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San Angelo Weight Loss Surgery

Understanding Your Options For Bariatric Surgery

Obesity is a rapidly increasing epidemic—more than one-third of the adult population in our country is obese. This serious condition leads to additional health problems, including diabetes, heart disease, and stroke. If left untreated, obesity can be fatal.

Higher medical costs are another cause for concern regarding obesity. The Centers for Disease Control and Prevention state medical costs for obese patients are approximately $1,500 higher than for patients of average weight.

Call Shannon at 325.747.2344 today to learn more about your options for weight loss surgery in San Angelo.

Bariatric Surgery

Bariatric surgery is a tool to help patients with obesity with their battle to regain control of their health. Sleeve gastrectomy, a type of bariatric surgery offered nationwide, is now available via the Shannon Weight Loss Center.

The goal of bariatric surgery is to reduce the patient's caloric intake and curb hunger. The sleeve gastrectomy is a restrictive procedure that narrows the size of the stomach, causing you to consume fewer calories.

The operation removes the receptors that trigger hunger which causes the appetite to decrease. National standards are used to determine if a patient qualifies for surgery.

The Process

Bariatric surgery is a permanent change to the body and our Bariatric team must make sure patients are mentally and physically capable of tolerating the procedure. The professionals at the Weight Loss Center follow patients pre- and post-operatively. Prior to the operation, patients will have a tailored pre-op clearance plan.

Patients should expect to lose 60 to 70 percent of their excess body weight after the sleeve gastrectomy procedure. How quickly the weight is lost varies for each patient. They may be able to stop taking medications and reverse conditions such as hypertension, high cholesterol, and diabetes.

Surgery is only one part of a patient's weight-loss journey. The doctors make sure the operation is a success from the operation standpoint, but the patient plays a crucial role in having a successful outcome. They have to adhere to a diet and exercise regimen.

Patients are given a bariatric manual that offers an in-depth look into the operation itself, including pre- and post-operative care required, dietary plans, medications, exercise, and foods to avoid.

MBSAQIP Accreditation

The American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) combined their respective national bariatric surgery accreditation programs into a single unified program to achieve one national accreditation standard for bariatric surgery centers, the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).

MBSAQIP works to advance safe, high-quality care for bariatric surgical patients through the accreditation of bariatric surgical centers. A bariatric surgical center achieves accreditation following a rigorous review process during which it proves that it can maintain certain physical resources, human resources, and standards of practice. All accredited centers report their outcomes to the MBSAQIP database.

Blue Distinction Center For Bariatric Surgery

Shannon is proud to be recognized by Blue Cross Blue Shield of Texas with a Blue Distinction® Centers+ for Bariatric Surgery designation, as part of the Blue Distinction Specialty Care program. Blue Distinction Centers are nationally designated healthcare facilities that show a commitment to delivering high-quality patient safety and better health outcomes, based on objective measures that were developed with input from the medical community and leading accreditation and quality organizations.

The Blue Distinction Centers for Bariatric Surgery program provides a full range of bariatric surgery care, including surgical care, post-operative care, outpatient follow-up care, and patient education.

Bariatric surgeries are among the most common elective surgeries in the U.S. — with more than 252,000 bariatric surgeries performed in 2018 based on a report from the American Society of Metabolic and Bariatric Surgery (ASMBS). Furthermore, the Centers for Disease Control and Prevention (CDC) estimates that nearly 42.7 percent of U.S. adults and 18.5 percent of youth are obese and are impacted by obesity-related health conditions. With obesity reaching epidemic levels among U.S. adults, a significant opportunity exists to improve quality care for bariatric surgeries within the national healthcare system.

To receive a Blue Distinction Centers+ for Bariatric Surgery designation, a healthcare facility must demonstrate success in meeting patient safety measures as well as bariatric-specific quality measures, including complication and readmission rate for laparoscopic procedures in sleeve gastrectomy, gastric bypass, and adjustable gastric band. All designated facilities must also be nationally accredited at both the facility and bariatric program-specific levels, as well as demonstrated cost-efficiency compared to its peers. Facilities designated as Blue Distinction Centers+ are on average 20 percent more cost-efficient in an episode of care compared to other facilities.

