The benefits of the gastric bypass procedure very much outweigh the risks. 75% of patients are expected to lose 75 to 80% of their excess body weight. Well over 70 to 80% of patients with hypertension will be off medications and well over 90% of patients with type II non-insulin dependent diabetes mellitus are expected to be off medication. Drastically improved, if not completely resolved includes sleep apnea, asthma, joint pain, arthritis, reflux, fatigue, shortness of breath and an overall increased sense of well-being.

There is expected to be a significant reduction in risks of heart disease, pulmonary disease and cancers. Morbid obesity can reduce the lifespan as much as 20% in a given patient, depending on their age and comorbid problems. There is also a significantly improved quality of life and self-esteem in patients who have undergone gastric bypass procedure for weight loss.

It is important to understand that this surgery is to be taken serious. In general, the risks to morbidly obese patients are greater for most surgeries and medical interventions than are for patients who are not morbidly obese. The incidence of the risks mentioned above are very low, however, are real and should be considered when making a decision as to your candidacy for a gastric bypass procedure. It is important to understand your role in the gastric bypass surgery. First and foremost, it is a tool for weight loss and for maintenance of weight loss. It is not a magic bullet and will not guarantee results without complete dedication by yourself and by your physician. Our practice would expect you to commit yourself to our program and accept long-term follow-up, and recognize that the surgery has its limitations. Following our suggestions made by your surgeon, nurse, and dietitian will greatly increase your success at this procedure. It is important to remember that vitamin supplements are a lifelong commitment as is exercise and a sensible diet.

It will require absolute dedication and cooperation from our patients. With this dedication will come unlimited benefits, the most important being the elimination or vast improvement in your obesity related medical problems.

• Right after surgery, most patients lose weight quickly and continue to lose for 18 to 24 months after the procedure. Although most patients regain 5 to 10 percent of the weight they lost, many maintain a long-term weight loss of about 100 pounds.

• Surgery improves most obesity-related conditions. For example, in one study blood sugar levels of 83 percent of obese patients with diabetes returned to normal after surgery. Nearly all patients whose blood sugar levels did not return to normal were older or had lived with diabetes for a long time.

Many individuals report having developed a newfound sense of well being after weight loss surgery. People who undergo weight loss surgery can usually expect:

• Improvement in or elimination of conditions associated with morbid obesity, including adult onset diabetes, hypertension, sleep apnea and arthritis and joint problems.

• Improved ability to engage in physical activity

• A loss of 50 to 70 percent of that weight above the ideal body weight. This loss usually occurs during the 18 months following surgery.

• Maintenance of this weight loss.