Taylor Bariatric Institute

Understanding Weight Loss Surgery In Michigan, weight loss surgery can be a powerful tool for fighting obesity, but there are also many misconceptions about bariatric procedures. Is it safe? Is it easy? Is it a quick-fix for people who don’t want to work hard to lose weight? Get the answer to these and other questions about weight loss surgery with Dr. Jamokay Taylor. Different Types of Weight Loss Surgery Weight loss surgery refers to any surgery that is designed to help a person lose weight and treat or prevent other health problems associated with obesity. There are multiple types of surgery that work in different ways to produce weight loss. There are two main types of weight loss surgery techniques: Restrictive – these techniques reduce the amount of food that can be eaten at one time. Lap-Band is one example of restrictive weight loss surgery. Malabsorptive – these surgeries change the way the body digests food so that fewer calories are absorbed from each meal. Gastric Bypass is one of the most common types of Malabsorptive weight loss surgeries. Before choosing a weight loss surgery, talk to your doctor about how the surgery will work to assist weight loss. This will help you understand what lifestyle changes you’ll need to make after surgery. For example, people who have malabosprtive surgeries may need to eliminate certain types of food from their diet, such as fats or sugars. Weight Loss Surgery Consultation – The First Step Meeting with a bariatric surgeon is the first step towards weight loss surgery and deciding which procedure is a good option for you. During this consultation, you will: Discuss the different types of weight loss surgeries that may be best for you. Undergo a physical exam to determine if you have any health problems that may complicate a surgery. Learn more about what to expect after having weight loss surgery. Learn more about your potential surgeon’s experience. Remember that you have many options available to you when it comes to weight loss surgery. Take the time to choose the procedure, facility, and healthcare provider that are the best fir for you. What to Expect During Weight Loss Surgery Although the technical aspects of your surgery will vary depending on which weight loss surgery you choose, there are some similarities among most types of procedures. All weight loss surgeries are performed under general anesthesia, which means you’ll be asleep during surgery and will not feel any pain. Many weight loss surgeries can be performed laparoscopically, using special surgical instruments and a few very small incisions in the abdomen. Weight loss surgery can take one to four hours to complete and generally only requires one night in the hospital after surgery. Weight loss surgery has proven to be a very safe treatment option for obesity. While there are always risks associated with surgery, medical and technical advancements have greatly reduced the risks of complication and death associated with weight loss surgery. Your bariatric surgeon can work with you before surgery to discuss ways to minimize your individual risk further. After Weight Loss Surgery One of the biggest misconceptions about weight loss surgery is that it is a quick-fix for obesity. Weight loss surgery is one part of a long-term weight loss plan. In order to achieve long-term success, you will need to commitment to permanent lifestyle changes before and after weight loss surgery. Some changes you may need to make after surgery include: Dietary changes – you will need to change how and what you eat. Specific changes will depend on the type of weight loss surgery you chose. Increased physical activity – improving your overall health and treating comorbidities will require a combination of diet and exercise. Developing new coping skills – you may find that you have used food to deal with stress, sadness, and other emotions in the past. Developing coping skills that aren’t associated with food will be an important part of your success. Dr. Taylor and the team at Taylor Bariatric are committed to supporting you during this ongoing process. A strong support system and professional guidance can help you make these important changes after weight loss surgery. Contact us today for more information about weight loss surgery.

