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Thyroid Disease: What it is & How to Prevent it

Posted on November 12, 2024

A female doctor wearing a mask examines the throat of a young woman for thyroid disease at a clinic.

 

A female doctor wearing a mask examines the throat of a young woman for thyroid disease at a clinic.

The thyroid is a gland that regulates metabolism and maintains energy levels and heart rate. Because of all the critical body functions it plays a role in, thyroid disease can affect your health in various ways. Thyroid conditions are common, affecting about 20 million Americans. At BMI, we have extensive experience treating these disorders, so we have compiled some information to help you manage them. 

What is Thyroid Disease?

Thyroid disease is an umbrella term for several disorders that affect the thyroid gland and related bodily functions. These include: 

  • Hyperthyroidism – The thyroid gland produces too much thyroid hormone. 
  • Hypothyroidism –  The thyroid gland produces too little thyroid hormone. 
  • Goiter – An enlargement of the thyroid gland, resulting in swelling of the neck.
  • Thyroid Nodules – Non-cancerous, asymptomatic lumps in the thyroid gland.
  • Thyroid Cancer – A type of cancer involving malignant growth in the thyroid.

Regardless of which condition you have, it is critical to consult an endocrine specialist, like those at BMI, to find the best possible treatment.

Symptoms of Thyroid Disease

Because thyroid disease takes many forms, symptoms can vary depending on the condition. Common symptoms of thyroid issues include: 

  • Weight gain
  • Sleep issues
  • Irregular heart rate
  • Appetite changes
  • Mood changes
  • Hair loss
  • Heat or cold intolerance

Even if symptoms are mild, they can still impact your quality of life. If they are particularly disruptive to your daily routine, consult with one of BMI’s endocrine specialists, who can help you effectively treat them.

Causes of Thyroid Disease

There are many potential causes of thyroid disease because it takes many different forms. Common causes include: 

  • Autoimmune disorders, like Graves’ disease
  • Inflammation of the thyroid gland
  • Surgical removal of the thyroid gland
  • Certain medications, such as lithium 
  • Iodine and other nutrient deficiencies
  • Lifestyle causes like stress or lack of exercise
  • Genetics, as thyroid conditions can be hereditary
  • Gender, as thyroid conditions are more common in women

Regardless of the cause, your physician can assess your personal risk factors and develop a custom treatment plan to address your specific thyroid condition. 

How to Prevent Thyroid Disease

While many thyroid conditions are genetics and not preventable, some can be prevented through:

  • A healthy diet
  • Regular exercise
  • Reducing stress
  • Getting enough sleep
  • Quitting smoking, if you do 

By following these steps, you can potentially prevent various types of thyroid disease. 

How We Diagnose Thyroid Disease

At BMI, we take a comprehensive approach to the diagnosis and treatment of thyroid conditions. Below is our process.

Medical History

Certain thyroid conditions are hereditary, so we look at your family medical history to determine if this may be the case.

Physical Exam

Your doctor gently feels your neck for swelling or other signs of inflammation that come with thyroid conditions.

Imaging

We use ultrasound and nuclear medicine to look for thyroid nodules, goiters, or other signs of thyroid conditions.

Blood Test

A blood test that measures TSH levels can be used to diagnose both hyperthyroidism and hypothyroidism.

How to Treat Thyroid Disease

While you can manage some symptoms of thyroid disease at home, it is best to consult an endocrine specialist who can create a treatment plan, which may include: 

Radioactive Iodine Therapy

Radioactive iodine therapy works by delivering radiation to the thyroid gland, which prevents it from producing high levels of thyroid hormone. This treatment can be administered orally as a liquid or capsule or injected into a vein. It’s typically a one-time treatment performed at an outpatient facility.

Medication 

Medications, including anti-thyroid drugs like methimazole and propylthiouracil, can prevent the thyroid from producing too many hormones. Meanwhile, beta-blockers can help manage symptoms like increased heart rates. Your physician can recommend which type of medication is right for you and your condition.

Surgery

For thyroid conditions that cannot be controlled with medication, surgery may be required. Depending on the condition being treated, all or part of the thyroid gland may be removed. Consulting with a surgeon, like those at BMI, can help you determine if this would be an appropriate treatment for your condition.

