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Surgical Weight Management

YOU deserve a new beginning!

Is Surgery for You?
Bariatric surgery may be the next step for people who remain severely obese after trying nonsurgical approaches, or for people who have an obesity-related disease. Weight-loss surgery alters the body's digestive process by limiting the amount of food the stomach can hold and/or by limiting the absorption of nutrients. For those patients who meet carefully defined criteria, weight loss surgery may be recommended.

You may be a candidate for surgery if you have:

	•	A body mass index (BMI) of 40 or more or about 100 pounds over estimated ideal body weight.
	•	A BMI between 35 and 39.9 and a serious obesity-related health problem such as Type 2 diabetes, heart disease, sleep apnea, high blood pressure, high cholesterol, joint pain, etc.
	•	An understanding of the operation and the lifestyle changes you will need to make.

The option of surgical treatment would be offered to patients who meet surgical criteria, are well informed, motivated and have acceptable operative risks. Each patient should commit to participate in treatment and long-term follow-up. Patients considering weight loss surgery must clearly and realistically understand how their lives will change after the operation. Furthermore, patients must make a commitment to participate in a lifestyle focused on health, nutrition, exercise, and long-term healthy living.

BMI Classifications

Normal		18.5-24.9
Overweight		25-29.9
Obese		30-34.9
Severely Obese		35-39.9
Morbid Obese		40+

Multidisciplinary Team

	•	Physician
	•	Bariatric Coordinator
	•	Registered Dieticians
	•	Exercise Physiologists
	•	Registered Nurses

Surgical Options
Choice of surgery depends upon individual's needs and goals. Surgery is a tool to help individuals lose weight and make a lifestyle change.

Two types of surgeries are performed at Sanford Clinic - Surgical Associates by Dr. Dennis Glatt, Dr. Donald Graham and Dr. Peter O'Brien.

Laparoscopic Adjustable Gastric Band The adjustable gastric banding procedure restricts the amount of food the stomach can hold by placing an inflatable silicone band around the upper part of the stomach. The new smaller upper stomach limits the amount of food that can be consumed at one time, and the narrowed outlet increases the time it takes for the stomach to empty. This reduction results in reduced food intake and weight loss.

Roux-En-Y Gastric Bypass-Open/Laparoscopic The Roux-En-Y gastric bypass restricts the amount of food the stomach can hold and reduces the number of calories absorbed by altering the digestive track. A small stomach pouch is created to restrict food intake. A Y-shaped section of small intestine is attached to the pouch to allow food to bypass the lower stomach. This reduces the amount of calories and nutrients the body absorbs resulting in weight loss.

It's YOUR Choice

Laparoscopic Adjustable Gastric BAND		Roux-En-Y Gastric BYPASS-Open/Laparoscopic
40 – 60% excess body weight loss		60 – 80% excess body weight loss
Slower initial weight loss		Rapid initial weight loss
Low risk of vitamin deficiencies		Prone to vitamin/nutrient deficiencies
Requires follow-up adjustable treatments		Longer proven track record

* Weight loss is comparable after 3-5 years
* Risk/benefits of both procedures are discussed at your individual meetings with your physician.

Post Surgical Requirements

	•	Follow-up with Surgeon
	•	Attend Support Groups
	•	Maintain a healthy diet and regular exercise

Bariatric Surgery Support Group
Anyone is invited to attend the monthly support group meetings held at Sanford USD Medical Center where topics such as exercise, nutrition, and portion control are discussed. Many patients find the support group assists them in dealing with challenges that may occur as their life and health change. These meetings are attended by family, friends, old and new patients, or anyone investigating the surgery. The physicians highly recommend that you attend a meeting prior to weight-loss surgery. Meetings are held on the third Monday of each month at 7 p.m. in the Schroeder Auditorium. Call our bariatric coordinator at 605-333-2249 for more information.

Where is the Clinic located?

Is there any paperwork that I can complete prior to my first appointment?
Yes. Please print out and complete the forms prior to your first appointment.

	•	Patient Information Form
	•	Patient Questionnaire
	•	Epworth Sleepiness Scale Questionnaire

To schedule an appointment or for more information on weight loss surgery, please contact:

Sanford Clinic Surgical Associates
Surgical Tower
1508 West 22nd Street, Suite 101
Sioux Falls, SD 57105
605-328-3840 or 800-727-0670