Obesity is a common problem in the United States. In 2002, the
Centers for Disease Control and Prevention reported that two-thirds of adult
Americans are overweight. The treatment of obesity is very difficult, especially
when the patient does not have a correctable endocrine problem. Low-calorie,
low-fat balanced diets are usually recommended, along with exercise. "Crash"
diets and diet drugs are usually discouraged.
What is morbid obesity?
Patients weighing more than 100 pounds over their ideal body weight or a
calculation of the body mass index (BMI) greater than 35 to 40 are considered to
be obese.(To calculate your BMI, multiply your weight by 705. Divide the result
by your height in inches. Divide by your height again.) Massively obese persons
have an increased risk of diabetes, hypertension, heart disease, hyperlipidemia,
sleep apnea (temporary stopping of breathing during sleep), and osteoarthritis.
Your doctor will explain BMI in greater detail and carefully
assess your need for surgery. You may be a candidate for laparoscopic gastric
bypass procedure if attempts at restrictive diets and exercise have failed.
Will my insurance company cover this procedure?
In recent years, research has clearly shown that obese individuals have a
shortened life span. Many insurance companies now recognize obesity as a
substantial health risk and are paying for laparoscopic bypass procedure. To
determine if your insurance company will cover this type of medical care,
contact them and enquire about the following CPT codes: 43645 (Roux-en-Y gastric
bypass); 43770 (adjustable gastric band); and 49320 and 43843 (sleeve
gastrectomy), or speak with a financial counselor at Cleveland Clinic at (216)
445-1745.
How can I benefit from laparoscopic gastric bypass procedure?
The most important benefit you will experience is significant weight loss,
which occurs during the first year following surgery. Significant weight loss
can make medical problems such as diabetes, hypertension and coronary artery
disease easier to treat or may eliminate a problem altogether. You will also
benefit from the use of laparoscopy, which requires much smaller incisions than
traditional abdominal surgery. Patients generally have less pain and scarring
after surgery and recover more quickly. Laparoscopy also reduces your risk of
developing hernias, which are more common after traditional abdominal surgery.
Though gastric bypass procedure can be reversed, you should carefully consider
all of the risks and benefits before electing to have this surgery.
What is involved before, during, and after surgery?
Before surgery:
Persons considered for surgery must be carefully evaluated. Studies are
performed to assess the health of the patient’s cardiovascular, pulmonary, and
endocrine systems. A psychological evaluation is considered essential by most
physicians to determine a potential patient’s response to weight loss and change
in body image and ability for permanent lifestyle change. Nutritional counseling
is also a must before surgery.