Losing weight can be challenging and overwhelming. Our team at the South Bend Clinic is excited to help you in your weight loss journey. Our board-certified physicians, surgeons, dieticians and health coaches will help you lose weight safely and effectively.
OBESITY is a chronic, complex, treatable disease. The treatment for obesity needs a multidisciplinary team approach consisting of behavior therapy for lifestyle interventions, medications and bariatric surgery. Obesity is defined as having a Body Mass Index (BMI) of 30 and above. BMI is a measure of body fat based on height and weight that applies to adult men and women.
The Medical and Surgical Weight Loss Center, a South Bend Clinic partner, is excited to offer you the following weight loss options:
Our expert surgeons perform high volume bariatric procedures including vertical sleeve gastrectomy, Roux -en-Y gastric bypass and revisional surgeries (for complications of previous weight loss surgery)
Non-Surgical Treatments or Medical Supervised Weight Loss
This is individualized and personalized weight loss treatment for patients seeking alternatives to surgery.
Surgical Treatments / Bariatric Surgery
Frequently Asked Questions for Bariatric Surgery
Bariatric surgery is sometimes called weight loss surgery. It is intended to help people that have struggled to lose weight. There are two types of surgery;
Bariatric surgeries can serve two functions, these include the following:
Restrictive surgeries– (like gastric sleeve) work by physically restricting the stomach‘s size, limiting the amount of solid food you can eat. A normal stomach can hold about three pints of food. After weight loss surgery, a stomach may only hold one ounce of food, although over time it may be able to hold two or three ounces of food.
Malabsorptive surgeries (like gastric bypass) work by changing the way your digestive system absorbs food. This type of weight loss surgery is more complicated. The surgeon removes parts of your intestine, creating a shortcut for the food to be digested. This means that fewer calories get absorbed into the body. The combined malabsorptive/restrictive surgery also creates a smaller stomach pouch, which restricts the amount of food you can eat.
Recent studies have also shown that both of these surgeries also effect the levels of hunger and satiety hormones in your body which helps in long term weight management.
You will be having a one on one consultation with the bariatric surgeon to discuss the same. The visit with surgeon will help you understand the risks and benefits with each surgery and come to a plan to choose the right surgery for you.
The amount of weight that you lose will be dependent on multiple factors including your compliance with lifestyle modifications including diet, physical activity and behavior modifications. Studies have shown on an average, a patient can lose 20-35% of their total body weight at the end of 1-2 years after surgery. The exact amount depends on the type of surgery and ongoing patient’s behavior changes and lifestyle modifications.
To be eligible for Bariatric surgery you must have a, Body Mass Index (BMI) above 40 or a BMI >35 with two or more chronic diseases. These chronic diseases include – hypertension, Type 2 diabetes, sleep apnea, depression and anxiety.
It takes around six months after the first visit with the physician to get ready for the bariatric surgery. During these six months you will be having on going testing, behavior counselling and psychological evaluation to prepare for surgery and have good results.
We will assist you to contact your insurance company to get specific answers to your benefits. Not all insurance companies cover this service and it is important to know this information. In addition, we are able to offer a cash price for this service and will be happy to discuss this personally with you.
One of the risks with all types of weight loss surgery is increased risk of deficiency of micro-nutrients (vitamin and minerals). To prevent this risk, the national guidelines, advise that all patients with weight loss surgery should take appropriate vitamin and mineral supplementation. Our support staff will explain this to you in detail and suggest appropriate bariatric multi-vitamins.
During the pre- surgery phase, you will also be required to go on a full liquid diet 2 weeks prior to surgery. This full liquid diet consists of meal replacement protein shakes. Studies have shown that doing the two week of full liquid diet just before the surgery, helps to shrink the liver and have better outcomes after the surgery.
301 E. Day Rd.
Mishawaka, IN 46545