Overview

Bariatric Surgery

Gastric sleeve and other weight-loss surgeries — known collectively as bariatric surgery — involve making changes to your digestive system to help you lose weight. Bariatric surgery is performed when diet and exercise haven't worked or when you have serious weight-related health problems.

While bariatric surgery can offer many benefits, all forms of weight-loss surgery are major procedures that can pose serious risks and side effects. Also, you must make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of bariatric surgery.

Getting Started

The criteria for most insurance companies to cover bariatric surgery includes:

  • a BMI of more than 40 kg/m2, or
  • a BMI of over 35 with conditions such as type II diabetes mellitus, COPD, sleep apnea, other lung conditions, and/or certain heart conditions.

Calculate Your BMI 

If you are interested in discussing surgical options with our bariatric surgeon, please call 319-362-5118 to get the process started.

Following your initial consultation, you will be set up for some testing and specialty appointments. These tests and appointments include a sleep apnea evaluation, mental health assessment, assessment by a registered dietitian, and lab work. Included in the lab work is a nicotine test, as you will need to be nicotine-free in order to qualify for weight-loss surgery.

If you have questions about bariatric surgery or want to know if you might be a candidate, please call 319-362-5118.

Bariatric Procedures 

  • Sleeve Gastrectomy - A surgical weight loss procedure in which the stomach is reduced to about 15 percent of its original size, by surgical removal of  a large portion of the stomach along the greater curvature. The result is a sleeve or tube-like structure.
  • Gastric Bypass - A surgical process in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch. The small intestine is is rearranged to connect to both.
  • SADI - Single Anastomosis Duodenal Ileal Bypass with sleeve gastrectomy is a surgical process that combines aspects of sleeve gastrectomy and gastric bypass. About 80 percent of the stomach is removed, creating the tube-like sleeve. Then, the top part of the small intestine, just below the stomach, is separated and reattached to a lower part of the small intestine, shortening the intestine by about half and therefore decreasing calorie absorption.
  • Revision - Sometimes, a previous bariatric procedure can be surgically changed to a different bariatric process. Surgeries are revised due to mechanical issues, weight regain or because the original procedure was inadequate or ineffective.
  • Lap Band Maintenance - Lap bands should be checked annually to ensure it is not only functioning properly but also ensure there are no complications such as band erosion, band migration/slippage, band infection, gastric prolapse, esophageal and/or pouch dilation.