One of the weight loss surgeries offered by Dr. Taylor to patients in Ypsilanti Michigan (MI) is the Roux-en-Y gastric bypass surgery. Until quite recently, Gastric bypass was the most common weight loss surgery performed in the United States, and combines both restrictive and malabsorptive weight loss techniques. Gastric sleeve surgery took over as the most common surgery in 2015. What Is Gastric Bypass? Gastric bypass reduces the size of your stomach and reroutes the digestive system to decrease the amount of calories absorbed by the body. Roux-en-Y surgery is one type of gastric bypass surgery. Roux-en-Y Gastric Bypass Step-by-Step: Surgeon staples the stomach across the top, creating a small pouch that holds about one ounce of food. The pouch is separated from the rest of the stomach. The small intestine is cut and one end is sewn directly onto the new stomach pouch. Food will now bypass the bottom portion of the stomach and the first section of the small intestine. In many cases, gastric bypass can be performed laparoscopically using small incisions and special surgical instruments instead of one large abdominal opening. This reduces the risk of infection and shortens the recovery time. Gastric Bypass Surgery Results Gastric bypass surgery, along with dietary and lifestyle changes, can help you experience improved health and quality of life through weight loss. Although results vary between patients, it’s possible to lose 50 to 60 percent of excess weight after surgery in the first two years*. In addition to helping you lose weight, laparoscopic gastric bypass has proven to be very successful in helping to resolve obesity-related illnesses. Gastric bypass can provide relief for symptoms associated with*: Type 2 diabetes Heart disease Asthma Sleep apnea GERD High blood pressure and cholesterol What to Expect After Surgery In order to experience the best results possible, there are certain changes you’ll need to make before and after gastric bypass surgery. Some of these changes may include: Eating smaller meals – the smaller stomach size will help you practice portion control. Making healthier food choices – eating certain foods, such as refined sugars, may cause “dumping” after gastric bypass. Taking nutritional supplements – this will ensure your body gets essential vitamins and minerals that may not be easily absorbed after gastric bypass. Increasing physical activity – adding exercise to your daily routine will help you maintain your weight loss and improve your overall health. Working closely with your healthcare team and a strong support network can make it easier to commit to these changes. Risks of Gastric Bypass Roux-en-Y Surgery As with any surgery, there are risks associated with gastric bypass, including bleeding, infection and reactions to the anesthesia. Additional complications that can occur with gastric bypass surgery include: Vitamin and mineral deficiency Dehydration Gallstones Bleeding stomach ulcer Hernia at the incision site Intolerance to certain foods Kidney stones Low blood sugar (hypoglycemia) Dumping syndrome Dr. Taylor with offices in Ypsilanti and Saginaw Michigan (MI), can help you assess your individual risks and provide you with instructions for minimizing your risks before and after gastric bypass surgery. You should also follow any and all after-surgery instructions, including dietary recommendations, to decrease your risk of complications. Who Should Have Gastric Bypass Roux-en-Y Surgery? Gastric bypass surgery should be considered non-reversible. It requires a serious commitment weight loss and should be reserved for people who have a body mass index of at least 40, or a BMI of 35 or higher with obesity-related health problems.

Sleeve gastrectomy is one of the latest advancements in weight loss surgery. Sometimes referred to as gastric sleeve surgery or vertical sleeve gastrectomy, this bariatric procedure is one of multiple weight loss options provided by Dr. Jamokay Taylor in Ypsilanti and serving Ann Arbor. What is a Sleeve Gastrectomy? During a sleeve gastrectomy, about 85 percent of the stomach is removed. The outer curvature of the stomach is extracted, leaving a smaller portion in the shape of a tube or sleeve. This remaining sleeve is sealed with staples and the original opening of the stomach and the original connection to the small intestine are left unchanged A sleeve gastrectomy is performed laparoscopically using several small incisions instead of one large incision. The surgeon uses a viewing tube affixed with a small camera and light to see inside the abdomen, and small surgical instruments to remove and staple the stomach. Sleeve gastrectomy promotes weight loss by reducing the amount of food that can be eaten. It also reduces the amount of hunger hormones that can be produced by the stomach, which often makes it easier for patients to practice portion control and avoid snacking. What to Expect After Sleeve Gastrectomy Surgery A one-to-two night hospital stay should be expected with a sleeve gastrectomy. Immediately after surgery, you may experience some discomfort and swelling in the abdomen. In most cases this can be treated with pain relievers. After your initial recovery, you will need to make permanent lifestyle changes, including: Exercising regularly. Eating slowly and chewing thoroughly Consuming small amounts of food at a time Learning to cope with emotions without using food Results and Benefits of Sleeve Gastrectomy Sleeve gastrectomy can promote significant weight loss. Although individual results will vary, people who have this weight loss surgery may lose an average of 50 to 70 percent of their excess body weight after surgery.* Like other weight loss surgeries, a sleeve gastrectomy can also help resolve health complications associated with obesity, including: Type 2 diabetes High blood pressure High Sleep apnea Sleeve gastrectomy is a restrictive weight loss technique. However, unlike other restrictive surgeries such as gastric banding, the sleeve gastrectomy does not require periodic adjustments after surgery. Other benefits of the sleeve gastrectomy are: Reduced risk of infection No foreign objects in the body Reduced risk of vitamin deficiencies Risks & Complications for Sleeve Gastrectomy There are always risks associated with major surgery. Some of the risks associated with sleeve gastrectomy include: Leaking of the sleeve Infection Blood clots Should You Choose Sleeve Gastrectomy? Every weight loss surgery has specific benefits and risks. A consultation with Dr. Taylor can help you assess your options by addressing your individual goals, lifestyle challenges, and current health.

