Obesity is a significant health concern, and for many individuals, traditional weight loss methods like diets and exercise programs may not yield the desired results. In such cases, weight loss surgery, also known as bariatric surgery, can be a viable option. This article provides a comprehensive overview of weight loss surgery options available in Omaha, Nebraska, covering various procedures, eligibility criteria, and the importance of comprehensive support.
Is Weight Loss Surgery Right for You?
Weight loss surgery is typically considered for individuals who have struggled to lose weight through non-surgical means and meet specific criteria. These criteria often include:
- Having a body mass index (BMI) of 40 or higher.
- Having a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea.
- Those who have failed to lose weight by non-surgical means (weight loss programs, diets, etc).
It's important to consult with a qualified bariatric surgeon to determine if you are a suitable candidate for weight loss surgery.
Types of Weight Loss Surgery Procedures
Several types of weight loss surgery procedures are available in Omaha, each with its own advantages and disadvantages. Here's an overview of some common options:
Gastric Balloon
In this procedure, a deflated balloon is inserted into the stomach through the esophagus. A doctor then injects the balloon with a saline solution. The expanded balloon makes you feel full while reducing the amount of food you can eat.
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Laparoscopic Adjustable Gastric Banding (LAGB)
In this procedure, commonly called a “lap band,” a band is surgically placed around your stomach. The band can be tightened to restrict the amount of food you eat with a small port implanted underneath your skin. This procedure involves no surgical modification to your anatomy and is reversible.
Gastric Bypass
This popular procedure involves creating a small stomach pouch that is then connected to the small intestine.
Sleeve Gastrectomy
In this procedure, about 75-80% of the stomach is removed, reducing the amount of food you eat. You’ll also feel less hungry because your smaller stomach temporarily produces less of the hormone ghrelin, which gives you the desire to eat.
Duodenal Switch (DS) and Single Anastomosis Duodenal-Ileostomy with Sleeve (SADI-S)
These are less common but more complex procedures that combine stomach reduction with intestinal bypass to limit calorie and nutrient absorption.
Weight Loss Skin Removal
Weight loss skin removal is aimed at addressing loose or sagging skin that’s often left behind after significant weight loss (generally 100 pounds or more). It involves one or more of the following surgical procedures:
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- Arm Lift
- Breast Lift
- Thigh Lift
- Tummy Tuck
In certain cases, skin removal may also include some fat removal and muscle tightening.
Ideal candidates for weight loss skin removal include those who:
- Have been at or near their ideal weight for at least six months
- Are in good overall physical and mental health
- Don’t smoke
- Aren’t pregnant or breastfeeding
- Aren’t undergoing cancer treatment
- Are older than 18 (unless otherwise medically necessary)
Weight loss skin removal is aimed at contouring the body and addressing aesthetic concerns. Although some weight loss can be expected depending on the amount of skin removed, the procedure - or procedures - do not induce further weight loss.
The Weight Loss Journey: What to Expect
Embarking on a weight loss journey, whether through surgery or other means, requires a comprehensive approach. Here's what you can expect:
Pre-Surgical Evaluation and Preparation
Before undergoing weight loss surgery, patients typically undergo a thorough evaluation that may include:
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- Medical history review
- Physical examination
- Psychological evaluation
- Nutritional counseling
- Diagnostic testing
This evaluation helps the surgical team determine the most appropriate procedure and identify any potential risks or complications.
The Surgical Procedure
Most bariatric surgeries are performed laparoscopically, using small incisions and specialized instruments. This minimally invasive approach results in less pain, shorter hospital stays, and faster recovery times. Most patients require 1-3 days in the hospital. Many patients return to work in approximately 2 weeks. Pending your pain tolerance, this is individualized. We do everything in our power to treat pain via all avenues.
Post-Operative Care and Recovery
After surgery, patients receive detailed instructions on diet, exercise, and lifestyle modifications. It is essential for long term safety that every post-op patient needs to eat at least 60-90 Grams of protein daily and eat foods in this order: protein first, vegetables second, fruits third. The healing process may involve occasional episodes of nausea with retching and or vomiting, which will gradually subside.
Long-Term Follow-Up and Support
Weight loss surgery is not a quick fix, and long-term success depends on adherence to a healthy lifestyle. Patients need to stay connected with their bariatric support team for long term support. Regular follow-up appointments, nutritional counseling, and support groups are essential for maintaining weight loss and addressing any potential complications.
