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Understanding the Transformative Journey of Bariatric Surgery

An image of a smiling man sitting in a field of wheat, with arms in the air, which accompanies a post about bariatric surgery

Understanding the Transformative Journey of Bariatric Surgery

For those struggling with severe obesity, bariatric surgery can indeed be life-changing. With over a decade of experience performing a wide range of weight loss procedures, Dr. Luciano Fiszer of Elite Surgical Miami is an excellent choice for individuals considering bariatric surgery in the Miami area. As a board-certified general surgeon, Dr. Fiszer specializes in advanced, minimally invasive bariatric techniques to help patients achieve sustainable weight loss and improve obesity-related health conditions. His patient-centered approach and dedication to achieving optimal outcomes make him a top bariatric surgery provider.

1. What is Bariatric Surgery?
Also known as weight loss surgery, bariatric surgery refers to several procedures performed on the stomach and/or intestines to facilitate significant weight loss. These surgeries limit food intake by reducing stomach capacity and absorption of nutrients and calories. The two most common bariatric surgery options are:

#1 Gastric sleeve surgery removes approximately 80% of the stomach, leaving a smaller banana-shaped pouch. This restrictive technique limits the amount of food consumed at one time.
#2 Gastric bypass – Gastric bypass also involves creating a small stomach pouch and reroutes the small intestine so that food bypasses parts of the stomach and small intestine. This impacts hormones that regulate hunger and satiety.

Both gastric sleeve and gastric bypass procedures help patients feel fuller faster so that they eat less. Bariatric surgery facilitates weight loss by combining gastric restriction with malabsorption to reduce calorie intake long-term.

2. The Benefits of Bariatric Surgery
For individuals with severe obesity, bariatric surgery can lead to substantial weight loss that is unachievable through diet and exercise alone. On average, patients lose 50-70% of their excess body weight within the first 12-18 months after bariatric surgery. Some of the many potential benefits include:

#1 Improvement or remission of obesity-related conditions like type 2 diabetes, high blood pressure, abnormal cholesterol, sleep apnea, heart disease, fatty liver disease, and osteoarthritis. Studies demonstrate diabetes remission rates between 30-63% following bariatric surgery.
#2 Reduced risk for heart disease, stroke, kidney disease, and certain types of cancers that are worsened by obesity. Bariatric surgery extends life expectancy for severely obese patients.
#3 Improved physical function, mobility, and ability to perform daily activities without disability or pain. This enhances the overall quality of life.
#4 Better psychological health and self-esteem. For many patients, weight loss reduces depression, anxiety, and social isolation associated with obesity.

Bariatric surgery also positively alters gut hormones that regulate hunger, satiety, and blood sugar control. This facilitates long-term weight maintenance so that lost weight stays off.

3. Am I a Candidate for Bariatric Surgery?
Individuals with a body mass index (BMI) of 40 or higher are typically candidates for bariatric surgery. Those with a BMI between 35-40 who also have obesity-related conditions like diabetes, heart disease, or sleep apnea may also qualify. It’s vital to understand that bariatric surgery is not a quick fix. To achieve successful long-term results, patients must be ready and willing to make significant permanent lifestyle changes regarding their dietary habits, physical activity, and behavior.

Consulting with an experienced bariatric surgeon like Dr. Fiszer is the best way to determine if you are an appropriate candidate for bariatric surgery. He will conduct a thorough medical evaluation, including a detailed history, physical exam, lab tests, and in-depth discussion of your weight loss goals and motivations. Having realistic expectations about bariatric surgery results, and the commitment to make comprehensive lifestyle changes, are critical factors in determining candidacy.

4. Choosing the Right Bariatric Surgeon
Selecting the right bariatric surgeon is the most critical decision in the process of ensuring optimal surgical experience and outcomes. Key factors to look for include:

#1 Board certification in general surgery. Dr. Fiszer is board-certified in general surgery by the American Board of Surgery and is a Fellow of the American College of Surgeons.
#2 Extensive experience performing bariatric procedures. With over ten years of specializing in bariatric surgery, Dr. Fiszer has the expertise and skills to provide exceptional surgical care.
#3 Use of advanced minimally invasive techniques. Dr. Fiszer performs laparoscopic and robotic-assisted bariatric surgery, which involves smaller incisions, less scarring, shorter hospitalization, and fewer complications.
#4 Strong reputation for clinical excellence and patient satisfaction. His patients highly regard Dr. Fiszer for his surgical skills, compassion, and dedication to personalized care.
#5 Accredited surgery center. Elite Surgical Miami is fully accredited by the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery.

5. What to Expect with Bariatric Surgery
The bariatric surgery process involves:

#1 Pre-Surgery – Comprehensive medical and psychological evaluation to determine candidacy and tailored pre-operative education. Dr Fiszer addresses any questions or concerns during in-depth consultation. Preparation also includes diet changes, smoking cessation, and other health optimizations.

#2 Surgery Day – Patients arrive 1-2 hours before surgery for admission and anesthesia preparation. Laparoscopic/robotic bariatric surgery is performed under general anesthesia, taking 1-3 hours. Patients are closely monitored after surgery until discharged home, usually after one night in hospital.

#3 Recovery – Initial recovery involves 1-3 days rest at home before returning to light daily activities. A gradual liquid diet progresses to soft foods over 2-3 weeks. Pain and discomfort subside within 2-4 weeks. Low-impact exercise can typically resume after 4-6 weeks. Most patients return to normal activities within 6-8 weeks.

#4 Follow-Up Care – Regular clinic visits with Dr. Fiszer and nutritionists are critical to monitor progress and health during the first year after surgery. Patients also attend support groups to reinforce lifelong diet, exercise, and lifestyle changes needed to sustain weight loss results.

With his patient-centered approach and over a decade of bariatric surgery expertise, Dr. Luciano Fiszer provides customized surgical care tailored to help patients achieve their weight loss goals. Contact Dr. Luciano Fiszer  to schedule a consultation at Elite Surgical Miami.

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