Lap Band surgery has provided weight loss success to many thousands of people over the past few years. Its popularity primarily stems from being less invasive than other procedures and reversible in the event that the band needs to be removed. Unfortunately, the band has proven to be more prone to complications than was anticipated. Because the Lap-Band requires frequent follow up to ensure the band is at an appropriate tension, many patients who were unable to commit to the close follow up found that the Lap-Band failed in 20 to 30% of patients. Dr Taylor counsels patients with Lap-Band problems to consider a revisionary procedure to either sleeve gastrectomy or roux en Y gastric bypass. What is Lap Band Surgery? Lap Band is actually the trademark for the original FDA approved adjustable gastric banding device manufactured and sold by Allergan, Inc. The term “lap band” is often used to describe all adjustable gastric banding surgeries, although there are other brands available on the market today. Adjustable gastric banding is a restrictive weight loss surgery. It helps people to lose weight by significantly reducing how much food can be comfortably consumed during each meal. The gastric band also helps you to feel full for longer, so you can eat less often during the day without feeling hungry. How Lap Band Surgery Works: The LAP-BAND is placed around the upper part of your stomach, much like an inflatable belt. When inflated and tightened, this creates a small pouch-like stomach that will hold about 4 ounces of food. A tube is connected from the LAP-BAND around your stomach to a small access port attached beneath the skin of your abdomen. Saline solution is added to or removed from the LAP-BAND through the access port. This makes the LAP-BAND tighter or looser around your stomach, allowing you to eat more of less food. Adjustments are often made through the port every few weeks during the first year following lap band surgery. Lap Band Revision Surgery Ann Arbor & Ypsilanti Lap Band surgery is designed to promote healthy, steady weight loss that can be maintained long-term. For many Lap Band patients, the most important difference is not just the ability to lose a significant amount of weight, but the ability to finally keep the weight off for good! Studies have shown that 94.1% of patients were satisfied with their Lap Band results a year after surgery. Depending on your starting weight and and recognizing that individual lifestyle changes are extremely important for success after Lap Band surgery, weight loss of 45% excess body weight is possible*. As with any weight loss plan, remember that individual results will vary. Dr. Taylor can help you set personalized goals before and after your weight loss surgery. Benefits of Lap Band Surgery Lap Band surgery is one of many weight loss surgeries available today. Some of the specific benefits associated with this system include: Completely reversible No cutting or stapling of the stomach Less invasive than other weight loss surgeries Shorter average recovery time than other weight loss surgeries Virtually no foods become “off limits” after surgery Is Lap Band Surgery Right for You? Recently, the Food and Drug Administration (FDA) announced a change in the minimum weight requirement for use of the LAP BAND System. This change was sparked by research which has clearly shown the LAP BAND to be a very safe procedure which has the potential to provide significant weight loss and help resolve many chronic medical conditions even in smaller patients. The new FDA weight criteria for use of the LAP BAND has been lowered to now include people having a Body Mass Index (BMI) between 30 and 35 as long as they have one or more medical conditions associated with obesity. (Click here to calculate your BMI). This change has made the substantial benefits of the LAP BAND available to several million more Americans. The best way to determine if lap band surgery is the best option for you is to discuss your individual goals and challenges with an experienced bariatric surgeon. Dr. Jamokay P Taylor performs multiple types of weight loss surgeries and can talk to you about the risks and benefits of each option, including Lap Band surgery.

The Realize Band is a second most popular gastric band after the LAP-BAND. Although many people had great success with the Realize band, like Lap band it has ben more difficult to avoid complications with the band in the months and years following surgery. If not properly adjusted and all follow up appointments kept, the chances of a problem with Realize Band is higher than other weight loss surgeries. At present a failure rate of around 20-30% is not uncommon. Dr Taylor counsels patients with Realize Band problems to consider a revisionary procedure to either sleeve gastrectomy or roux en Y gastric bypass. What is the Realize Band? The Realize band is an adjustable gastric band placed around the upper portion of the stomach to create a pouch that restricts the amount of food that you can eat at one time. Benefits of the Realize gastric band include: High-volume, low-pressure balloon. This sophisticated balloon design helps reduce the risk of tissue trauma Widest band available. The Realize gastric band is 23 mm wide, which reduces the risk of band slippage and additional surgeries to correct the problem. Lowest leak rate among gastric bands. Port placed without sutures. A patented port applier is used to place the access port during surgery, which can reduce the amount of port site pain and require less time under anesthesia. Lowest profile port design. The Realize port is designed to be less visible under the skin, even after you lose weight. The Realize band offers more than a superior surgical tool, but also a complete lifestyle support system designed to help people make healthy, lasting changes towards a better life. Gastric Band Risks As with any surgery, there are risks associated with gastric banding and gastric bypass surgery. Some of the risks specifically associated with gastric banding may include: Band slippage or erosion Port disconnecting from the tubing Band leak Esophageal spasm Gastroesophageal reflux disease (GERD) Inflammation of the esophagus or stomach Port-site infection Talk to your healthcare team about your individual risk of complication, as well as what you might do to reduce your risks before and after surgery. Is the Realize Band Right for You? Although Dr. Taylor often recommends the Realize system as the best weight loss solution, every patient is unique. Dr. Taylor and the entire team at the Taylor Bariatric Institute is committed to helping you choose the weight loss plan that is most appropriate for your personal goals and challenges.

