Category: Weight Loss Surgery

Everything you ever wanted to know about the LAP-BAND

Posted on January 20, 2020

lap-band

lap-band
You’ve heard of the LAP-BAND, and you know it’s a weight loss surgery option. But do you really know what it’s all about and why you might want to choose this option if you are considering weight loss surgery?

This minimally invasive procedure is one of the most common weight loss surgery options. In fact, it is generally thought to be the least traumatic of all weight-loss surgeries. It does not require any cutting, stapling, or stomach rerouting. This means less post-operative pain, a shorter hospital stay, and reduced recovery time.

For many, it’s the perfect way to lose weight and improve health conditions without being too restricting. We want everyone to be able to lead a happy and healthy life after surgery. Let’s see how that’s possible with the LAP-BAND.

How the LAP-BAND works

The LAP-BAND is a hollow band made of special material. Working laparoscopically, we place the band around the upper part of the stomach where it meets the esophagus. This creates a very small pouch that empties into the larger remaining portion of the stomach. The band is connected to a port, which is located underneath the skin of the abdomen. 

With this port, we can inflate the band 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. This tightening or loosening determines how much restriction there is on what you eat. 

The LAP-BAND induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed.

Advantages of the LAP-BAND

If fewer risks and side effects are at the top of your list when choosing a weight loss surgery, you should know the LAP-BAND offers a variety of benefits when compared to other procedures. Here are some of the other major advantages of the LAP-BAND:

  • Lower mortality risk than other weight loss surgery procedures — Both total complications and mortality rate are extremely low for the LAP-BAND with a mortality rate of only 0.1%, according to Obesity News Today.
  • Low risk of nutritional deficiencies — Since we do not change your anatomy with the LAP-BAND, food and nutrients continue to be properly absorbed into the body.
  • Reduced risk of hair loss — Since this typically occurs as a result of a nutritional deficiency, hair loss can be more common with other weight loss procedures.
  • No “dumping syndrome” related to dietary intake restrictions — Dumping syndrome occurs when food passes too quickly to the lower intestine. But again, because we do not change your anatomy with the procedure, this is unlikely to occur.
  • Adjustable — We can adjust the band to better meet your needs and weight loss goals, if necessary. Some patients also like knowing that it is reversible, and we can restore the stomach to its original form and function.
  • Cost-effective — The LAP-BAND is on the lower end of the scale in terms of weight loss surgery cost. This is often especially appealing for those who will be paying out of pocket, rather than using insurance assistance for payment. See pricing on all of our options here. 

The average LAP-BAND patient loses 30 to 40% of their excess body weight within two years. It is an effective procedure that many people are happy with years down the road when combined with a healthy diet and regular exercise. 

Finding the weight loss surgery option that’s right for you takes careful consideration, and more importantly, the opinion of a professional surgeon who understands your lifestyle. By working with our experienced surgeon at Birmingham Minimally Invasive, we will determine if the LAP-BAND is your answer.

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. 

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

Posted on January 8, 2020

weight loss surgery differences

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

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

Differences between our three most popular weight loss surgery options

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

Gastric Sleeve

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

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

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

Gastric Bypass

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

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

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

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

The LAP-BAND

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

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

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

Weight loss surgery with and without insurance

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

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

Contact Us to Learn More About Gastric Bypass Surgery

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

An in depth look at gastric sleeve surgery & alternatives

Posted on October 8, 2019

gastric sleeve surgery

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

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

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

Gastric sleeve surgery explained 

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

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

Considerations for gastric sleeve surgery: 

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

Gastric sleeve surgery alternative #1: LAP-BAND

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

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

Considerations for LAP-BAND:

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

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

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

Gastric sleeve surgery alternative #2: Gastric bypass

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

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

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

Considerations for gastric bypass:

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

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

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

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

Strategies for healthy eating during the holidays

Posted on October 4, 2019

healthy holiday food

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

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

Healthy eating strategies to last the whole holiday season

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

Don’t save your calories for parties

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

Take a healthy dish you would want to eat to share

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

Have a plan for other holiday circumstances

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

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

Don’t put exercise on the back burner

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

Make a healthy eating holiday wish list

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

Ask that people avoid other gifts

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

Focus on the basics

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

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

Contact Us to Learn More About Gastric Bypass Surgery

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

Gastric 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. 

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. 

 

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

Posted on June 27, 2019

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Healthy food on a table in front of a doctor

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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Are you a candidate for gastric sleeve surgery?

