Effective Weight Loss Solutions: Exploring Gastric Sleeve Surgery Options - Nutrition

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How to lose weight?


I have a male friend who is currently 176 cm tall and weighs 95 kg.
He is only 24 years old and has tried various weight loss medications, but none have been effective, and he has actually gained more weight.
I would like to inquire if your hospital performs gastric sleeve surgery, and what the costs are, among other details.

A-Hua, 20~29 year old female. Ask Date: 2003/05/07

Dr. Shi Guimei reply Nutrition


Hello! A Body Mass Index (BMI) of 35 or higher, accompanied by obesity-related comorbidities (such as hypertension, dyslipidemia, diabetes, coronary artery disease, and obstructive sleep apnea), may warrant consideration for surgical treatment.
Your friend's BMI is 30.7, therefore surgical intervention is not advisable.
Weight loss can be achieved through dietary control, exercise, and lifestyle modifications.
Many hospitals now offer nutrition clinics where professional dietitians can provide guidance and support for weight management.
Best wishes for health from Dietitian Shih Kuei-Mei, Director of the Nutrition Department at Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2003/05/07

More Info


Gastric sleeve surgery, also known as sleeve gastrectomy, is a popular and effective weight loss surgery option for individuals struggling with obesity, particularly when traditional weight loss methods such as diet and exercise have failed. Given your friend's height of 176 cm and weight of 95 kg, he falls into the category of individuals who may benefit from this type of surgical intervention, especially if he has a Body Mass Index (BMI) of 30 or higher, which classifies him as obese.


Understanding Gastric Sleeve Surgery
Gastric sleeve surgery involves the removal of a significant portion of the stomach, leaving a tube-like structure that resembles a banana or sleeve. This procedure not only reduces the stomach's capacity to hold food but also alters the production of hormones that regulate hunger and satiety. As a result, patients often experience a significant reduction in appetite and an increased feeling of fullness after eating smaller portions.


Eligibility Criteria
For your friend to be considered a candidate for gastric sleeve surgery, he typically needs to meet certain criteria, which may include:
1. BMI: A BMI of 30 or higher, or a BMI of 27 or higher with obesity-related health conditions such as diabetes, hypertension, or sleep apnea.

2. Age: Generally, candidates should be between 18 and 65 years old, although exceptions can be made based on individual circumstances.

3. Previous Weight Loss Attempts: Documentation of previous attempts at weight loss through diet, exercise, or medication.

4. Psychological Evaluation: A mental health assessment to ensure the patient is psychologically prepared for the lifestyle changes that accompany surgery.


Risks and Considerations
Like any surgical procedure, gastric sleeve surgery carries risks. These can include complications from anesthesia, infection, bleeding, and the potential for nutritional deficiencies post-surgery. It's crucial for patients to commit to lifelong follow-up care, including nutritional counseling and regular medical check-ups, to monitor their health and ensure they are meeting their nutritional needs.


Cost and Insurance Coverage
The cost of gastric sleeve surgery can vary widely depending on the hospital, the surgeon's fees, and whether the procedure is covered by insurance. In the United States, the average cost can range from $15,000 to $25,000. However, many insurance plans cover bariatric surgery if the patient meets specific criteria. It's advisable for your friend to check with his insurance provider to understand his coverage options.


Post-Surgery Lifestyle Changes
After undergoing gastric sleeve surgery, patients must adopt significant lifestyle changes to achieve and maintain weight loss. This includes:
- Dietary Changes: Patients will need to follow a specific diet post-surgery, starting with liquids and gradually progressing to solid foods. Portion control becomes essential.

- Regular Exercise: Incorporating physical activity into daily routines is crucial for long-term weight management.

- Support Groups: Many patients benefit from joining support groups where they can share experiences and receive encouragement from others who have undergone similar procedures.


Conclusion
In summary, gastric sleeve surgery can be an effective weight loss solution for individuals like your friend who have struggled with obesity despite various weight loss attempts. It is essential for him to consult with a qualified bariatric surgeon to discuss his specific situation, evaluate his eligibility, and understand the potential risks and benefits. Additionally, he should inquire about the costs involved and whether his insurance will cover the procedure. With the right support and commitment to lifestyle changes, gastric sleeve surgery can lead to significant and lasting weight loss, improving overall health and quality of life.

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