Manage Your Thyroid Disease With BMI

Symptoms of thyroid disease can affect your daily routine. With effective treatment from BMI, you can get back to normal faster. Our team specializes in endocrine disorders, so we can create a custom treatment plan that is tailored to your needs. For more information or to schedule an appointment, contact us at (205) 858-1211.

Find Effective Thyroid Disease Treatment at BMI 

If you have thyroid disease, contact BMI at (205) 858-1211. Our team can create a treatment plan that addresses the root cause of your condition and allows you to continue your daily activities. Schedule an appointment today to get started! 

Understanding Acid Reflux: Symptoms & Solutions

Posted on October 30, 2024

A man in a purple shirt holding his stomach experiencing acid reflux after eating spicy takeout food on his grey couch.

A man in a purple shirt holding his stomach experiencing acid reflux after eating spicy takeout food on his grey couch.

While it’s normal to have heartburn after a heavy meal, frequently experiencing it can be a sign of acid reflux. This common condition affects about 20% of Americans. At BMI, we have experience treating this gastrointestinal condition and others, so we’ve compiled some information to help you better manage it. 

What is Acid Reflux?

Acid reflux, also known as gastroesophageal reflux disease (GERD), is a chronic condition caused by the lower esophageal sphincter not closing properly, allowing stomach acid to leak or reflux into the esophagus. When stomach acid touches the lining of the esophagus, it causes a burning sensation in the chest or throat called heartburn. Heartburn that occurs more than twice a week is a possible sign of acid reflux.

Symptoms of Acid Reflux

Like any other gastrointestinal health issue, recognizing the signs of acid reflux and seeking timely treatment is crucial in managing it. Common symptoms include: 

  • Frequent heartburn
  • Acid regurgitation
  • Chest pains
  • Hoarse voice
  • Difficulty swallowing
  • Tightness in the throat
  • Dry cough
  • Bad breath

Even if your symptoms are mild, they may still impact your quality of life and eating habits. If your symptoms are particularly disruptive to your daily routine, schedule an appointment with one of BMI’s gastrointestinal specialists, who can help you effectively treat them.

Causes of Acid Reflux

While acid reflux is commonly caused by consuming certain foods and beverages, other risk factors for developing this condition include: 

  • Hiatal Hernia
  • Obesity
  • Pregnancy
  • Smoking

Regardless of the cause, your physician will assess your condition to develop a custom treatment plan to address your acid reflux. To learn about your personal risk factors, contact BMI for a consultation. 

How to Prevent Acid Reflux

Like any chronic condition, acid reflux can be painful and disruptive to your lifestyle. Fortunately, it is easily preventable. Below are some simple ways you can prevent this condition.

  • Eat smaller meals at a slower pace
  • Avoid lying down after eating
  • Sleep on an incline
  • If you smoke, try quitting
  • Lose weight if you are overweight or obese
  • Avoid trigger foods and beverages, including:
    • Fatty or fried foods
    • Acidic foods or beverages
    • Caffeine
    • Alcohol

By following these steps, you can prevent acid reflux. For more advice, schedule a consultation with one of our specialists. 

How We Diagnose Acid Reflux

At BMI, we take a comprehensive approach to diagnosing and treating acid reflux. Below is our process.

Medical History

As acid reflux can be hereditary. We look at your family medical history to determine if this might be the case in your situation.

Proton Pump Inhibitor

We prescribe a proton pump inhibitor to see how you respond to this medication before moving on to more intensive treatments. 

Barium Swallow Radiograph

We use an X-ray to spot abnormalities like hiatal hernias and severe inflammation of the esophagus, which may contribute to acid reflux. 

Endoscopy

An endoscopy can identify inflammation, acid damage, ulcers, and other signs of acid reflux, making it an effective method of diagnosis.

How to Treat Acid Reflux

While you can manage mild heartburn at home, it is best to consult with a gastrointestinal specialist, like those at BMI, to treat acid reflux. They can assess the underlying cause of your condition to develop a treatment plan, which may include: 

Diet

Since acid reflux is triggered by certain foods and beverages, avoiding them may help you to better manage your condition. Keep a food diary to discover what your specific symptom triggers are in order to avoid them. Most commonly, it is triggered by fatty or acidic foods, caffeine, and alcohol. 

Medication 

Medications, including antacids, foaming agents, H2 receptor blockers, and proton pump inhibitors, can help manage your symptoms. For milder cases, over-the-counter medication is sufficient, but more severe cases may require prescription medications. Your physician can recommend which is right for you.

