FAQs About Bariatric Endoscopy
How do I know if I need a revision or repair?
If you are experiencing nausea, vomiting, abdominal pain, abnormal weight gain or an increase in appetite after bariatric surgery, you may have a complication that can be corrected with a revisional procedure. The only way to know for sure is to visit your doctor. He may suggest that you have an upper endoscopy to evaluate your pouch and outlet in order to determine if there is anything in need of repair.
Why is endoscopic repair better than traditional revisional surgery?
Endoscopic techniques usually do not involve any outside cuts on your body. They are far less invasive than traditional surgery and offer faster recovery times, less pain, and no scars. Typically, an extended hospital stay is not necessary, as these endoscopic procedures are usually performed in an outpatient setting.
What are my options if I have regained weight after bariatric surgery?
If you are gaining weight after bariatric surgery, ask for help! You can always meet with our dietitian to help regain control of your diet. If there is an anatomical complication or change that needs attention, your options include open, laparoscopic or endoscopic surgery. At NIBR, we can help identify what may be the problem and guide you to the best solution.
What are the risks associated with endoscopic suturing procedures?
Risks and complications of endoscopic suturing procedures for endoscopic bariatric surgery are similar to those normally associated with endoscopic procedures. These risks are typically less than open or laparoscopic surgery. Your physician will discuss these in detail prior to performing any procedure.
What routine tests are needed before my procedure?
Among other tests, your doctor will typically recommend an upper endoscopy and/or upper GI series to inspect and evaluate your gastric bypass anatomy. These tests will help identify any abnormalities and provide information needed to develop a plan of care. You may also need some initial blood work and pre-operative clearances (determined by your existing medical conditions).
How do I prepare for an endoscopic procedure?
Most endoscopic procedures require you to fast after midnight the night before your procedure. Before a revisional procedure, we recommend a 1-week full liquid diet, supplemented with high-protein shakes. This will help become accustomed you to the post-operative diet and may help with weight loss before the procedure.
Will my insurance cover the cost of the procedure?
Every case is different, and we try our best to use your insurance benefits to cover the costs of the procedure. There are financing options available for those who need it.
If I use a financing company and get a surgical loan, what will my monthly payment be?
Your monthly payment will be determined by the cost of your procedure and the hospital fees, the term of the loan (how many months you decide to take to pay off your loan), and your interest rate, which depends on your credit score. We suggest that you check with your local bank, as well as AdvanceCareCard.com for specific payment information.
If I pay for the procedure myself, are there any tax deduction benefits?
You may be eligible to receive money back in potential tax savings. IRS Publication 502 states that you can deduct your medical and dental expenses when they total more than 7.5% of your Adjusted Gross Income.
What is the recovery time?
Most patients can go back to work and back to their normal life the day after the procedure. You can expect a full recovery in just a few days.
What will my diet be like?
We recommend that you meet with a dietitian before and after the procedure. The diet after endoscopic repair is very similar to a post-bariatric surgery diet. You will progress from full liquids to a pureed diet, and slowly add more solid foods as tolerated. The focus of the diet is high protein, low carbohydrate foods and plenty of fluids.
How long should I wait before exercising?
We don’t recommend heavy lifting for at least 3 weeks but do recommend daily cardiovascular exercise after one week, including walking, jogging, using an elliptical machine or exercising on a stationary bike.
How much weight will I lose?
How much weight you lose will depend on your compliance with the recommended diet. There is no way to predict exactly how many pounds you will shed, but most of our patients have weight loss of than 10-15 pounds within the first month.
What can I do before the appointment to expedite the procedure?
- Choose a primary care doctor (if you don’t already have one), and ensure that your routine health maintenance is up to date.
- Bring a list of previous efforts toward weight loss – including gym memberships, diets, medications, etc.
- Bring any medical information or documents you may have. These included previous procedures, blood work, imaging and results from any recent hospitalization.
- Write down and bring in a list of medications, dosage, frequency, and who prescribed them.
“Individual results may vary. Results are not guaranteed with this or any other procedure. Any weight loss procedure should be accompanied with nutritional counselling and an appropriate diet and exercise program.”