Bariatric Weight Loss at OU Medical Center Edmond 

Losing weight isn’t just about the number on the scale. It is also about gaining a new lifestyle that comes with eating healthier and exercising more. Our goal at OU Medical Center Edmond is to provide you with not only excellent surgical care, but also information and advice to help you achieve your weight loss goals.

Fortunately, there are many non-surgical and surgical options available to assist you in losing weight and keeping it off for good. Our team of physicians, nurses, and dietitians will work with you throughout the process to prepare you for the lifestyle changes that accompany weight loss.

Non- Surgical Weight Loss Options

Lifestyle Changes: Developing healthy eating and exercise habits can be a struggle in today’s fast-paced world where everyday stress can derail the best intentions. Our licensed and certified dietitians provide one-on-one nutritional counseling customized to your needs. Nutritional counseling is an outpatient appointment and many insurance plans cover the cost of these sessions.

Nutritional Supplements:  Our dietitians and your physician may recommend nutritional supplements to assist you with losing weight. You will take these supplements instead of eating certain foods. It is important that you take supplements only under the supervision of your physician or dietitian to ensure you are getting the nutrition you need.

Medication:  There are several types of medications that can help you safely achieve your weight loss goals, however, it is important that medication is only taken while under supervision of your physician. Medication alone is not a cure-all for weight loss, but it can assist in losing weight when used in conjunction with a healthy diet plan.

Surgical Weight Loss Options

Gastric BypassRoux en Y Gastric Bypass: A traditional gastric bypass is considered the “gold standard” in bariatric surgery. During a gastric bypass procedure, the surgeon will separate a small section of the from the rest of the organ and make it into a small pouch. The surgeon then divides a portion of your small intestine and connects it directly to the small stomach pouch, effectively “bypassing” the rest of the stomach. This surgery is irreversible once completed.

Gastric bypass patients typically experience a weight loss of 60 to 80 percent of excess weight and keep the weight off in the long term. This is due to both the smaller amount of food that can be absorbed by the stomach pouch as well as changes to digestive hormones that occur when the small intestine is re-routed.

The bypass procedure is more complicated than other types of bariatric surgeries. Patients typically have longer hospital stays after surgery and must strictly follow dietary guidelines as well as take nutritional supplements for the rest of their life. Nausea, vomiting, food aversion and “dumping” syndrome are common side effects from bypass procedures.

sleeveimagejpgGastric Sleeve: During a sleeve gastrectomy, the surgeon will remove approximately 80 percent of the stomach. The remaining stomach is stapled together into a tube shape resembling the sleeve on a shirt. The small intestines are not rerouted during this surgery as they are in a bypass surgery.

Gastric sleeve surgery assists in weight loss by reducing the size of the stomach and limiting the amount of food you can eat. Like the bypass method, the gastric sleeve procedure produces a change in the hormones that help digestion and regulate hunger. Most patients lose approximately 50 percent excess body fat and maintain that loss in the years following the procedure. Patients undergoing gastric sleeve surgery generally have a one-to-two night stay in the hospital after the procedure is complete.

Since the majority of the stomach is removed during a gastric sleeve procedure, the surgery cannot be reversed. Patients may also experience vomiting, nausea, acid reflux, and difficulty swallowing immediately post-surgery. Some patients may need to take vitamin supplements for the remainder of their life following a sleeve gastrectomy.

Duodenal Switch: Duodenal switch surgery is for complex bariatric cases and can result in extreme weight loss, but also can cause additional complications and a longer recovery for patients.  During a duodenal switch procedure, the surgeon removes 80 percent of the stomach, much like in a gastric sleeve surgery. The surgeon then splits the duodenum, which connects the stomach to the small intestines, so food bypasses the majority of the small intestines and empties from the stomach into the lower portion of the small intestines.

The duodenal switch procedure not only limits the amount of food the stomach holds, but by bypassing most of the small intestines, it limits the amount of calories that the body can absorb. Additionally, the hormones that regulate hunger and metabolism also change after surgery. This combination is what leads to rapid weight loss.

