Is Bariatric Surgery Right for You?
How Bariatric Surgery Can Help
Morbid obesity affects 16 million adults in the United States. It is identified in a person who has a Body Mass Index (BMI) of 40 kg/m2, is approximately 100 pounds overweight, or has a BMI greater than or equal to 35 with an obesity-related illness such as type II diabetes, sleep apnea, or hypertension. The Second Diabetes Surgery Summit (DSS-II) released a report in September 2015, which confirms that bariatric surgery can diminish or entirely resolve type II diabetes, making patients with a BMI greater than 30 also candidates for surgery.
Being severely overweight is dangerous to your health because it is associated with a variety of medical conditions as well as an increased mortality rate. Most morbidly obese people have struggled endlessly with failed attempts at weight loss and the frustration of limited alternatives, but the weight loss surgery options at Colorado Bariatric Surgery Institute offer proven results.
Robotic bariatric surgery can help achieve potential long-term weight control and resolve or improve co-morbidities for the morbidly obese. At CBSI, we perform all bariatric procedures robotically, which provides clear advantages over laproscopic procedures, including:
- More precise operation
- Allowing for better visability
- Less bleeding and pain
- Shorter hospital stay
Dr. Brown has performed over 6,000 bariatric procedures, of which 1,000 have been performed robotically. CBSI is the only epicenter for robotic bariatric surgery in Denver and around the Rocky Mountain region.
Why Weight Loss Surgery?
When all other nutritional and medically sound weight loss approaches have failed and there is no link to a metabolic disease, weight loss surgery is the best way to achieve long-term weight loss. A surgical weight-loss procedure that results in sustained weight reduction can greatly reduce the life-threatening risk factors associated with morbid obesity, including:
- Sleep apnea
- High cholesterol
- Join pain
- 15-year reduction in life expectancy
- Increased risk for certain cancers (i.e. uterus, colon, breast, prostate)
The first step in the journey towards a robotic bariatric surgical procedure is to determine whether a patient is a potential candidate. Bariatric surgery is an elective procedure for clinically morbidly obese people for whom all other weight loss methods have failed. These potential candidates for weight loss surgery include:
- People who have a body mass index (BMI) of 40
- People who have a BMI of 35-40 that is combined with a co-morbid condition such as diabetes, sleep apnea, or hypertension
- People who have a BMI of 30 or greater and a metabolic uncontrolled disease, like type II diabetes
Likely candidates seeking weight-loss surgery will undergo a series of surgical, medical, nutritional, and psychological evaluations with our bariatric team prior to any treatment. Bariatric surgery requires a long-term commitment to modifying eating habits, physical activity habits, and overall lifestyle habits. To this end, a thorough multidisciplinary evaluation is necessary to encourage a successful outcome.
Once the robotic bariatric surgical procedure has been done, we provide and encourage involvement in our Colorado Bariatric Surgery Institute support group to assist patients in continuing to maintain their modified lifestyle.
Colorado Bariatric Surgery Institute’s Approach to Treatment
People who are likely candidates for robotic bariatric surgery will undergo a thorough team evaluation prior to any treatment.
- Surgical evaluation – Dr. Brown will discuss with a patient whether or not they meet the requirements for undergoing the surgical procedure and whether they are a satisfactory operative risk.
- Medical evaluation – it is important for the patient to have a thorough medical evaluation, complete with specialty consultations when indicated.
- Nutritional evaluation – our nutritionists will help motivate the patient towards making the necessary lifelong changes in eating habits and exercise that must complement the surgery. Most patients will need to undergo six months of medically supervised weight loss prior to surgery, so best to get started soon. Each patient will meet with a nutritionist one-on-one preoperative and at post-op visits to address individual dietary needs. Close nutritional monitoring during rapid weight loss is critical as certain vitamins and minerals are poorly absorbed and need to be supplemented.
- Psychological evaluation – there are two reasons for preoperative evaluation: one to identify those for whom surgery would be indicated and second to initiate a relationship between the clinical psychologist and the patient to ensure a successful long-term outcome.
Bariatric surgery requires a long-term commitment to positive change on the part of the patient, which will involve modifying eating habits, physical activity habits, and overall lifestyle habits. Clearly, the patient must be prepared and ready for such a challenge. Utilizing such a team approach to bariatric surgery increases the likelihood of success in achieving desirable and realistic weight loss, as well as improvement and satisfaction in daily life for the patient long-term. We also provide and encourage involvement in our CBSI support group to assist patients in continuing to maintain their modified lifestyle they have chosen.