Gastric Surgery / Baratric Surgery is surgery performed on the organs of the digestive tract for weight loss and many other reasons. EMT offers many types of state-of-art gastric surgery / baratric surgery or weight loss surgery at prices that are normally 65% - 75% below the prices of gastric surgery / baratric surgery in the US and are individually quoted. They include all medical expenses, the hospital stay, anesthesia, medicine, nursing, semi-private room, meals, pre-op diagnosis, local phone and English TV. You can view medical information for some of the major procedures in the following pages.
Wherever you go for wieght loss surgery please make sure your physician has a zero mortality rate for all bariatric procedures. He/She also should have an infection rate lower than 3%. They should also do (this is very, very important) extensive preop tests including an abdomenal ultrascan, a chest x-ray, an upper endoscopy, a stomach bacteria check, a lung functionality test, an EKG, blood tests and more.
Moreover, if your procedure involves a sleeve gastrectomy (stomach stapling) as in the duodenal switch and sleeve gastrectomy, please make sure your surgeon uses the highest quality staples.
Additionally, if you are going for the lapband procedure please make sure that the surgeon uses the Inamed lap band, especially if you are from North Ameirca, as this is the only FDA approved lap band. Many cheap providers do not use the Inamed lap band. This may not only be a quality issue, but an issue about finding aftercare in the US.
Please see our list of some of our weight loss surgery
procedures below.
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Diabetes is unquestionalbly reduced for those who undergo weight loss surgery. In a study conducted by Buchwald H, Avidor Y, Braunwald E, et al, entitled, Bariatric Surgery: A Systematic Review and Meta-analysis and published in the Journal of the American Medcial Aassociation, issue 292:1724-1737, 2004 has striking conclusions described in the following paragraph.
Weight loss surgery helps reduce the seriousness of all four of the diseases (diabetes, high blood pressure, high cholesterol and sleep apnea studied. Diabetes completely disappeared in 76.8% of the patients and was resolved or improved in 86%. High cholesterol improved in 70% of the patients. High blood pressure disappeared in 61.7% of patients and was resolved or improved in 78.5%. Obstructive sleep apnea, or breathing disturbances during sleep, disappeared in 85.7% of patients and was resolved or improved in 83.6% of patients.
Given the severity of these diseases, especially diabetes, weight loss surgery is certainly a justifiable and prudent decision.
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Prices in Germany are normally 65% below the cost of a duodenal switch in the US and are individually quoted. They include all medical expenses, the hospital stay, surgeon's fees, operation room fees, anesthesia, anesthesiologist's fees, medicine, nursing, semi-private room, meals, pre-op diagnosis, local phone and English TV.
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Prices in Germany are normally 65% below the cost of a Duodenojejunal Bypass in the US and are individually quoted. They include all medical expenses, the hospital stay, surgeon's fees, operation room fees, anesthesia, anesthesiologist's fees, medicine, nursing, semi-private room, meals, pre-op diagnosis, local phone and English TV.
The Duodenojejunal Bypass is now receiving a great deal of interest in a new field called metabolic surgery, although this procedure was originally done to relieve the pain of patients with intestinal cancer. As other bariatric procedures are proving, a particular section of the duodenum is deeply involved in Type II diabetes. When this section of the duodenum is bypassed with surgery, Type II diabetes, seems to disappear almost over night, establishing glucose homeostasis. In the Duodenojejunal Bypass sections of duodenum are bypassed via an end-to-end anastomosis. The biliopancreatic secretions are also diverted into the distal jejunum through a choledochojejunostomy, a surgical anastomosis of the common bile duct and the jejunum. As with the duodenal switch, the pyloric valve is preserved, but unlike the duodenal switch no gastric sleeve or other procedure is performed on the stomach.
A large weight loss is also a result of Duodenojejunal Bypass, because much of the absorption of food occurs in the duodenum.
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The gastrointestinal tract or digestive tract, also referred to as the GI tract or the alimentary canal (nourishment canal) or the gut, is the system of organs within multicellular animals which takes in food, digests it to extract energy and nutrients, and expels the remaining waste. This process is called digestion.
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Prices in Germany are normally 65% below the cost of a gastric balloon in the US and are individually quoted. They include all medical expenses, the hospital stay, surgeon's fees, operation room fees, anesthesia, anesthesiologist's fees, medicine, nursing, semi-private room, meals, pre-op diagnosis, local phone and English TV.
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Prices in Germany are normally 65% below the cost of gastric bypass surgery in the US and are individually quoted. They include all medical expenses, the hospital stay, surgeon's fees, operation room fees, anesthesia, anesthesiologist's fees, medicine, nursing, semi-private room, meals, pre-op diagnosis, local phone and English TV.
