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BMI of Texas Weight Loss Surgery - FAQ What is BMI? B.M.I. or body mass index is a number that we calculate to give significance to the relationship between your height and weight. It means something very different for a 7 foot tall man to weigh 300 pounds as opposed to a 5 foot tall woman weighing 300 lbs. This number helps us to account for these issues and to put people into categories that indicate how sick the extra weight is making them. What can I expect to lose after my bariatric surgery? This number will be calculated for you by Dr. Seger or Dr. Duperier in your office visit, but you can figure out roughly what it is based upon your ideal body weight and the type of operation that you choose. Why do I have to see a dietitian and a psychologist? While the operations are a very important piece of the puzzle that will help you get more healthy, they are by themselves incomplete. You will soon have an incredible tool at your disposal to help you fight a disease that has been to this point overwhelming. In order for you to achieve success, you must know how to best use that tool. This is where the team comes into play. The dietitians and psychology staff will help you to understand how food choices and behavioral changes have in the past led you into trouble, but in the future will lead you to success that you may have thought impossible. Most insurance companies will require that patients meet with these individuals before approving the surgery. We feel that the team approach is critical to you getting the most out of your surgery. What are the risks of bariatric surgery? Most of the risks of bariatric surgery are similar to any other surgery on the abdomen. Bleeding, infection, need for corrective procedures, hernias, wound problems are all very low risks. Leak after a gastric bypass or a sleeve operation is

a 1% risk. A leak with a band operation is extremely rare since no new connections or resections are being done. The risk of death with a gastric bypass or sleeve is 1/500 in the United States. It is 1/5000 to 1/10000 with the band. Risk of slippage or shifting of the band is about 3% over the life of the band. These can usually be surgically corrected without need for removal of the band. The risk of an erosion of the band into the stomach is 1%. This, while rare, does require removal of the band. There are also risks of ulcers or swallowing problems. There is a risk of a blood clot forming in the legs or in the pelvis. If a blood clot breaks free and lodges in the lungs this is called a pulmonary embolism. This is uncommon, but is something all surgeons worry about, as it is difficult to manage. Failure to lose weight, while rare, is risk as well. It usually involves a compliance problem however. There maybe other risks of these operations that we don’t yet know as weight loss surgery is a new field of medicine, and some of the operations are very new. This list is a partial list of risks, a more complete description is available at our seminar. Does my insurance pay for bariatric surgery? You can discover this by calling your insurance carrier directly, or you can come to a seminar and we will find out for you. How long does it take after seminar until I get to have bariatric surgery? This depends almost entirely on the requirements of your insurance company. Many carriers require extended physician monitored diet appointments for 3 or 6 consecutive months. As soon as you are approved for bariatric surgery, we will be ready to proceed. If you do not have to go through your insurance company, the time can be very short (even a week or 2). What will my diet be like after bariatric surgery? This is different depending on which operation you choose. Our dietitians will go over in more detail the diet plan at your initial visit. In general, most patients are on liquids for a couple of weeks followed by a progression to soft and then regular food.

How is the band adjusted? Adjustments are done in our clinic with the help of fluoroscopy (x-ray). We place a small needle through the skin into the port. This does not hurt most patients. The band is then adjusted by adding or removing fluid as you drink some barium (contrast dye) to adjust your band to the level that is right for you. If you would like to learn more about San Antonio bariatric surgery options with renowned bariatric surgeons at BMI of Texas, please call us to learn about your options.

Choosing Bariatric San Antonio Procedures