Psychological screening A consultation with a licensed psychologist is required prior to surgical authorization. Preoperative teaching Preoperative teaching is completed in our office usually days prior to surgery. During the preoperative teaching visit, you will meet with the nurse only. This visit usually takes about an hour to complete. An extensive review of the surgical procedure is discussed the patient.
Family members or support people are welcome to come and take part in this educational session as well. The risks, benefits and alternatives to the surgery are reviewed. Patients are made aware of expectations while in hospital and after discharged home.
An appropriate amount of time is allotted to ask questions if needed. Preadmission testing Preadmission testing will be completed anywhere from days prior to your scheduled surgery date — usually the same day as your preoperative teaching that is completed in our office. During PAT, you will also meet with the anesthesiologist.
You will be expected to arrive at General Hospital the day of your surgery two hours prior to the actual surgery time. After surgery, you will then be transferred to the bariatric unit. This is where you will stay until you are discharged home from the hospital. During your hospital stay, you will be on the Phase 1 diet. Before being discharged, you will be educated on the Phase 2 Diet, how to maintain proper incision care, your day post-op follow up appointment that will be in our office, physician will also discuss medications that you need to continue and discontinue.
Your abdominal drain and staples Gastric Bypass patients or just staples Lap Band patients will be removed. Phase 3 diet is discussed in great detail during this visit. The phase 4 diet will be discussed in great detail and an exercise program will be designed to fit your personal needs and regular exercise is recommended at this time after surgery. The nurse will discuss a Vitamin and Mineral Handout that is essential after bariatric surgery. Dietary recalls are reviewed, medical complaints or questions reviewed, as well as progression after bariatric surgery is discussed and an exercise session is completed during this visit.
An order for general lab work is given to the patient to have completed within weeks to review current lab value status — making sure values are within normal limits.
Dietary recalls are reviewed, medical complaints or questions reviewed, as well as progression after bariatric surgery. Dietary recalls are reviewed, medical complaints or questions reviewed, as well as progression after bariatric surgery is discussed. Annual visits after surgery During this visit, you will meet with the nurse and physician. Male: Prenatal vitamin or Multivitamin, Vitamin B12 injection once a month or sublingual tablet daily , Amino Iron 18mg if anemic and Calcium supplement with Vitamin D mg total per day.
Female: Prenatal vitamin, Vitamin B12 injection once a month or sublingual tablet daily , Amino Iron 18mg if anemic or menstruating and Calcium supplement with Vitamin D mg total per day. Follow up appointments. Bariatric surgery requires a life long commitment with your bariatric surgeon and staff members. Support Group Meetings. It is very important to have a support team to ask questions. We stress to our patients the importance of attending the monthly support group meetings.
Our meetings are held once a month in Charleston. Experience has shown that patients who attend the support group meetings do better with progression after surgery. There is always an interesting topic and speaker to provide you with additional information and education regarding weight loss surgery. Take control of your obesity and your life! Learn more about your weight loss options with our doctors at one of our free informational seminars.
Click here for more info on CAMC's masking policy. Learn More Weight Loss Services. Gastric Bypass Surgery. Breadcrumb Home Services Gastric Bypass surgery. Gastric bypass surgery is a procedure that both reduces the size of the stomach and also reduces the body's ability to absorb calories and nutrients from food. Our Approach to Gastric Bypass Surgery The gastric bypass is both a restrictive and a malabsorptive procedure and is the current gold standard in weight loss surgery in the U.
Advantages Of Roux-en-y Gastric Bypass Most patients lose weight quickly and continue to lose for 18 to 24 months after the procedure. Disadvantages of Roux-en-y Gastric Bypass Combined procedures are more difficult to perform than the restrictive procedures. Risks of Roux-en-Y Gastric Bypass Risks common to all surgeries for weight loss include an infection in the incision, a leak from the stomach into the abdominal cavity or where the intestine is connected resulting in an infection called peritonitis , and a blood clot in the lung pulmonary embolism.
This movement works all of the muscles in the lower body including the quads, glutes and hamstrings. It also provides an extra kick for the core as you need your deep abdominal muscles and back to perform this exercise correctly.
This is one of the best upper body exercises because it works everything from your chest to your back, your arms and even your abs. Make sure your shoulders line up with your wrists and you tuck your elbows towards your sides and don't flare out your elbows wide. Try to get your chest and hips as close to the floor as possible without touching.
According to the American Council on Exercise, the plank exercise is one of the top ten abdominal exercises. This exercise is a great way to flatten your stomach, strengthen your core and improve the endurance of your back and stomach muscles. By strengthening your core, you will strengthen your hips and pelvic floor. Having a strong core, stomach and back muscles will lead to improved posture and may help prevent injuries. Quality support groups provide more than just social and emotional support; they provide a wonderful opportunity for learning and celebration as you continue on your path to a healthier life.