Shannon is also designated as a Health Care Center of Excellence (HCCOE) for Bariatric Surgery through BlueCross BlueShield of Texas. The HCCOE program is a designation program that identifies Texas hospitals in the Blue Essentials network that have demonstrated they deliver quality specialty care in a safe, effective and cost-efficient manner. This program was designed to guide consumers in finding quality and value for their specialty care needs. It is also committed to providing both consumers and physicians with increased transparency on provider quality and cost.

Health Care Centers of Excellence are evaluated using industry standard quality metrics, specific to each clinical and/or surgical program. Specialty Care Facilities must achieve this Center of Excellence designation by first passing the rigorous, evidence-based selection criteria established in collaboration with leading medical specialists and societies, and consider those factors that impact care and cost, including:

  • The expertise of the medical team
  • The number of times the facility has performed the procedure
  • The facility's track record on quality, safety, and efficiency

Office Visits

The initial visit may be a class that will cover if you qualify for bariatric surgery:

  • Discuss options and formulate plan
  • Referred to our registered dietitian, GI department, and psychologist
  • Meet with our Nurse Practitioner or Physician Assistant to discuss sleeve gastrectomy to include preoperative workup, procedure, possible complications, expected results, and how to begin preparing for surgery.

Second Visit:

  • Meet with Nurse Practitioner or Physician Assistant to address any medical conditions you have and what diagnostic testing will need to be ordered prior to surgery
  • Discuss lifestyle modifications to prepare for surgery
  • Referral appointments needed will be discussed

Third Visit:

  • We will review the results of any lab and diagnostic tests
  • Ensure you’re staying on track with preoperative workup
  • Discussed preoperative diet, preoperative medications, what to expect the day of surgery and postoperative medications

Fourth Visit:

  • Meet with Nurse Practitioner or Physician Assistant to discuss postoperative diet and supplementation following surgery
  • You will not be scheduled for surgery until we have received approval from your insurance company

Last Visit:

  • Meet with surgeon for pre-operative visit
  • The surgeon will be able to review the procedure, answer questions, and ensure you’re ready for surgery.

Benefits

  • Average of 66% excess weight loss at 3 years
  • Our program average is 55% in 6 months
  • Average waist circumference lost within 6 months post-procedure is 10 inches for males and 8-9 inches for females
  • The average Hemoglobin A1c before surgery was 7.1. After 1 year post procedure, the average decreased to 5.5
  • No significant changes in digestive process
  • Cannot be reversed although it can be converted to other procedure

Possible Complications

  • Gastric leak from staple line
  • Ulcers
  • Dyspepsia (indigestion)
  • Esophageal Dysmotility
  • Fistula (abnormal connections)
  • Pulmonary embolism (blood clots in lung)
  • Delayed gastric emptying
  • Splenic injury
  • Stricture (narrowing)
  • Late Choledocholithiasis (gallstones)
  • Nutritional deficiencies

Post-Operative Management

  • After surgery, you will discharge home the same day
  • Meds: Prevacid, Vitamin Patch, Gabapentin, Celebrex, Eliquis, Zofran and other medications prescribed as needed
  • Clear liquids first 48 hours, full liquids next two weeks, and slow progression to solid foods as directed
  • Return to work in 1-2 weeks
  • No heavy lifting (over 30lbs) for 4-6 weeks
  • No strenuous activity for 4 weeks
  • Vitamin and nutrient supplementation

Long-Term Follow Up

  • Follow-up appointments and laboratory studies are important to your long-term success
  • You will have appointments schedules for 10-14 days, 6 weeks, 3 months, 6 months, 9 months, 1 year, 18 months, 24 months, then yearly thereafter
  • Labs are drawn every 6 months or sooner if needed

BMI Calculator

Click this link to calculate your BMI (Body Mass Index)
To join our online support group on Facebook or monthly support group meetings, please call 325.747.2344 or email WeightLoss@shannonhealth.org.

For more information on San Angelo weight loss surgery or to schedule an appointment, please call our program coordinator at 325.747.2344 or reach out to us online.

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