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CentraCare Health – Monticello

  • Ask the Doctor - December 2018

Ask the Doctor

Munyaradzi Chimukangara, MD

Surgeon at CentraCare Health - Monticello

Is Bariatric Surgery Right for Me?

Question: I am interested in learning more about bariatric surgery. What are typical outcomes and when is this surgery recommended?

Answer: Surgery is a tool used to treat diseases.  Like heart disease, kidney failure or cancer, obesity is  also a disease.  Like all other diseases, obesity should be treated and managed. An indicator of obesity includes a body mass index (BMI) of 30 or greater.

Obesity has become a health crisis in the United States.  More than one third of adults in the US are obese and one in six children is obese in the U.S. If rates remain consistent, 51 percent of the U.S. population will be obese by 2030 (in 12 years). 

There are many health risks associated with obesity including stress on the body organs, causing the body system to prematurely fail.  Many obese patients also develop illnesses such as high blood pressure, diabetes, high cholesterol, sleep apnea, depression, cardiac disease, infertility, arthritis, stress incontinence, and cancers at a young age.  Obesity is the second leading cause of preventable deaths and it is also expensive to manage. However, there are treatment options including:

·         Diet: Eating a balanced diet and limiting extra calories is important.  When you eat more than you burn, the body stores the extra energy as fat. 

·         Exercise: Physical activity helps burn extra calories, build muscle mass and supports our body hormones to function normally, all essential elements to maintain a healthy weight.

·         Medicine: There are medicines available that can be used to decrease cravings and stabilize mood to support more successful outcomes with changes in eating habits.

·         Surgery: This is the most effective tool to achieve and maintain weight loss in most patients. Surgery allows you to eat less and feel satisfied sooner. However, I encourage patients to consult their primary provider and sign up for a free class to provide further education to determine if surgery is an option for you.

For those who are good candidates, outcomes of bariatric surgery include:

·         Loss of 60-70 percent of excess weight by 1 year

·         Drastic resolution of comobidities as noted in the table below:

High blood pressure 92%

Diabetes 95%

High cholesterol 97%

Reflux disease 95%

Sleep apnea 75%

Stress incontinence 87%

Arthritis 82%

Cardiac function improved 95%

·         Increase in quality of life

To learn more about your bariatric surgery options, contact your primary provider to discuss the options that are best to meet your health care needs.

CentraCare Health - Monticello

1013 Hart Boulevard, Suite 1
Monticello, MN 55362
Phone: 763-295-2945
Business Office: 800-835-6618
Monticello Medical Group: 763-271-2200
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