Lifestyle Changes and Considerations
Weight loss surgery requires significant lifestyle changes to achieve and maintain long-term success. These changes include:
Dietary Modifications
- Portion Control: After surgery, the stomach's capacity is significantly reduced, requiring patients to eat smaller, more frequent meals.
- Food Choices: A focus on lean protein, fruits, and vegetables is crucial, while limiting processed foods, sugary drinks, and high-fat items.
- Hydration: Drinking plenty of water is essential to prevent dehydration and aid in digestion.
- Supplementation: Bariatric surgery can affect nutrient absorption, so patients may need to take vitamin and mineral supplements.
Exercise and Physical Activity
- Gradual Increase: After surgery, patients should gradually increase their physical activity levels, starting with walking and progressing to more strenuous exercises as tolerated.
- Variety: Incorporating a mix of cardiovascular exercise, strength training, and flexibility exercises is beneficial.
Psychological and Emotional Support
- Counseling: Addressing emotional and psychological issues related to weight and body image is crucial for long-term success.
- Support Groups: Connecting with other bariatric surgery patients can provide valuable support and encouragement.
Potential Risks and Complications
Like any surgical procedure, weight loss surgery carries potential risks and complications. These can include:
- Infection
- Bleeding
- Blood clots
- Hernia
- Nutritional deficiencies
- Gallstones
- Dumping syndrome (rapid emptying of food into the small intestine)
- Strictures or blockages
- Some hair loss is common between 3 and 6 months following surgery. Even if you take all recommended supplements, hair loss will be noticed until the follicles come back. Hair loss is almost always temporary.
- Patients that overeat and overfill their pouch experience stomach/chest pain & pressure, and often vomiting. Frequent episodes of nausea and vomiting are a red flag that you may not be following the rules.
It's important to discuss these risks with your surgeon and understand the measures taken to minimize them.
Non-Surgical Weight Loss Options
In addition to surgical procedures, Omaha offers various non-surgical weight loss options, including:
Medical Weight Loss Programs
These programs are physician-supervised and combine medical treatments with personalized care. They may include:
- Lifestyle counseling
- Medication management
- Nutritional guidance
- Exercise programs
Comprehensive Weight Management Programs
These programs take a multidisciplinary team approach, including dietitians, physical therapists, pharmacists, and behavioral therapists. They focus on personalized, sustainable weight loss through medical supervision, comprehensive support, and evidence-based strategies.
Weight Loss at Omaha Face and Body
Omaha Face and Body offers medical weight loss clinic, offering advanced, physician-supervised treatments to help you achieve sustainable, long-term weight loss. When you choose Tirzepatide at Omaha Face & Body, your weight loss journey is overseen by experienced medical professionals who ensure that your treatment is safe, effective, and tailored to your needs.
Weight Loss at Methodist
At Methodist, a team of highly skilled and compassionate surgeons take a personalized approach to enhancing your overall appearance. Once you enroll in the Methodist weight loss options program, you’re a patient for life. They are committed to being by your side during every phase of your weight loss journey. Their services include medical weight management and surgical options.
Weight Loss at Nebraska Medicine
The Nebraska Medicine Bariatrics Center is the region's most comprehensive weight-management program, offering surgical and medical weight-loss treatment options for obesity.
Weight Loss at Think Whole Person Healthcare
Think Whole Person Healthcare brings a multidisciplinary team approach to our weight loss programs offering three different program options. Led by a Primary Care physician, their team of dieticians, physical therapists, pharmacists, and behavioral therapists work closely with you to get results.
Paying for Weight Loss Surgery
The cost of weight loss surgery can vary depending on the procedure, the surgeon, and the facility. It's important to check your insurance benefits first and foremost. Some insurance policies cover bariatric surgery if specific criteria are met. However, many policies have exclusions or limitations. Patients may need to explore financing options or payment plans to cover the costs.
Choosing a Bariatric Surgeon and Program
Selecting a qualified and experienced bariatric surgeon and program is crucial for a successful outcome. Consider the following factors:
- Board Certification: Ensure the surgeon is board-certified in general surgery and has specialized training in bariatric surgery.
- Experience: Look for a surgeon who has performed a high volume of bariatric procedures and has a proven track record of success.
- Program Accreditation: Choose a program that is accredited by a recognized organization, such as the American College of Surgeons.
- Comprehensive Support: Opt for a program that offers comprehensive pre- and post-operative care, including nutritional counseling, psychological support, and support groups.
- Patient Testimonials: Read reviews and testimonials from former patients to get an idea of the surgeon's and program's reputation.