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What weight loss surgery does medicaid cover ?

 



Advantages and disadvantages of bariatric surgery (weight loss surgery) What are the risks of rebound and complications?


National Center for Global Health and Medicine Hospital Surgeon


Table of contents

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·       Benefits of bariatric surgery (weight loss surgery)

·       Disadvantages and precautions of bariatric surgery (weight loss surgery)

·       Bariatric surgery (weight loss surgery) is only part of obesity treatment

·       Bariatric surgery (weight loss surgery) is a treatment aimed at helping patients with severe obesity who have complications such as diabetes to live a long and healthy life. While it is a treatment option for those who have difficulty controlling it with medical treatment, it is said that there are many disadvantages. Continuing, National Center for Global Health and Medicine Hospital. The doctor talked about the merits and demerits of bariatric surgery and the precautions.

 

Benefits of bariatric surgery (weight loss surgery)

 

The obesity issue is a health disorder that is caused or related to obesity, such as diabetes. one of the treatment options for patients.

 

Disadvantages and precautions of bariatric surgery (weight loss surgery)

 

It does not mean that you will become “a body that does not gain weight even if you eat”

The disadvantage of bariatric surgery is that you cannot lose weight without reviewing your lifestyle, or even if you lose weight once, it may rebound.

 Sleeve gastrectomy" is a technique that cuts the stomach to reduce its volume, but it does not suppress the absorption of nutrients itself, so if you eat more than you need, you will gain weight ( In other words, even if you lose weight after surgery, if you return to your original eating habits after discharge, it will be difficult to obtain the effects of the treatment.

 

Don't expect too much.

 

Even if you were able to lose weight temporarily after surgery, you may rebound depending on your lifestyle. It is important to face the cause of obesity properly and try to improve your lifestyle after surgery.

 

May consider revision surgery


If surgery is not effective in weight loss, if diabetes is poorly controlled, or if gastroesophageal reflux or obstruction occurs, revision surgery such as bypass surgery may be considered.

 

Postoperative complications may occur


Obesity increases the risk of general esthesis and the surgery itself. economy class syndrome embolism operation Special attention should be paid to respiratory complications such as pneumonia, pneumonia, and atelectasis. Obese people often have sleep apnea even if they are not aware of it, and in this case, the risk is even higher.

Also, among bariatric surgeries, the main complications that can occur with laparoscopic sleeve gastrectomy are:

 

Suture failure *

·       bleeding

·       gastroesophageal reflux disease

·       obstructions

·       bowel

·       malnutrition

·       dumping syndrome

·       embolism

·       pulmonary complications

·       Such

 

*Suture failure: Delayed healing of sutured wounds, failing the tissue to heal, resulting in the dissection of part or all of the suture.

 

Bariatric surgery (weight loss surgery) is only part of obesity treatment.

 


Bariatric surgery is only one part of obesity treatment. Efforts to control weight by changing one's behavior are necessary after surgery. If you go back to your old lifestyle after leaving the hospital and continue to eat and drink, your weight will return to normal. It is a relatively new treatment in Japan that requires various precautions, so for those who wish to have bariatric surgery, we have explained in this article the precautions, risks, and disadvantages of the surgery, so please read in advance. are various risks and precautions, but we only perform bariatric surgery for those who still wish to have it.

 

In addition, to improve the prognosis of patients through bariatric surgery, our hospital has a wide range of specialists, including surgeons, physicians, registered dietitians, certified nurses for diabetes nursing certified by the Japanese Nursing Association, and clinical psychologists. building a system to watch over patients from multiple angles with a team. For each patient, a bariatric surgery treatment team consisting of multiple professionals is created, and comprehensive support is provided while regularly discussing surgical indications, postoperative progress, and the patient's mental health. I think this is the strength of our clinic.

 

As of January 2021, our hospital is also conducting clinical research on bariatric surgery (laparoscopic sleeve gastrectomy) for obese and diabetic patients who meet certain criteria. Bariatric surgery at our hospital is currently self-funded. The cost (the patient's self-pay amount) is the sum of the following charges.

 

Self-pay for hospitalization in internal medicine for preoperative weight loss (preoperative hospitalization, approximately 140,000 yen, covered by insurance)Out-of-pocket expenses for surgical hospitalization (hospitalization for surgery, approximately 250,000 to 300,000 yen *, treatment not covered by insurance)Expenses for formula meals (600 yen + tax per meal if purchased at mail-order price through our clinic or at our store)

*Before surgical treatment, you must be admitted to the internal medicine department, and the final surgical indication will be based on the results.

 

* The cost of surgical hospitalization varies depending on the hospitalization period and symptoms.

 

*In the case of replacing one meal, the cost of a formula meal per month is about 20,000 yen.

 

Surgery indication.

 

Primary (primary) obesity between the ages of 18 and 65

Those who have not received sufficient medical treatment and who meet any of the following conditions.

1) BMI of 35 kg/m2 or more is indicated for surgery whose main purpose is weight 2) Surgery is mainly for the treatment of comorbidities

(diabetes, hypertension, dyslipidemia, liver dysfunction, sleep apnea syndrome, etc.)

It is a clinical study and requires strict informed consent, clinical registration, and follow-up.

 

Due to the revision of insurance conditions in 2020, in principle, surgery indication at our hospital corresponds to cases that meet insurance coverage. Due to the COVID-19 epidemic, surgery for benign diseases, including bariatric surgery, may be suspended or postponed.

Indications for laparoscopic sleeve gastrectomy covered by health insurance

-Patients with a BMI of 35 kg/ m2 or more who have not obtained a sufficient effect even after 6 months or more of medical treatment, and who have diabetes, hypertension, dyslipidemia, or sleep apnea syndrome.

Obesity with a BMI of 32.5 to 34.9 and diabetes with hemoglobin (Hb) A1c of 8.4% or more who have not obtained sufficient effects even after 6 months or more of medical treatment, and who have hypertension, dyslipidemia, Or have one or more obstructive sleep apnea syndrome (severe cases with AHI ≥ 30).

 

Bariatric Surgery Technique.

 

Currently, four types of bariatric surgery are mainly performed in Japan: laparoscopic sleeve gastrectomy, laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass, and laparoscopic sleeve bypass. In December 2017, laparoscopic sleeve bypass surgery (laparoscopic sleeve gastrectomy and duodenal jejunal bypass) was approved as an advanced medical treatment. At our hospital, we mainly perform laparoscopic sleeve gastrectomy covered by health insurance, but for patients with severe diabetes, we have established a system to perform laparoscopic sleeve bypass surgery with the approval of the Ethics Committee.

We select the surgical method according to the condition of the patient.

 

 

 

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