How long is the hospital stay?
It is our protocol to discharge patients two nights after surgery for laparoscopic gastric bypass. After laparoscopic banding, most patients go home the same day.
What vitamins should I take after surgery?
For Gastric Bypass and Sleeve Gastrectomy: two multivitamins, Iron, B12 and two Calcium citrate. For Lap-Band®: one multivitamin with iron and calcium. We recommend Bariatric Advantage at www.bariatricadvantage.com.
Should I drink protein shakes?
Usually people do not need these if they are getting protein 2 to 3 times per day from sources such as meat, fish, soy products, eggs and dairy products. If you do have protein drinks, make sure they are very low in fat and sugar (less than about 4 grams per serving).
What is the age limit for surgery?
Dr. Babineau's policy is to consider individuals ages 15 to 75.
What determines whether or not a patient can have laparoscopic surgery?
Most people are candidates for laparoscopic, but this is determined on an individual basis. The most common reason to not be able to do laparoscopic surgery is previous weight loss operations. Other common operations, such as gallbladder, appendectomy, hysterectomy and Caesarian section are usually not a problem.
What can I do prior to surgery to reduce the risk of complications?
We suggest getting into a regular exercise program, even just taking a daily walk for 20 minutes. Exercise may reduce the risk of blood clots and helps get a person in better condition to tolerate surgery. Start taking vitamins with iron now, to build up reserves that can last years. And if you smoke, quit! The sooner the better! Also, watch your diet and don't go on a series of "last suppers." If you can lose even 5 or 10 pounds before surgery, this can make the surgery easier, and therefore safer.
How long does it take to do the Gastric Bypass?
Usually about and hour and a half to two hours.
How long does it take to do a Lap-Band®?
Usually about forty-five minutes to an hour.
How long does it take to do a Sleeve Gastrectomy?
Usually about forty-five minuets to an hour.
How much water should we drink after surgery?
We recommend working up to 64 oz of fluid (water, other sugar free drinks) per day.
Is gastric bypass surgery safe?
"Safe" is a relative term. No surgery is "safe," if that means no complications can occur. Gastric bypass is a major operation and can have major complications. In the hands of an experienced surgeon, major complications are uncommon, about 1% to 2%. Gastric bypass is about as risky as hip-replacement surgery.
Is weight loss surgery reversible?
Yes. A Lap-Band® is relatively easy to remove, although it does require surgery. Gastric Bypass can be reversed but reversing Gastric Bypass is fairly major surgery, and is rarely done. Sleeve Gastrectomy can not be reversed.
What can I do to help prevent hair loss after weight loss surgery?
Some people do experience partial and temporary hair loss after WLS. Unfortunately, nothing has been proven to prevent or cure hair loss other than time. When it happens, hair loss usually starts 3 or 4 months after surgery, but the hair starts coming back by around seven or eight months.
How soon can you return to work after surgery?
Most jobs 1 to 3 weeks. Heavy lifting or other physical jobs could be four to six weeks. It depends a lot on the person. Some people bounce back quicker than others.
Will my insurance cover the surgery?
It depends. Many insurance plans cover the surgery but only if you have documentation of physician supervised weight loss efforts including an exercise program and visits with a physician and dietician or nutritionist. The sooner you begin documenting these things, the better your chances of getting your insurance to cover the surgery.
What can I do about loose skin?
There is going to be some loose skin when you lose a lot of weight. Most people do not find this to be a major problem. There is nothing that can be done to prevent loose skin, or make the skin shrink, even exercise. That leaves plastic surgery or just living with it. Most insurance policies do not cover surgery to remove the skin.
Is it okay to get pregnant after weight loss surgery?
Yes. Patients are advised not to get pregnant for at least one year after WLS, and not before weight has been stable for at least two months. As long as you are not having a complication from surgery, then the baby is not at any more risk than for a woman who has not had WLS.
Can I take my usual medicines after surgery?
Yes. Early on, people sometimes have problems with large pills. Most, if not all, medicines do seem to be absorbed and work as well as before surgery.
What if my insurance does not cover surgery?
Lap-Band®, Gastric Bypass and Sleeve Gastrectomy can be done on a “private-pay” basis. For Lap-Band® patients who might need to take out a loan, CareCredit may be able to assist you.
We also accept financing through eMedical Financing Solutions, who offer:
- Easy monthly payment fo fit your budget
- Multiple loan options with one loan application
- 100% payment to your provider
- Six months interest free
- Interest rates starting at 9.9%
- No pre-payment penalties
To find out more visit the eMedical Financing Solutions website, or call them at 1-800-728-9585.
Please contact our business office at 903-593-0230 for information on pricing.
How and where are adjustments made to the Lap-Band®?
Adjustments (often called “fills') are done in the office. In our practice, we use ultra-sound to help locate the port. A needle is passed into the port, and most people experience minimal discomfort. We do not perform X-Rays with each adjustment.