Posted on May 21, 2019

Image of tape measurer with text reading gastric sleeve requirements

Image of tape measurer with text reading gastric sleeve requirements

 

Gastric sleeve surgery, also known as sleeve gastrectomy, is commonly performed on patients who are classified as morbidly obese and at high risk for weight-related health problems. During this laparoscopic surgery, a surgeon permanently removes 80-90% of your stomach, creating a tube or “sleeve” which can only hold a limited amount of food allowing patients to feel full and lose weight quicker. So, who is the best candidate for gastric sleeve surgery?

 

What are the minimum requirements for gastric sleeve surgery?

 

One of two basic requirements must be met to qualify for gastric sleeve surgery:

    1. Have a body mass index (BMI) of 40 or higher
    2. Have a BMI of 30-40 with serious weight-related health problems like diabetes, high blood pressure or heart disease

BMI is a formula that calculates the ratio of your height and weight and correlates to the amount of body fat you have. On average, a BMI of 40 is equivalent to being 100 pounds overweight for men and 80 pounds overweight for women.

 

What to do next if you qualify for gastric sleeve surgery

 

Once you determine that you meet the basic requirements for gastric sleeve surgery, the next step is to decide whether or not you will use insurance to cover the cost. You can contact your provider to see if gastric sleeve is covered under your plan and, from there, you can request more information about their coverage criteria and required documentation.

Most insurance companies cover bariatric surgery; however, their individual requirements may vary based on the type of surgery. With insurance, there is often a longer approval process and more requirements than private pay, so we recommend scheduling a consultation with us to learn more about your payment options.

 

What are some of the requirements for insurance approval of gastric sleeve surgery?

 

If gastric sleeve coverage is included in your insurance policy, then you will have to meet your provider’s criteria in order to obtain approval. Requirements often vary based on the provider. For example, some have significantly higher BMI requirements, but will lower the required number if lung or heart issues are also a factor.

The best thing to do is to request a list of your coverage criteria and begin collecting the necessary documentation as soon as possible. This may include proof that you have undergone a medically supervised diet program prior to surgery or a letter of medical necessity. A psychological evaluation may also be required before approval for surgery is granted.

At Birmingham Minimally Invasive Surgery, we will work with you and your insurance provider to make sure you obtain all of the necessary documentation to meet your provider’s specific requirements.

 

What are some reasons you may not qualify for gastric sleeve surgery?

 

There are cases that may make you ineligible for gastric sleeve surgery. A few of these include:

    • A BMI that does not meet the minimum requirements
    • An anticipated pregnancy within two years
    • High operative risk (i.e. severe heart disease)
    • Abnormal esophagus, stomach or intestine
    • Severe Gastroesophageal Reflux Disease (GERD)

If you do not meet the requirements for gastric sleeve surgery, there are other weight loss options like the ORBERA® gastric balloon.

 

Requirements for gastric sleeve surgery: Insurance or private pay?

 

If you are considering gastric sleeve surgery, it is important to also consider your payment options and the requirements that come with them. While most insurance companies cover bariatric surgery, it can be a lengthy process collecting all of the necessary documentation and waiting for approval to be granted. Private pay allows you to avoid the waiting game, however surgery costs will have to come out of pocket.

With our 2019 gastric sleeve price of $8,999, our goal at BMI is to make losing weight a more attainable goal for our patients. Whether you choose to pursue private pay or insurance coverage, we will work with you to help you meet the requirements so you can lose weight and start feeling great.

 

CONTACT US TO LEARN MORE ABOUT GASTRIC SLEEVE REQUIREMENTS 

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.

How much does gastric sleeve surgery cost with and without insurance?

Posted on April 25, 2019

Tape measure on top of cash

 

Tape measure on top of cash

 

Severe obesity affects millions of Americans and brings with it a host of potentially life-threatening health problems. Because of this, weight loss surgery is often considered the best and most effective treatment for people who are considered morbidly obese. However, insurance coverage and cost often play a major role in the decision to undergo a weight loss procedure.

If you’ve been considering Gastric Sleeve Surgery, you may be wondering what costs are associated with it and if it is covered by insurance. The following is a guide to Gastric Sleeve costs, with or without insurance, and other factors that will help you decide whether this weight loss surgery is right for you.

 

 Factors Contributing to Gastric Sleeve Surgery Costs

 

Bariatric surgery prices vary based on type, level of invasiveness, and where you choose to have your surgery done. Gastric Sleeve Surgery is considered one of the less invasive weight loss procedures, requiring less time spent in surgery and a shorter hospital stay in most cases. This allows it to be offered at a lower price than other weight loss surgeries.

