FAQs

 If you are between the ages of 18 and 70 and have a Body Mass Index (BMI) of 35 or greater, 或者体重指数在30-35之间，并伴有糖尿病等合并症, high blood pressure, 阻塞性睡眠呼吸暂停, 或者充血性心力衰竭, you may be a candidate.

每个人的情况都不一样. 但根据手术情况，通常会持续1到3个小时. After surgery you will remain in the recovery room until your anesthesiologist clears you to be moved to your hospital room, 通常在手术后1小时左右.

Most people can expect to lose between 60% and 70% of their excess body weight. 大部分在手术后的前18个月内消失.

这取决于手术的类型. With a gastric sleeve, 重量下降得稍微慢一点, 通常在一年或两年的时间里. 通过胃旁路手术, it a little more dramatic with most of the weight loss occurring in the first six months.

With any weight loss surgery, your body has to adjust to a smaller capacity for food. 虽然术后拉伸是很常见的, if you follow your post-operative eating guidelines you should be able to maintain a healthy weight. There is no reliable way to predict the amount of excess skin you may have. Younger patients will have fewer problems with excess skin after weight loss but most patients will have excess skin that may require surgery for removal.

除了最初的减肥饮食是由1比1组成的.5-month transition to solid food, you should be able resume a regular healthy diet in moderation. 

In most cases, yes. 减轻关节的重量, 许多人的关节疼痛减轻，活动能力增强. However, 如果你的关节已经有永久性损伤, 减肥并不能解决你所有的关节疼痛.

We frequently hear from our patients that their cravings have significantly diminished, 而且他们也不会觉得有必要一直吃东西. Much of this is due to reducing the amount of the hunger hormone (known as ghrelin) that is released into the system from the native stomach. 因为胃更小，胃促生长素的产生也更少.

Due to the post-operative diet, many patients suffer from a temporary thinning of the hair. 为了缓解这个问题, we recommend increasing protein intake and ensuring you are taking the recommended daily bariatric vitamins. 你可以和发型师谈谈使用增厚头发的洗发水. Thinning hair is a normal response to the initial rapid weight loss that occurs from both the Roux-en-Y gastric bypass and sleeve gastrectomy. 一旦你恢复正常饮食，摄入足够的蛋白质, 脱发稳定下来, 然后你开始重新长出头发. 对大多数人来说，它会恢复正常.

Typically, patients spend the first night postoperatively in the hospital. 许多病人不需要任何止痛药. We encourage patients to get up and walk around immediately during their post-operative stay in the hospital. Most people get back into the swing of things after a week or two following their procedure. For example, typically our patients go back to light aerobics and brisk walking after two weeks.

和大多数手术一样，一开始病人会感到疲劳. Once your metabolism changes for the better, your energy level will increase. This is because the quantity of food that is taken in is adequate to sustain good health. 其他需要的能量, your body metabolizes the storage areas including the fatty deposits and this usually results in an abundance of energy.

Your surgeon will be in the room and is the person performing the entire operation. We use a specialized team that is specifically trained to assist in robotic and laparoscopic procedures and they will be present as well.

The Roux-en-Y gastric bypass (which will be offered soon) changes your gastrointestinal tract. 因为在旁路手术过程中没有任何东西被移除，所以可以逆转. 然而，这一行动应被视为一种永久性的改变. 如果你还没准备好接受这种承诺, this type of procedure may not be the best option for you at this point.

不建议喝碳酸饮料.

首先，也是最重要的，自我教育. 阅读所有可用或可从我们的网站下载的材料. 看看其他有信誉的在线资源，比如www.obesityhelp.com, www.ASMBS.org, and www.obesityaction.org/weightlossoptions/bariatricsurgery. 参加我们的资讯讲座. 听听其他减肥手术患者的故事, 你也可以在网上或印刷品上找到, but be aware of the individual differences in surgical experience and compliance. Begin to put in place the recommended healthy lifestyle behaviors that go hand-in-hand with weight loss success, 比如戒掉碳酸/含咖啡因的饮料, 在每餐中加入健康的蛋白质来源, 尽可能增加体力活动, 减少简单和淀粉类碳水化合物的摄入. Another major change you need to make before surgery is to stop smoking. 你会发现你越早“屈服”于这些建议, the easier it will be to adopt and maintain this healthy lifestyle after surgery, 这样你就能更成功地长期保持体重.

不，任何形式的吸烟(电子烟、香烟等).) is not advised. 事实上，在手术前，你必须在6个月内戒掉尼古丁. 作为手术许可的一部分，尼古丁测试是必需的. 

减肥手术后怀孕是很有可能的. In fact, women who have suffered from infertility in the past will often regain their fertility as they lose weight. However, we recommend that our female patients avoid pregnancy for ideally at least 18 months to two years after weight loss surgery – specifically with gastric bypass and gastric sleeve. The reasoning behind this is that periods of rapid weight loss are not the ideal situation for nourishing a growing fetus.

However, 等你熬过了头两年, have lost the bulk of your excess weight and are successfully maintaining, 怀孕对你和宝宝都更安全, as you will be lighter, 更积极，更健康. In addition, you will have a lower risk of weight-related pregnancy and delivery complications, and the baby, 如果出生时体重正常, 以后出现健康问题的风险也会降低吗. If you become pregnant, please let us know as soon as possible because we’ll work closely with you and your OB-GYN to make sure you don’t become vitamin or mineral deficient during the pregnancy.

There is no right or wrong surgery, but some surgical types may be more suited to you than others. Your provider will take your input into account when making his recommendation. The decision should be based first on a clear understanding of the basics of each surgery, including risks and benefits; health conditions that may favor the benefits of one surgery vs. 另一个，或者相反，增加风险. Our goal is to help you make the best-informed decision possible for your circumstances and health challenges.

To start, you will take easy, short walks while you are in the hospital. 关键是要慢慢开始. 倾听你的身体和你的外科医生.