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Weight Loss Surgery

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Weight Loss Surgery at CNOS

Tired of feeling like you’ve tried every diet and failed? Worried about how your weight is impacting your health and happiness? We’re here for you!

At CNOS, we understand the issues that stem from obesity, from a lack of mobility to a lower quality of life. Our goal is not only to help our patients lose a significant amount of weight but also to improve their quality of life while positively impacting their health and wellness.

Surgical weight loss may be an option for you. Find out more by viewing the seminar video below. After viewing the video, call Heather Garlinghouse at 605-217-5511 to schedule a consultation with Dr. Rizk or Dr. Hegvik.

The CNOS Weight Loss Surgery Difference

  • Our surgeons have been performing weight loss surgeries in the Siouxland area for over 40 years.
  • We work with you before, during, and after surgery.
  • Weight loss surgery is a tool and we are here to teach you the lifestyle changes necessary to use this tool most effectively.
  • We offer an in-house Bariatric Dietitian, Bariatric nurses, and Insurance Specialists who will work with you during your entire weight loss journey.
  • Learn about mineral & vitamin supplementation 

Am I a candidate for weight loss surgery?

Obesity is measured by a scale called Body Mass Index (BMI).  Your BMI is a numerical value of your weight in relation to your height.
To qualify for weight loss surgery, your BMI must be 35 or greater. 

An individual with a BMI of 30-35 with at least one obesity-related health issue such as diabetes, high blood pressure, sleep apnea, heartburn, or high cholesterol may qualify for surgery. An individual with a BMI of 35 or higher with no obesity-related health issues may also qualify.

Weight Loss Surgery Options

The surgeons at CNOS have been performing weight loss surgery since 1976, and are proud to offer the latest technologies in laparoscopic weight loss surgery. Since 2002, these surgeons have performed over 1,800 laparoscopic weight loss surgeries, with fewer complications than the national average.

Since 2003, this multidisciplinary team has taken a dynamic approach to weight loss surgery care by utilizing a comprehensive educational program for our patients. This team includes psychologists, registered nurses, insurance specialists, and an in-house dietitian to help our patients make lasting changes to their lifestyles to promote long-term success.

Check out your surgery options below:

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Sleeve Gastrectomy

The Laparoscopic Sleeve Gastrectomy – often called the sleeve – is performed by removing approximately 80 percent of the stomach. The remaining stomach is a tubular pouch that resembles a banana. The excised portion of the stomach is removed from the body.

The new stomach pouch holds a considerably smaller amount of food than the normal stomach.  This helps reduce the amount of calories that can be consumed. This surgery seems to greatly affect the gut hormones that impact a number of factors including satiety, hunger, and diabetes. Like other metabolic surgeries, it also helps to establish a lower, healthier body fat set point by changing the signals between the stomach, brain, and liver.

 

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Gastric Bypass

The Roux-en-Y Gastric Bypass – often called gastric bypass – is considered the gold standard of weight loss surgery.

​During gastric bypass surgery, the surgeon creates a small stomach pouch, about the size of a golf ball. The surgeon then attaches a section of the small intestine directly to the pouch. This allows the food to bypass a portion of the small intestine, which absorbs calories and nutrients.

Having the smaller stomach pouch causes the patient to feel full sooner and eat less food; bypassing a portion of the small intestine means the patient’s body absorbs fewer calories. Like other metabolic surgeries, it also helps to establish a lower, healthier body fat set point by changing the signals between the stomach, brain, and liver.

The portion of the small intestine that would normally absorb calories that is bypassed in this surgery is also responsible for absorbing nutrients. This leads to less absorption of calories and nutrients. This means, following this surgery you will need to be on a vitamin and mineral regimen for the rest of your life.

Most importantly, this rerouting of the digestive system produces changes in gut hormones that promote satiety, suppress hunger, and reverses one of the primary mechanisms by which obesity induces type 2 diabetes.

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Lap Band

During a Lap Band surgery, a silicone band is placed around the upper portion of the stomach to create a small upper pouch and a lower stomach pouch. To control the tightness around your stomach, saline is delivered through an injection port and tubing connected to the band. The injection port is attached to the abdominal wall during surgery.

The Lap Band limits the amount of food you can eat at one time. For this reason, you feel full sooner than usual. The stomach created by the band also slows the flow of food from the upper stomach to the lower stomach. When the band fits properly and is filled adequately, it helps you feel satisfied and full with minimal discomfort. Your health care team will determine when adjustments to your band are needed. You will quickly learn how to eat to avoid discomfort and regurgitation.