 

Insurance Coverage for Gastric Sleeve Surgery

 

Obesity is officially recognized as a disease by the American Medical Association. The health risks associated with it are so high that many insurance plans will cover most, if not all, of the costs of the surgical procedure for Gastric Sleeve Surgery. However, there are instances that may cause you to not be covered or denied. Because there are so many different plans, we encourage you to schedule an appointment with us to discuss your options.

 

Paying for Gastric Sleeve Surgery Without Insurance

 

For those who are not covered by their insurance or choose to pay for Gastric Sleeve Surgery without using insurance, private pay is a very common option. While prices will vary among different surgeons, at Birmingham Minimally Invasive, our Gastric Sleeve Surgery starts at just $8,999, making it an affordable option for anyone looking to treat their severe obesity without breaking the bank.  

 

Is Gastric Sleeve Surgery Right for You?

 

At BMI Surgery, we know there are many factors that go into your decision to undergo a weight loss procedure like Gastric Sleeve Surgery. Our goal is to provide the latest surgical procedures at a state-of-the-art facility at the most competitive prices possible. By offering Gastric Sleeve Surgery for just $8,999, we hope to help as many patients as possible lose weight and regain control of their life.

We work with our patients to make the process as simple as possible and determine the best payment options on a case-by-case basis. If you’re interested in learning more about your options, read more about Gastric Sleeve Surgery and contact us to schedule your first appointment.   

 

CONTACT US TO LEARN MORE ABOUT GASTRIC SLEEVE SURGERY COSTS

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.

Establishing a Work Out Routine After Weight Loss Surgery

Posted on February 26, 2019

Shoes, workout equipment and water bottle on wood floor

Shoes, workout equipment and water bottle on wood floor

 

Establishing a workout routine after weight loss surgery is a major factor that affects the long-term success of your weight loss journey. Regular exercise will help you recover faster, reach your weight loss goals and maintain a healthy lifestyle. No matter what your activity level was prior to surgery, we recommend working with your physician and fitness professionals to establish an exercise plan to meet your unique needs and abilities.

 

The Benefits of Exercise After Weight Loss Surgery

 

We can’t stress enough the importance of developing an exercise routine after surgery. Regular exercise leads to measurable improvements in weight loss and better overall health. Setting attainable goals and gradually increasing your daily activity level post-surgery has many benefits including:

  • Maintaining weight loss
  • Improving circulation
  • Strengthening your heart and bones
  • Increasing your metabolic rate
  • Developing muscle strength and endurance
  • Improving blood sugar control
  • Relieving stress
  • Improving your mood

 

When To Start Working Out After Surgery

 

Patients can typically begin very light exercise within the first week after surgery. We understand that this can seem like a daunting task to take on so soon, but once cleared by your surgeon, the sooner you begin being active, the better.

The important thing to remember is to start small and set realistic goals. No one expects you to come straight out of surgery and run a marathon. Focus on adding activities to your daily routine that will encourage you to increase your heart rate, improve flexibility and build endurance.

 

Starting Your Post-Op Workout Routine

 

Week 1 – Week 4 Post-Op: Take this time to focus on getting back into the routine of your normal everyday activities. You should not lift anything over 10 pounds, but that doesn’t mean you can’t be active. Need to do the dishes? Try washing them by hand, so you have to stay standing longer. If you have stairs in your home, walk up and down them a few extra times each day to get your heart rate up.

Set a goal to walk for a certain amount of time and then push yourself to walk a little longer each day. Slowly increasing your daily activity level right after weight loss surgery will help you build up stamina and add more active habits in your daily life.

After 4 Weeks Post-Op: Each patient is different, but at four weeks post-op you should be cleared to perform most, if not all, exercises. This is when you can really start ramping up your workout routine and begin exploring different types of exercises to find what you like best.

Walking is a great option, but can be hard on your joints. If that’s the case for you, swap a few days of walking for a few days spent in the pool. Water activities, like aerobics, are typically lower impact and can be a fun new way to stay active.

The important thing to remember throughout your weight loss journey, is that you are not alone. It is easy to get discouraged at times, but there are great resources to help you along the way. We’ve found that patients who seek out support, follow an exercise routine and stick to a healthy diet are far more likely to lose the weight and keep it off.

 

Learn More About Post-Op Exercise from Birmingham Minimally Invasive 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.