More Information (Frequently Asked Questions)

How long has the Roux-en-Y gastric bypass been performed?

This operation has been performed for almost 20 years. The laparoscopic approach is relatively new. We have designed the laparoscopic procedure to be almost identical to the "open procedure".

What are the differences between the laparoscopic and "open" procedure?

The main difference is in the division or separation of the stomach pouch from the main stomach. We have found no difference in complications or leak rates with this aspect of the procedure. However, we have found a great difference in that the laparoscopic patients have less pain, better cosmetic results and less chance of wound or hernia problems following surgery.

Why don't all surgeons perform the same operation?

Actually, most surgeons do perform the same operation, that is, a Roux-en-Y gastric bypass in one form or another. Debate exists as to which procedure is the best, and most reputable surgeons rely on their own experience as well as the medical literature. Many surgeons actually have better results than are reported but simply do not have the time or desire to publish. Local demographic and cultural differences may play a role in variances among surgeons' choices for the most appropriate procedure. When it comes to laparoscopy, as this is still relatively new, few training programs are equipped to teach the advanced techniques needed. Because of limitations in current instruments, many laparoscopic surgeons have avoided using these techniques on the morbidly obese patient. In short, there are not many surgeons who have the training and interest in Bariatric Surgery and possess the necessary laparoscopic skills.

What is the best operation?

The answer to this question is not as simple as it may seem. Truthfully, the best operation is the one your surgeon recommends. Reputable surgeons recommend procedures only after careful evaluation of the patient's individual needs. This is tempered by his/her own experience and skill. One surgeon may get great results with one method while another surgeon must modify the technique to obtain equal results. Also, the support after the operation may be just as important as the operation itself. The question should not be "What is the best operation?", but rather, "Which program will give me the best results?".

Do you accept patients from other regions/states?

Yes, we accept patients from all over the world. We would prefer that patients receive their medical care close to home. The American Society of Bariatric Surgeons will have a list of surgeons in your area.

Does insurance pay for this procedure?

Most reputable companies recognize the health benefits of gastric restrictive procedures such as the Roux-en-Y gastric bypass and will authorize based on the National Institutes of Health recommendations. Many companies are cautious because of the high complication rates of some programs and previous malabsoptive procedures. They should be, but we see their denial as an opportunity to educate rather than to criticize.

If my insurance company will not cover the procedure even after many appeals, how much does this procedure cost?

We are constantly striving to obtain the best package price from the hospital and helping them to lower their operating costs without compromising quality care. Please contact our billing department for the most current price.

How do I know if I am a candidate for this type of surgery?

We follow the National Institutes of Health Guidelines for minimal weight requirements. This is tempered by any medical problems you may have. We can recommend surgery only after a formal evaluation with one of our surgeons.

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