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Gastric Bypass - Research |
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Prices in Germany are normally 65% below the cost of gastric bypass surgery in the US and are individually quoted. They include all medical expenses, the hospital stay, surgeon's fees, operation room fees, anesthesia, anesthesiologist's fees, medicine, nursing, semi-private room, meals, pre-op diagnosis, local phone and English TV.
It is well understood that Gastric Bypass surgery causes the mechanical restriction of food intake, but how does this account for food satiation of Gastric Bypass recipients?
In a study published by David E. Cummings and others, Gastric Bypass surgery was shown to reduce the levels of the hormone ghrelin by 77 percent of the normal weight person. Ghrlein is a hormone mostly produced by the stomach and is correlated with food intake in humans and laboratory rodents. This is a strong indication that the Gastric Bypass may inhibit the production of ghrelin.
In contrast people, who diet, have a higher level of ghrelin in their blood plasma. This may account for why so many dieters regain their weight.
Like other weight loss procedures, the Gastric Bypass procedure also has the benefits of reducing comorbidities, such as diabetes, hypertension (high blood pressure), and high cholesterol in the vast majority of the those, who undertake the surgery. |
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Medtronics, who purchased the original maker (Transneuronix) of the gastric pacemaker, has withdrawn the gastric pacemaker from the global market indefinitely for weight loss surgery. The doctors we have contacted, all recommended the gastric banding procedure for clients seeking the gastric pacemaker procedure. It is still used for gastroparesis, a condition where the patient cannot keep food down.
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Outcome after Laparoscopic Adjustable Gastric Banding – 8 Years Experience
Published in Obesity Surgery, 13, 2003 (Received August 27, 2000; accepted November 3, 2002)
Background: Laparoscopic adjustable gastric banding
(LAGB) has been our choice operation for morbid obesity since 1994. Despite a long list of publications about the laparoscopic adjustable gastric banding (LAGB) during recent years, the evidence with regard to long-term weight loss after laparoscopic adjustable gastric banding (LAGB) has been rather sparse. The outcome of the first 100 patients and the total number of 984 LAGB procedures were evaluated.
Methods: 984 consecutive patients (82.5% female) underwent laparoscopic adjustable gastric banding (LAGB). Initial body weight was 132.2 ± 23.9 SD kg and body mass index (BMI) was 46.8 ± 7.2
kg/m2. Mean age was 37.9 (18-65). Retrogastric placement was performed in 577 patients up to June 1998. Thereafter, the pars flaccida to perigastric (two-step technique) was used in the following 407 patients.
Results: Mortality and conversion rates were 0. Follow-up of the first 100 patients has been 97% and ranges in the following years between 95% and 100%
(mean 97.2%). Median follow-up of the first 100 patients who were available for follow-up was 98.9 months (8.24 years). Median follow-up of all patients
was 55.5 months (range 99-1). Early complications were 1 gastric perforation after previous hiatal surgery and 1 gastric slippage (band was removed). All
complications were seen during the first 100 procedures. Late complications of the first 100 cases included 17 slippages requiring reinterventions during
the following years; total rate of slippage decreased later to 3.7%. Mean excess weight loss was 59.3% after 8 years, if patients with band loss are
excluded. BMI dropped from 46.8 to 32.3 kg/m2.5 patients of the first 100 laparoscopic adjustable gastric banding (LAGB) had the band removed, followed by weight gain; 3 of the 5 patients underwent
laparoscopic Roux-en-Y gastric bypass (LRYGBP) with successful weight loss after the redo-surgery. 14 patients were switched to a “banded” LRYGBP and 2
patients to a LRYGBP during 2001-2002. The quality of life indices were still improved in 82% of the first 100 patients. The percentages of good and excellent results were at the highest level at 2 years after LAGB (92%).
Conclusions: Laparoscopic adjustable gastric banding (LAGB) is safe, with a lower complication rate than other bariatric operations. Reoperations can be performed laparoscopically with low morbidity and short hospitalizations. The LAGB seems to be the basic bariatric procedure, which can be switched laparoscopically to combined bariatric procedures if treatment fails. After the learning curve of the surgeon, results are markedly improved. On the basis of 8 years long-term follow-up, it is an effective procedure.
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The price in Germany is 6900 EUR for the best bariatric surgeon in Europe with an eight day hospital stay, which is averages 65% below the cost of lap band surgery or gastric banding surgery in the US. If you have a two night hospital stay and take the rest of recovery in a nearby hotel, then the cost of lap band surgery is 5900 EUR. In France the cost of lap band surgery is 5500 EUR with a senior physician at a clinic next door to the hospital. Costs include all medical expenses, the hospital stay, surgeon's fees, operation room fees, anesthesia, anesthesiologist's fees, medicine, nursing, the hospital room, meals, pre-op diagnosis, local phone and English TV. All surgery is done laparoscopically unless contraindicated by a medical condition.
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Weight Loss Surgery