If your weight keeps you from being able to do the things you want and you have not had success with diet and exercise, you may be ready to explore other choices. You might also be looking for weight loss assistance to help improve medical problems such as diabetes or hypertension. At Newvue Medical, we offer options of bariatric surgery and the newest weight-loss medications.
Bariatric surgery in Redmond is a safe and effective weight-loss solution that benefits your entire body. Dr. Brian Sung, a board-certified and fellowship-trained bariatric surgeon, offers several types of bariatric procedures.
The main qualifying criteria for bariatric surgery patients are a body mass index (BMI) of 40 or higher or a BMI of 35 or greater that is coupled with weight-related health problem such as high blood pressure, high cholesterol, fatty liver disease, or type 2 diabetes. Patients have also tried to lose weight using diet and exercise without success.
Bariatric surgery in Redmond is a serious decision that requires motivation to change lifestyle and a commitment to make the permanent changes you need to succeed long term.
Your weight loss procedure must be personalized to your needs. Most bariatric surgeries are minimally invasive procedures done via laparoscopy or robotic surgery. This means less postoperative pain and a faster recovery.
All bariatric surgeries make significant changes to your digestive system that will assist you in weight loss. Some procedures limit how much you eat, while others reduce your body’s ability to absorb fat and calories. A few of the available surgeries will do both. Dr. Sung will evaluate your specific situation, then suggest the approach that he feels is best for you.
Minimally invasive bariatric surgical procedures offered by Dr. Sung include vertical sleeve gastrectomy, duodenal switch, and the Roux-en-Y gastric bypass
When you meet with Dr. Sung, he will be able to assess your personal situation and suggest which surgery would be most appropriate for you.
With a sleeve gastrectomy, the majority of your stomach is removed to create a tube-shaped stomach that will not stretch as easily.
A vertical sleeve gastrectomy is done via laparoscopy, while an endoscopic sleeve gastrectomy involves passing an endoscope down your throat and into your stomach to perform the surgery. Laparoscopy requires general anesthesia while endoscopy can be done with conscious sedation.
While a sleeve gastrectomy restricts intake, it also causes hormonal changes in that assist in weight loss. Ghrelin, a hormone that stimulates appetite, levels decrease and GLP-1 levels increase to help decrease cravings and promote less hunger. The increase in GLP-1 and PYY hormones aid in glucose control and help improve insulin resistance. Total weight loss after two years can be as high as 60 percent of your starting body weight.
The duodenal switch is also known as a biliopancreatic diversion with duodenal switch or a gastric reduction duodenal switch. It modifies the stomach and small intestine and is appropriate for people with a very high BMI in need of significant weight loss.
This technique combines a gastrectomy, removal of part of your stomach, with an intestinal bypass that shortens the path for food to travel. About 70-80 percent of your stomach is removed, leaving a tubelike pouch, so you will feel full quickly. The biliopancreatic diversion changes your small intestine in a way that will decrease fat and carbohydrate absorption so that your body will take in fewer calories. The changes this bariatric surgery in Redmond makes will help you feel less hungry.
The Roux-en-Y gastric bypass is one of the original bariatric surgery procedures but it is now done in a minimally invasive fashion. Your stomach will be reshaped into a small pouch about the size of an egg and your intestines will be rerouted to bypass the upper part of your small intestine. This procedure limits the amount of food you can while also reducing the amount of fat and carbohydrates that your body can absorb.
This procedure has been shown to help patients lose up to 60 percent of their excess weight within the first two years after surgery. Many patients have improvement in chronic health problems, including some patients with resolution of their Type 2 diabetes.
If you would rather avoid surgery and the recovery time, or if you are not a surgical candidate, Newvue offers non-surgical options. These can also be a starting point and you can choose to opt for a surgical approach to weight loss in the future.
Non-surgical treatment options include:
Dr. Sung will be able to tell you if one of these treatments is right for you.
A gastric balloon, sometimes called an intragastric balloon, is a device that is temporarily placed in your stomach to assist with weight loss. A deflated balloon is passed through your mouth and down into your stomach using an endoscope. This procedure only requires conscious sedation.
Once the ballon is inflated, it will take up space in your stomach which means you will feel full sooner and that feeling will last longer. You can choose to have the balloon removed at any time and is routinely used for only six months. Most patients lose about 10 to 15 percent of their body weight within those six months, and they learn to follow healthy eating habits they can sustain after the balloon is removed.
Weight loss medications have been around for a long time but today’s weight loss medications are different. Semaglutide and tirzepatide are innovative new drugs that not only treat type 2 diabetes but also assist with weight loss. These GLP-1 receptor agonists can decrease your appetite and slow the emptying of your stomach so that you stay feeling full sooner and longer. They may also help your metabolism function better as they can assist with fat breakdown in your body.
With Wegovy (semaglutide), patients were shown to lose up to fifteen percent of their body weight in 68 weeks. With Zepbound (tirzepatide) weight loss up to twenty-one percent was seen after 72 weeks.
When you are ready to make a significant change and tackle weight loss with the help of surgery, make an appointment with Dr. Sung. He will use his exceptional expertise in bariatric care to help you find the treatment plan that is right for you.
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