Is Surgery Right for Me?
Research supports the benefits of weight-loss surgery for those who meet the following criteria:
- Body mass index (BMI) of 40 or more
- BMI between 35 and 39 diagnosed with morbid obesity and related health conditions such as Type 2 diabetes, obstructive sleep apnea, high blood pressure, osteoarthritis and other obesity-related conditions
- Some insurance plans may cover weight loss surgery for a patient with a BMI less than 35 with qualifiying conditions
- Unable to achieve a healthy body weight for a sustained period of time, even through medically supervised dieting
- Age 18+
- Willingness to make lifestyle and eating habit changes
- Commitment to behavior modification, support groups and long-term follow up
Pathway to Surgery
Bariatric surgery is an important decision to make – and we’re here to help. We recommend taking the following steps when considering surgery:
1. Attend a free online informational seminar
Our online seminars are free and open to all. They’ll provide you with details about weight-loss surgery and the Carle Bariatrics program. One of our surgeons will describe the procedures, the medical effects of untreated obesity and the lifestyle changes that come with surgery.
2. Schedule an appointment with a Carle bariatric surgeon
Call (217) 902-2100 to schedule a time to meet with our team and start your weight-loss journey.
3. Verify your insurance requirements
Although a staff member will review and verify your insurance carrier’s requirements when you schedule your first appointment, it is important to know how your coverage works beforehand. Please contact your insurance carrier to determine if your weight-loss surgery will be covered. Our team will work with Carle Financial Services to help answer questions and provide guidance as you work with your carrier. For questions, call (217) 902-2100.
The most common gastric bypass surgery performed in the U.S. First, our expert care team creates a small stomach pouch by stapling part of the stomach together or by vertical banding. This limits how much food you can eat. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the duodenum as well as the first portion of the jejunum, causing a reduction in calorie and nutrient absorption. Our care teams use a laparoscope (a thin telescope-like instrument for viewing inside the abdomen) in some cases, which involves using small incisions and generally has a quicker recovery time.
Laparoscopic Gastric Bypass
A gastric bypass is performed by introducing a laparoscope through small abdominal incisions. The entire operation is performed "inside" the abdomen and special stapling instruments are used to create a new small stomach pouch. The remainder of the stomach is not removed (99 percent), but is completely stapled shut and divided from the new small stomach pouch. This process allows for faster recovery.
Adjustable gastric banding limits food intake by placing a constricting ring completely around the stomach below the junction of the stomach and esophagus. The small gastric pouch (the size of a golf ball) restricts the amount of food that can be consumed during a meal. Ingested food passes through the digestive tract in the usual order, allowing it to be fully absorbed into the body.
Laparoscopic Sleeve Gastrectomy
This type of restrictive weight-loss involves the reduction of the size of the stomach to about 60 cc in volume. As a result, patients feel full after a smaller portion of food, and therefore lose weight due to lower food intake. There are also significant effects on the hunger mechanisms with this method that lead to greater weight loss with the sleeve gastrectomy than with just a small stomach pouch. Hunger is decreased because there is a reduced capacity to produce Ghrelin, a substance that plays a role in how you feel and relieve hunger. Weight loss with the sleeve gastrectomy ranges from 55 to 70 percent of excess body weight, depending on your circumstances.