Plain yogurt

Remember to keep drinking liquids. It is easy to become dehydrated after gastric sleeve surgery because your body is no longer getting fluids from some of the foods you used to eat, so be diligent about your liquid intake. 

 

Stage four of the gastric sleeve diet: solid foods

 

With your doctors approval, you can begin the transition to eating soft solid foods around four weeks after your surgery. Make sure to test foods one-at-a-time to determine what you can tolerate. 

Try to structure your meals with protein in mind. It is recommended that patients consume around 60 grams of protein per day, which can be difficult to do if you fill up on other foods first. A daily protein shake, on top of high protein foods like eggs and lean ground meat, can help you meet your recommended protein goals.

As you slowly start integrating solid foods into your diet, make sure to stick to healthy, easy-to-digest options. This includes things like chicken, fish, well-cooked vegetables, low-fat cheese and fruit. 

Foods you should continue to avoid: 

  • Whole milk products 
  • Fried foods
  • Starchy items like pasta, white potatoes and bread
  • Sugary drinks and snacks
  • Over-processed/packaged foods like potato chips 
  • Fibrous vegetables like celery, asparagus and broccoli
  • Spicy or heavily seasoned foods

 

Tips on how to eat long-term after gastric sleeve surgery 

 

Once you have successfully incorporated solid foods back into your diet, it is important to continue making conscious food choices long-term. The amount of food you eat throughout the day will be limited, so what you eat and how you eat is vital to staying on track and healthy.

Here are a few helpful tips on how to eat long-term after gastric sleeve surgery:

  • Chew and eat slowly
  • Limit snacking throughout the day
  • Cut food into small pieces 
  • Stick to small portions
  • Do not overeat
  • Avoid trans fats and fried, processed or fast foods
  • Try not to eat and drink at the same time

For more information about gastric sleeve surgery and the recovery and diet plan process, schedule a consultation with us!

 

CONTACT US TO LEARN MORE ABOUT THE GASTRIC SLEEVE SURGERY POST-OP DIET 

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 www.bmisurgery.com or give us a call to set up a consultation at 205-833-6907.

Interested in Birmingham Minimally Invasive?

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.

To get started fill out our form, or call today to set up a consultation. Our helpful team is ready to help you on your weight loss journey! 

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