Taylor Bariatric offers a variety of weight loss options for your specific needs. Medical weight loss helps you change your eating habits and provides top of the line medical assistance for quick, safe weight loss. We offer both 21 and 40 day medical weight loss programs, which include: A custom program fitted to your weight loss needs A highly structured low calorie diet FDA approved weight loss medications Weekly check-ins and dietary counseling with Dr. Taylor’s staff Nutritional supplements Access to exercise counseling Our treatment is safe and effective for all body types. If you are looking for effective weight loss with a personalized program, medical weight loss may be an appropriate choice for you. Medical Weight Loss If you are having difficulty with weight loss and stubborn excess fat you’re more than likely aware of the many weight loss options available. However, the problem isn’t with finding weight loss options; it is with finding the right weight loss option for your unique lifestyle. Medical weight loss is a safe and effective method that provides the assistance of a doctor for losing weight and reaching your wellness goals. If you have been struggling with obesity, are overweight or are trying to shed unwanted pounds, medical weight loss can encourage lasting results for your health goals. What is Medical Weight Loss? When bariatric surgery isn’t an option, medical weight loss can provide you with the assistance of a doctor to aid in efficient and effective weight loss results. During your medical weight loss program, Dr. Taylor will work with you to provide meal plans, exercise physiology, behavior modification and weight loss medications. Medical weight loss isn’t a one-size-fits-all diet; it is tailored to your individual weight loss needs. Medical weight loss is a beneficial weight loss option because it also provides education to aid you with the long-term lifestyle changes that are necessary for optimal results. These changes may include diet and exercise, sleeping habits or smoking and drinking habits. Benefits of Medical Weight Loss Weight loss medication. Medical weight loss incorporates weight loss medications or certain appetite suppressants to your individualized program. This helps to curb hunger and keep you on track with your weight loss efforts. You don’t have to stress over your diet. Since your weight loss doctor works with you to provide you with a structured program, you don’t have to worry yourself or stress about food. A medical weight loss program limits your caloric intake but provides medication and a structured meal plan to assist your weight loss. Disease management. Being overweight, your risk of developing chronic disorders such as prediabetes, hypertension or heart disease is higher. By losing weight and making long-term changes, you can decrease your chances of developing a serious condition. Individual treatment. Your weight loss program is designed specifically for you. Before you start any program, your lifestyle and health background is taken into account to determine the best option for you. Lifestyle and behavior modification. Medical weight loss teaches you how to maintain your weight loss results. Help with behavior modification makes it easier to eliminate harmful habits and adopt positive, healthy ones. Contact us today for more information about weight loss surgery.

There are many reasons that a revision may be necessary after bariatric surgery. In most instances, people who are not getting adequate weight loss results from a previous surgery such as the Lap-Band or the Realize Band, may consider a revisionary procedure to convert to a gastric sleeve or a gastric bypass if any of the following occur: Gastric Prolapse Band erosion Dysphagia (difficulty swallowing) Additionally, revision may be necessary for gastric bypass for the following reasons: Stomach pouch stretches Stomach opening expands Small intestine starts to work more efficiently Complications, such as ulcers, develop Patient fails to comply with diet and exercise changes Revision Bariatric Surgery Simply put, revision bariatric surgery is an additional weight loss surgery that is performed after an initial procedure. If the original gastric bypass surgery does not seem to be working, a surgeon may consider revising the original gastric bypass procedure. What revisions are available? Dr. Taylor routinely counsels Gastric Band patients who have recurrent issue or experience poor results that revision to a sleeve or bypass is appropriate after removal of the band. While many people have experienced favorable results with the gastric band, compared to other procedures it has a higher rate of failure (currently between 20 to 30%) and requires considerably more follow up for adjustment than other procedures. Favored because it is less invasive than other procedures, one of the benefits of the band is that it can be removed and additional bariatric surgery performed with little more risk than is associated with the new surgery.