Patients that have undergone a duodenal switch procedure have a higher risk for complications. Since this type of surgery limits the amount of nutrients absorbed by the body, patients must be careful to maintain a strict diet and vitamin regimen for the rest of their life in order to minimize serious complications. This surgery is not reversible once it is completed.

Gastric Revision Surgery: Occasionally, patients undergoing a bariatric surgery will have the wrong type of surgery for their weight loss needs and lifestyle. OU Medical Center Edmond offers gastric revision surgery for patients meeting specific criteria. Gastric revision surgery is a consideration for the following case-by-case needs:

  • Removal of a gastric band
  • Revision of a gastric bypass
  • Removing a gastric band and replacing with a gastric sleeve or gastric bypass
  • Revising a gastric sleeve to a gastric bypass

About Gastric Band and Gastric Balloon Procedures:  OU Medical Center Edmond does not offer Gastric Band or Gastric Balloon procedures due to medical evidence that these procedures are ineffective long-term. Both procedures use devices that temporarily restrict the amount of food that you can consume at a time. However, both devices are not a permanent solution and most patients gain the weight back after device removal.

 Additionally, any time there is a foreign object in the body, there is a risk for infection for the patient. Therefore, our facility advocates for weight loss through proven methods such as lifestyle changes and the bariatric surgery procedures outlined above.

Preparing for Surgery

Bariatric surgery is not a “quick fix” for weight loss. Deciding to undergo a bariatric weight loss option is just the first step toward surgery. Before your surgery is scheduled, you will be required to commit to specific lifestyle changes such as modifying your diet and beginning an exercise routine. Other steps that are usually required before surgery include:

  • Patient education about the surgery and post-surgical care
  • Consultations with the physician, dietitian, and other clinical staff
  • Laboratory and Radiology tests
  • Consultation with a mental health professional
  • Commitment to behavior changes

Your specific physician and his or her staff will work with you on the requirements needed to move forward with surgery as well as prepare you for your post-surgical lifestyle.

Once your surgery is scheduled at OU Medical Center Edmond, our Pre-Op nurses will contact you to review your medical history and to schedule any testing that needs to be completed prior to your procedure. Our staff will inform you on when you need to arrive at the hospital for your surgery. It is very important that you arrive at the hospital at your designated time so that your surgery can begin on time.

Day of Surgery

Unless your physician has given you permission, do not drink or eat anything including water and ice after midnight. Hard candy, mints, and chewing gum are not permitted. Eating or drinking anything may cause a delay in your surgery starting or for it to be rescheduled for a later date. Do not use any alcohol or tobacco products the week of your surgery. Tobacco causes your blood pressure to rise and decreases the amount of oxygen in your blood. Alcohol prevents the anesthetic from working correctly.

Call your physician if you develop a fever, cold, rash or any other acute illnesses prior to surgery.

If you take insulin or any other medication on a regular basis, consult your physician for further instructions.

If you take medications each day, please bring the medications with you on the day of your surgery. A list of all your medications and dosages will be helpful to the anesthesiologist for deciding which medications you should take the morning of your surgery and in preparation for your surgery.

Please leave all jewelry, piercings, money, and other valuables at home or with your family.

Wear loose, comfortable clothing that is easy to remove and put back on post-surgery. Remove all makeup and fingernail polish on the day of surgery. If you have acrylic nails, please remove the polish from one of your nails on each hand.

If you wear dentures, a partial plate, contact lenses, or any other prosthesis, you will need to remove them before your surgery. We will label the items and keep them in a secure place until you return to your room. (Please bring your lens case if you wear contact lenses.)

After you check in with the outpatient surgery admitting clerks, we will escort you to your private room and ask you to put on a hospital gown. A nurse will record your vital signs, allergies, and other pertinent information before your procedure.

After Your Procedure

Most patients undergoing a bariatric procedure will stay at least one night in the hospital for observation. This allows our staff to monitor your condition and recovery as well as quickly care for any complications that may arise after surgery.

Since the majority of bariatric surgeries are completed using minimally invasive techniques, many patients are able to resume normal activities within a few weeks after surgery. Your physician will maintain close contact with you after your procedure to make sure your recovery progresses normally and to care for any potential side effects that may occur.

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