Surgery

In patients that have reflux not controlled with medication, surgery may be required once all other non-surgical treatment options have been exhausted. Consulting with a gastrointestinal surgeon, like those at BMI, can help you determine if this is the case based on your condition. 

Manage Your Acid Reflux With BMI

If you’re experiencing heartburn that won’t subside with diet and lifestyle changes, contact BMI at (205) 858-1211. Our team can help you create a treatment plan that will address the root cause of your condition and allow you to continue your regular activities without discomfort. To get started, schedule an appointment today. 

Effective Acid Reflux Treatment at BMI 

Acid reflux symptoms can affect your daily routine and personal comfort. Get back to normal with effective treatment from BMI. Specializing in managing gastrointestinal conditions, we can create a treatment plan customized to your needs. For more information or to schedule an appointment, 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.

Losing the Weight & Losing the Stigma: A Weight Loss Revolution

Posted on July 1, 2024

A white scale and a yellow measuring tape on a plain background.

A white scale and a yellow measuring tape on a plain background.

Weight is a topic that is still heavily stigmatized in modern society. As a result, many people are not seeking the treatment they need for obesity and other health conditions. It is estimated that 53% of people who are overweight have reported that their own physicians have made inappropriate comments about their weight. 

At Birmingham Minimally Invasive Surgery, our team specializes in weight loss, so we know how to handle conversations about weight with compassion and empathy. We understand our patients have many physical and emotional needs, so we do all we can to meet them, including reducing the stigma related to weight.

What is Weight-Related Stigma?

Weight stigma consists of discriminatory attitudes and actions taken towards individuals due to their weight. As a result, individuals who face weight stigma have lower self-esteem and confidence, which can lead to mental health issues like depression. It stems from societal beliefs that perceive those who are overweight as lacking willpower, having poor moral character, and other negative qualities. 

The Impact of Weight-Related Stigma on Weight Loss

While some argue stigmatization will motivate individuals to lose weight, the reality is exactly the opposite. Obesity affects people from all walks of life. These individuals are often motivated to improve their health and appearance through weight loss. However, they find the stigma around weight limits them. They fear judgment from friends, family, and even their own physicians, so they do not seek the care needed.

How to Reduce Weight-Related Stigma in Healthcare Settings

Physicians and surgeons, like those at Birmingham Minimally Invasive Surgery, hold a great deal of responsibility in reducing the stigma around weight. In order to best serve our patients, we take these steps to reduce weight stigma:

1. Education

At Birmingham Minimally Invasive Surgery, our team participates in ongoing education to learn the best ways to handle various weight loss procedures and topics. As a result, we’ve been able to improve patient care by providing a variety of options for weight loss while discussing their weight in a nonjudgmental manner. 

As part of our commitment to reducing weight stigma in healthcare, we offer seminars to other providers to help them better understand the needs of patients seeking treatment for weight-related concerns. We partner with St. Vincent’s Hospital in Birmingham, AL, to provide this programming to the community. 

Along with educating other healthcare providers, we provide informative resources like online nutrition classes and support groups to our patients. By learning all they can about weight-related issues, patients can reduce the stigma around this topic by having conversations about it from a well-informed perspective. 

2. Using Person-First Language

In our communications with patients, we use person-first language to reduce stigma. For example, we refer to patients who are obese as “people with obesity” rather than “obese people.” This allows patients to feel like their condition is being acknowledged by their doctor while not letting it define them as a person. 

3. Customized Care

Understanding that each patient is unique, we customize their care to meet their needs. Each treatment starts with an initial consultation where we discuss the patient’s desired outcome and the best way to reach it. Then, we create a care plan based on this conversation. We may use a variety of non-surgical and surgical methods to help them achieve their goals. 

Lose Weight Without the Stigma of BMI

Don’t let stigma hold you back from losing weight. Working with a compassionate healthcare team specializing in weight loss, like the one at Birmingham Minimally Invasive Surgery, can help you achieve your goals faster and without judgment. To get started on your weight loss journey, contact us at (205) 858-1211.

Achieve Stigma-Free Weight Loss at BMI

Regardless of your weight loss goals, you can achieve them without judgment or stigma at Birmingham Minimally Invasive Surgery. If you have specific concerns or questions about our weight loss procedures, 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.