Your Weight Loss Journey Step-by-Step

One of the most critical elements of a successful bariatric program is the offering of a “holistic” model of treatment of care, involving pre- and post-surgical services and lifestyle support. Our main priority is to be an asset to our patients and provide assistance and care for life. Learn more about life after weight loss loss surgery and how to keep your health a priority

View Our Seminar Video

View our virtual weight loss surgery seminar video above

Schedule Your Initial Consultation

At the time of your initial consultation, you will have a general outline of the surgical process explained to you by your weight loss surgeon.  The surgeon will then complete an individual history and physical with you at which time he will help you decide what surgical option is best for you.  You will also meet with our Bariatric Coordinator who will discuss insurance benefits, requirements, and your financial responsibilities.  We know the insurance process can be overwhelming. Our Bariatric Coordinator will be here to walk you through the entire process.

Complete Our Educational Program

Our educational program consists of a multidisciplinary team that will walk you through the lifestyle changes necessary for long-term success.  Part of our team includes an in-house Bariatric Dietitian and Bariatric Nurses who will educate you on everything from how your surgery is performed, to your pre-and post-operative diet and exercise plan, to teaching you how to make these changes to your lifestyle.

The program includes a series of Behavior Modification Classes that will focus on education of eating management, compliance with behavioral changes, body image changes, relationship issues, eating triggers, and coping skills designed to assist in modifying your lifestyle.

The Bariatric Educational Team will follow up with you before and after surgery.  In addition to the classes at CNOS Sioux Point Clinic, your weight loss surgeon will refer you to a psychologist for a psychological examination.  This evaluation may address general psychiatric functioning, depression, eating disorders, alcohol abuse/dependence, trauma issues, or support/relationship issues.

Our program also features a Bariatric Support Group that you will attend prior to and after your surgery. As a staff, we understand your struggles and we want to help. Our team is specialized in weight loss surgery and all of our team members have been trained in bariatric sensitivity. Lastly, all of our education classes take place in a facility that is geared toward our patients – with chairs and scales to accommodate all bariatric patients.

Confirm Insurance Approval and Schedule Surgery

The Bariatric Coordinator will work closely with you and your insurance company during the insurance approval process. Once we have an insurance approval and you have completed the educational classes, you will be ready to schedule your surgery.

Undergo Surgery

The CNOS weight loss surgeons perform their surgeries at the Dunes Surgical Hospital and MercyOne Medical Center. You will spend one night in the hospital and then go home the next day. Most patients are to work approximately 2 weeks after surgery.

Attend Post-Op Meetings

After surgery, you will continue working with your Weight Loss Team.  Your surgeon will request that you have labs drawn yearly so that we can monitor your nutritional health.  CNOS also has a Weight Loss Surgery Support Group in place to provide information, support, and a place to connect with others who have had weight loss surgery or are researching surgical options.  These meetings are educational and supportive.  You are invited to come and share experiences with other weight loss surgery patients in a fun and exciting environment.

Weight Loss Surgery Financing

After your initial consultation, the surgeon will gather information to include in the insurance request. Our bariatric coordinator will also review your insurance information and explain your financial responsibilities to you.

Insurance

CNOS offers Insurance Specialists who will be available to provide answers and support beginning at your initial appointment and throughout your entire surgical experience.  The insurance process is a vital part of your surgery.  This process can take time, but it will help relieve your financial burden in the end.  Our Bariatric Coordinator will work with you to make sure everything is in place to obtain approval from your insurance company.

Self-Pay

If your health insurance company does not offer benefits for weight loss surgery, we do offer self-pay options to cover our procedures. These prices include the surgeon’s fee, anesthesiologist’s fee, the pathologist’s fee, the facility fee, and the fee for our educational program.

SLEEVE GASTRECTOMY $13,000

GASTRIC BYPASS $15,990

LAP BAND $9,995

ORERA BALLOON $7,000

Disclaimer: All prices are subject to change. Self-pay prices are quoted for procedures performed at the Dunes Surgical Hospital.

If you have any questions, or would just like more information about this program, please contact our Bariatric Coordinator, Heather Garlinghouse, at (605) 217-5511. You can also reach Heather by email: heather.garlinghouse@cnos.net.

CNOS Weight Loss Surgery Clinic Locations

The following CNOS clinics offer weight loss surgery in communities throughout Siouxland. Find a clinic near you to visit with a weight loss specialist.