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How to Decide What Operation is Best for You
BMI
of Texas offers both medical weight loss (mwl) and surgical weight management. We have a solution for patients needing to lose hundreds of pounds or just a few. Our surgical patients benefit by participating in the medical programs. We have found that our results at 2 years after surgery are amplified dramatically when our patients are in the combined program.
Choosing
a weight loss surgery is a very personal decision. Drs. Seger, Duperier, Patel and Englehardt are very experienced weight loss surgeons who continue to perform all types of weight loss surgery because they all work! One operation may be better for one person than another; however the most important thing that determines long term success is YOU! These are extremely powerful tools that will lead to massive weight loss if used correctly.
There are many different things that factor into a decision about which weight loss surgery to have. You should choose the operation that best fits your personality. Some patients choose based on surgical risk or reversibility. Others choose based on the amount of expected weight loss or the chances that a particular operation will cure diabetes or reflux/heartburn.
We want the decision to be made by you after hearing all the information given to you in a non-biased fashion.
| Procedure | Sleeve Gastrectomy | Gastric Bypass | Duodenal Switch | Intragastric Balloon | Lap Band |
|---|---|---|---|---|---|
| Weight Loss (% of EXCESS body weight) | 65-80% | 70-80% | 90-100% | 20-30% | 40-60% |
| Timing of Weight Loss | 12-18 months | 12-18 months | 12-18 months | 6 months | Up to 36 months |
| Duration of Operation | 45 minutes | 75 minutes | 120 minutes | 10 minutes | 30 minutes |
| Days in Hospital | 0-1 | 2 | 2-3 | 0 | 0 |
| Covered by Insurance | Yes | Yes | Yes | No | Yes |
| Risk on Day of Surgery | Medium (maybe lower than GBP) | Medium | Low | ||
| Dumping Syndrome | No | Yes | Rarely | No | No |
| Date of First Proceedure | 2001 | 1968 | 1986 | 2017 | 2001 |
| Return to Work | 0-1 Weeks | 1-3 Weeks | 2-4 Weeks | Same day | 1 Weeks |
| Follow up Appointments | ~5 First Year / Annually After | ~5 First Year / Annually After | Monthly Until Steady State Achieved | ||
| Hardware Left Behind | No | No | Yes | ||
| Cures Type 2 Diabetes | 70% | 85% | 90% | Currently Unknown | 50% |
| Cures High Blood Pressure | 60% | 60% | 60% | Unknown | 60% |
| Learn More | Learn More | Learn More | Learn More | Learn More | |
| Procedure | Sleeve Gastrectomy | Gastric Bypass | Duodenal Switch | Intragastric Balloon | Lap Band |
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Weight loss surgery options
Sleeve Gastrectomy
For many people, the gastric sleeve bypass surgery in San Antonio, Texas is appealing because it is not quite as drastic as a bypass and yet it does not involve an implant like banding…
Gastric Bypass
The gastric bypass procedure is considered to be the gold standard in weight loss surgery. First performed in 1968, the operation has evolved but stood the test of time over more than 30 years.
Duodenal Switch
The “switch,” or duodenal switch procedure, is a weight loss operation that combines qualities of both the sleeve gastrectomy and the gastric bypass. The operation is performed in two steps.
Intragastric Balloon
The Obalon intragastric balloon is an FDA-approved weight loss system that uses space occupying balloons in the stomach to decrease hunger and reduce caloric intake to help…
Lap-Band
Laparoscopic adjustable banding, or the lap band procedure, utilizes a band, a “belt” with a balloon on the inside. Placed around the upper part of the stomach, creating a small “pouch”…
Lap-Band Fills
Within the first year of your LAP-BAND surgery, band fills and evaluations are integral to your weight loss success. Each body and appetite is different and you may find yourself…
Revision Surgery
Since weight loss surgery continues to grow and evolve, we are learning that some of the operations done in the past may need to be revised or changed to help patients achieve…
Medical Weight Loss
BMI is committed to helping our patients achieve success in their battle against obesity, utilizing a variety of proven methods including doctor-supervised weight loss…