Weight Loss Surgery

Obesity: A Disease

Obesity is a serious disease with symptoms that build slowly over an extended period of time. The National Institutes of Health (NIH) defines morbid obesity as being 100 pounds or more above your ideal body weight OR having a body mass index (BMI) of 40 or greater OR having a BMI of 35 or greater, and one or more co-morbid conditions.

The disease of morbid obesity interferes with basic physical functions such as breathing or walking. Long-term implications of the disease include shorter life expectancy, serious health consequences in the form of weight-related conditions such as type 2 diabetes and heart diseases, and a lower quality-of-life, with fewer economic and social opportunities.

Obesity is a serious public health issue in the United States. Based on NIH guidelines, millions of Americans are living with obesity and may qualify for bariatric surgery. Bariatric surgery is one of many options available to reduce weight and improve one’s health and overall well-being.

Dr. Kothari can perform bariatric surgery psychiatric evaluations for patients who have elected to do the procedure, and offers an array of supports related to bariatric surgery if needed.

What is Lap Band Surgery?

The Lap Band (laparoscopic band surgery) or Adjustable Gastric Band is a simple yet advanced system that helps you gradually lose and control your weight by reducing the amount of food that your stomach can hold at one time. In Adjustable Gastric Banding surgery a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch (about 7 ounces) with a narrow passage leading into the larger remainder of the stomach, reducing the size of stomach and limiting the capacity of food intake.

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What is Gastric Sleeve Surgery?

Sleeve Gastrectomy is a surgical procedure used in the treatment of obesity. Sleeve gastrectomy surgery is a restrictive surgical procedure. It is restrictive in the sense that it “restricts” how much food the stomach can hold.

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What is Gastric Bypass Surgery?

Gastric bypass is a type of weight loss surgery used for the treatment of obesity. It is a combination of both restriction and malabsorption. Gastric bypass surgery makes the stomach smaller and allows food to bypass part of the small intestine. The procedure is performed to restrict food intake and reduce calorie and nutrient absorption. Roux-en-Y gastric bypass is the most commonly performed gastric bypass surgery.