Questions and Answers

You may have many questions after visiting our site or watching our online seminar. Click here to access answers to the most frequently asked questions or call 319.268.3990 and we can answer your questions directly.

Weight Loss Surgery

Can I have children after having gastric by-pass surgery?

There is no problem with pregnancy and birth after obesity surgery. We recommend that you wait about one year after surgery to allow your body to get over the first phase of rapid weight loss. No special dietary requirements after surgery. The baby always takes what he/she needs for development. Consult with your obstetrician about any concerns you may have about pregnancy after gastric by-pass surgery.

How long am I required to stay within the area following surgery?

People who live more than one hour from Sartori Memorial Hospital are required to stay within the area for one week following surgery.

How long does the surgery take?

Laparoscopic gastric bypass surgery takes approximately three hours. Laparoscopic gastric banding surgery takes approximately one hour.

How long will it take for me to recover?

With the laparoscopic procedure your expected hospital stay is two to three days for gastric bypass surgery and overnight for gastric banding. You may be able to return to most of your usual activities in seven to 10 days.

How quickly will medical conditions such as high blood pressure and sleep apnea improve?

Many patients see medical conditions such as high blood pressure, diabetes, sleep apnea and chronic heart burn related to obesity resolved within weeks to months following surgery.

Is there a support group available for surgical weight loss patients?

Yes. Find out more information about the next meeting.

Questions you should ask and have answered to your satisfaction when selecting a bariatric surgeon/program.

  1. How much experience does the surgeon have?
  2. How often does the surgeon perform the surgery?
  3. What is the surgeon's complication rate?
  4. If performed laparoscopically, what kind of special training/experience has the surgeon had?
  5. What is the difference between a comprehensive weight loss program versus self directed post operative care?
  6. What kind of special facilities and services are available for bariatric patients.

What are the medical conditions associated with obesity?

Some of the health consequences associated with obesity include diabetes, high blood pressure, gallbladder disease, elevated cholesterol, urinary incontinence, acid reflux, pulmonary embolism, sleep apnea, coronary artery disease, heart failure, loss of fertility, ovarian cysts, breast cancer, colon cancer, endometrial cancer, arthritis, back pain, degenerative joint disease, and overall decreased life expectancy. Most of these "co-morbidities" improve drastically after weight reduction. During your first appointment, we will examine any health problems you may have related to obesity.

What are the risks involved with laparoscopic surgery?

No surgical procedure is without risks. Risks for minimally invasive weight loss surgery are similar to other major abdominal surgeries. The risks as well as the benefits of surgery are discussed in detail with each individual patient. In general, complications resulting from severe obesity in the long term are greater than the risk of surgery. The major surgical risks for gastric bypass include, but are not limited to: leaking at the newly created stomach , wound infections, scarring at the stomach site, blood clots, vitamin deficiency (iron, B12 and calcium), and other infections. The major surgical risk for gastric banding include, but are not limited to: malfunctioning of the band, erosion of the band through the stomach, and wound infection. The risk of death following both surgeries is small, but does exist as it does with all types of major surgery.

What causes severe obesity?

In obese individuals, the set-point of stored energy is too high. This altered set-point may result from a low metabolism with low energy expenditure, excessive caloric intake, or a combination of both disorders. There is some scientific data that suggests obesity may be an inherited characteristic. Obese individuals not only face medical consequences of their disease, but every day they live with discrimination and guilt. The emotional and physical tolls can be devastating. Contrary to popular belief, the cause of obesity is not a lack of will power, but a complex interplay between genetics, behavior and the environment.

What is the waiting period for the Midwest Institute of Advanced Laparoscopic Surgery?

You can begin the process immediately by registering to attend a free information seminar. Call 319.268.3990 to register. At the seminar you will receive a packet of preoperative information to fill out.

What kind of diet will I be on after the first month following surgery?

You will be given full instructions about your dietary recommendations following surgery. Some of the diet principles patients follow after surgery include:

  • With the reduced stomach size, only one to two ounces of food can be consumed every 30 to 60 minutes. Over time you will be able to tolerate a reasonably-sized meal.
  • High caloric foods, beverages or snacks are omitted from your diet.
  • It is recommended that food be eaten slowly and in very small quantities at meal time.
  • To prevent dehydration, at least eight cups of fluid are encouraged. It is recommended that one cup of liquid be sipped over a one-hour period.
  • Because of limited nutrition absorption, patients will be directed by Dr. Glascock to take vitamins and mineral supplements.
  • Due to the small stoma size (stoma is the opening between the stomach pouch and small intestine), which is the size of the tip of your finger, foods need to be chewed thoroughly to prevent obstruction.

What kind of follow-up is required after surgery?

Gastric bypass surgery requires life-long post-operative monitoring. Patients are seen at one week and two weeks, then every three months for the first year following surgery. Lifetime follow-up is key to your ongoing success.

What will my diet be immediately following surgery?
You will be on a special diet immediately following surgery as follows:

First 14 days following surgery – clear liquids.
15 – 30 days - pureed foods.
30 days and on – slow introduction of solid food.

Will my health insurance pay for the procedure?

Most insurance companies recognize the health consequences of obesity and cover the costs of the surgical management of weight loss in qualifying patients. We will assist patients with health insurance related issues. Check with your health insurance carrier to see what coverage applies for you.


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