We currently are meeting via Zoom. Please call for our next meeting date and login information. Reflections on caring for kids during the pandemic. HealthyKids is a family-based, medically-supervised program that encourages a healthy diet and active lifestyle for children and teens 5 to 18 years old.
Children and their families are guided through every step of the program by doctor, dietician and nurse educator. Click here for more info on CAMC's masking policy. Learn More Weight Loss Services. What Sets Us Apart. Our bariatric surgeons are experts in a variety of weight loss surgery techniques.
Find a Bariatric Surgeon. Our Areas of Care. Frequently Asked Questions about Exercise Exercise is an important part of weight loss, but you should check with your doctor before starting any new physical activity. Should I just jump right in and start exercising?
What are warning signs I should look out for while exercising? Unusual chest pain, pain in your left or mid-chest area, left neck, shoulder, or arm during or just after exercise Shortness of breath Dizziness or confusion. What are the components of an exercise program?
How often should I exercise? This creates a new small stomach pouch with the larger part of the stomach below the adjustable gastric band. The pouch above the band can hold only a small amount of food. The band also controls the stomach outlet between the two parts of the stomach. The size of the opening between the two parts of the stomach controls the flow rate of the food from the upper part to the lower part of the stomach.
This lets you feel full sooner. The feeling also lasts longer. Restrictive operations are easier to perform and are generally safer than malabsorptive operations. AGB is usually done via laparoscopy, which uses smaller incisions, creates less tissue damage, and involves shorter operating time and hospital stays than open procedures. Restrictive operations can be reversed if necessary, and result in few nutritional deficiencies. Patients who undergo restrictive operations generally lose less weight than patients who have malabsorptive operations, and are less likely to maintain weight loss over the long term.
Patients generally lose about half of their excess body weight in the first year after restrictive procedures. However, in the first 3 to 5 years after surgery, patients may regain some of the weight they lost. By 10 years, as few as 20 percent of patients have kept the weight off. Some patients regain weight by eating high-calorie soft foods that easily pass through the opening to the stomach.
Others are unable to change their eating habits and do not lose much weight to begin with. One of the most common risks of restrictive operations is vomiting, which occurs when the patient eats too much or the narrow passage into the larger part of the stomach is blocked. Another is slippage or wearing away of the band. A common risk of an adjustable gastric band is breaks in the tubing between the band and the access port.
This can cause the salt solution to leak, requiring another operation to repair. Some patients experience infections and bleeding, but this is much less common than other risks. Between 15 and 20 percent of Lap Band patients may have to undergo a second operation for a problem related to the procedure. Although restrictive operations are the safest of the bariatric procedures, they still carry risk.
In less than 1 percent of all cases, complications can result in death. If you answered yes to all of the above questions, you may be a candidate for weight loss surgery. If you did not answer yes to all of the questions, you may be better suited to our medical weight loss program. Attend our Free Seminar It is mandatory before scheduling an appointment that you attend one of our free educational seminars.
The seminars are presented by Dr. Shin himself and will answer many of your questions regarding details of both the Lap Band and Gastric Bypass surgery. Educational Seminar Schedule. Review your Insurance Policy While our facility is willing to assist you with the insurance process, it is your responsibility to contact your insurance company and verify that you have coverage for the procedure.
You may also check the "Exclusion of Coverage" or "Certificate of Coverage" section for mention of a specific weight loss surgery option. Complete Supervised Weight Loss Program Specified by Insurance Most insurance companies currently require documentation of previous weight loss attempts that have been supervised by a primary care physician or other medical professional.
Your insurance may require you to complete anywhere from months of supervised weight loss within the last years prior to insurance approval. If you have been working with your physician, you will be asked to submit a copy of the records to the Weight Loss Center so they can be submitted to your insurance company. Complete the Letter of Intent Prior to proceeding with a weight loss surgery, you are asked to submit a letter of intent to the Weight Loss Center, as part of the pre-surgical screening process.
This letter will become part of your CAMC medical file. Please type your letter and submit this with the patient packet at your initial visit to the Weight Loss Center. Your reasons for considering weight loss surgery. Your expectations for the outcome after your surgery.
Your knowledge and understanding about the surgical procedure. Your understanding and motivation regarding the recommended lifestyle, diet and exercise changes after your weight loss surgery. A description of how you will get social support. These forms are also available online. It is necessary that you bring this information with you to your initial visit at the Weight Loss Center.
This information will also be used in your insurance submission. Obtain Copies of Medical Records It is beneficial if you obtain copies of medical records, including physician referrals of your primary care physician as well as other healthcare professionals who have treated you for obesity and related conditions. The Weight Loss Center cannot gather, copy or organize these documents for you.
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