A Guide to the Cost of Gastric Sleeve Surgery

There is no set cost for gastric sleeve surgery. However, you can look at average costs and start to form your idea from there. If you want an exact price, you can only get that by scheduling a consultation with a surgeon. However, we can help you better understand the cost of gastric sleeve surgery, as well as factors that can raise or lower the price.

The Average Cost of Gastric Sleeve Surgery in the United States

The average cost of a gastric sleeve surgery is $14,900. However, this price is not all-inclusive. There are many other fees that are for vital aspects of your procedures which will be tacked on to this cost. So, think of this average as a base price which you then build off of.

Factors That Can Increase or Decrease the Price You Pay for Gastric Sleeve

The Price of Gastric Sleeve Surgery Can Vary by Region and Hospital

Prices also depend on how much it costs in your region, as well as how many hospitals offer this surgery within the area. This is because certain areas might have more expensive services, or they may not have a hospital offering gastric sleeve surgery.

The Cost of Gastric Sleeve Changes Based on the Technique

The type of gastric sleeve surgery you get will also alter how much it costs. There are two different techniques that surgeons use – the laparoscopic version and open approach. Laparoscopic procedures tend to cost more since they use specialized tools and require more extensive training for the surgeon.

Other Factors that Affect the Cost of Gastric Sleeve Surgery

  • Anesthesia fees
  • How long you stay at the hospital or clinic for after your procedure
  • Preoperative testing/lab work required before your procedure (bloodwork, EKG)
  • Any support garments you might require
  • Paid help at home
  • A hotel stay if you are traveling for your surgery
  • Procedure room to be used
  • Postoperative testing/lab work required before you leave the hospital or clinic (bloodwork, EKG)
  • Follow-up checkups and how many follow-up visits your surgeon requires after your surgery.
If you want an exact answer to how much does gastric sleeve surgery cost, you can only get that by scheduling a consultation with a surgeon. We can help you better understand how much gastric sleeve surgery in Baltimore might cost for you, as well as other bariatric surgery procedures that might be better suited to your goals. For more on life after surgery, read: Diet After Gastric Sleeve Surgery.  

3 Reasons Why Diarrhea Happens After Gastric Sleeve Surgery and How to Deal With It

Is it normal to have diarrhea after gastric sleeve? Unfortunately, yes. Many people experience diarrhea after gastric sleeve surgery. This is a common side effect and can last for several months, but it does go away with time. Luckily, there are some things you can do to help manage this unpleasant side effect. Here are 3 reasons why diarrhea happens after gastric sleeve surgery—and how to deal with it!

Why Diarrhea Occurs After Gastric Sleeve Surgery

1) The digestive tract is still adjusting to the changes that have happened in your body due to weight loss (gastrointestinal dysfunction). The digestive tract needs to adjust to the fact that you have less food and therefore less production of stomach acid. This is why your doctor may prescribe an over-the-counter antacid or proton pump inhibitor medication after surgery—this helps control the amount of acid in your stomach. While diarrhea can be a result of too much stomach acid, it is also a result of not enough stomach acid. Many people who have had gastric sleeve surgery in Maryland feel that their bodies still think they are eating the way they used to, and therefore bowel movements after gastric sleeve can be disordered. 2) You may be eating more fiber than you’re used to (increased motility or transit time through the intestine). Since you now have a smaller stomach, much less time is spent in this part of the digestive tract. This means that much more quickly than normal, food will begin its journey through what remains of your gastrointestinal (GI) tract—which includes both your stomach and your small intestine. Since the GI tract is meant to digest food over a prolonged period of time (think hours, not minutes), it has mechanisms in place that slow down what should be a fast passage through this area—one such mechanism is increased transit time. Increased transit time means that for whatever reason (most likely due to eating more fiber than your body is used to), food spends more time traveling through the small intestine. This means that there are higher concentrations of digestive juices in one area for an extended period—which often results in diarrhea. 3) You may not be drinking enough water as recommended by your doctor (dehydration). Just as water flushes through your system quickly when it is in high concentrations, the opposite also applies. When there isn’t enough water to dilute digestive juices that are produced by the body, diarrhea can be a result of dehydration. Oftentimes people think they are drinking plenty of fluids, but their urine output tells another story.

What to Do About Diarrhea After Gastric Sleeve Surgery?

Fortunately, diarrhea is a common side effect of gastric sleeve surgery that will subside over time. If you are experiencing this issue after your surgery, there are things you can do to help prevent diarrhea after gastric sleeve surgery:
  • Increase water intake—drink at least 64 ounces (half a gallon) of water every day as part of your diet after gastric sleeve surgery.
  • Increase your fiber intake gradually—if you are eating more than 20 grams per day, try to space this out over the course of each meal/snack instead of all at once.
  • Request an increase in antacid or proton pump inhibitor medication from your doctor- many people have success with this.
  • Work with your doctor to find the right balance between what you are eating and how much fiber is in it. This can be a great solution for some people but unfortunately may not work perfectly for everyone—which means that diarrhea will likely continue to happen from time to time until you figure out your ideal post-gastric sleeve diet plan.
Diarrhea should not last more than a few days to a week at most. If you are experiencing diarrhea for more than this, please contact Maryland Bariatrics. For more information, read about the benefits of gastric sleeve surgery with Maryland Bariatrics.  

What Foods Can You Not Eat After Gastric Sleeve Surgery?

Gastric sleeve surgery in Maryland has helped thousands of individuals reclaim their health and their lives. However, it isn’t the quick fix that many think it is. While it is a tool that aids in massive weight loss for obese individuals, it also requires lifestyle changes from the patient to work long term. Post-surgery, the stomach is often a quarter or less of its original size. This limits food intake. It also requires dietary changes to prevent harming the stomach or leading to weight gain after gastric sleeve surgery. While smaller portions are key to success, there are some foods that should be mostly or entirely avoided.

Foods to Avoid After Gastric Sleeve

After gastric sleeve surgery, you first need to heal before you are able to eat solid foods. Once you pass that milestone, there are no foods that are explicitly off limits. However, there are certain foods you should rarely eat, and if possible, avoid entirely. These include:
  • Fatty foods
  • Foods with lots of added sugar
  • Empty calories
However, you might discover that other foods are off limits to you just because your newly reshaped stomach can no longer tolerate them. Some foods people avoid after gastric sleeve surgery include:
  • Anything tough to chew, as these foods are also harder to digest
  • Fibrous foods, such as some types of fruits and veggies
  • Nuts and seeds
  • Long-grain rice
  • Anything spicy
While it isn’t that you cannot eat these foods after gastric sleeve surgery as a rule, you should introduce them slowly and see how your body reacts to them.

How to Approach Your Post-Surgery Diet

Your doctor should give you a precise schedule for introducing foods after your surgery. This will start with a clear liquid diet, then a full liquid diet, and from there progress to purees, then soft foods, then softer solid foods before opening up to allow all foods—with the correct approach. Keep in mind that it isn’t just what you eat, but how you eat. Some of the basic rules for mealtimes after gastric sleeve surgery are:
  • Break up your food consumption into 4-6 small meals.
  • Take time to chew your food thoroughly before swallowing.
  • Stop eating when you get the first sense of being full.
  • Center meals around protein and then build around this with fruits and veggies.
  • Be mindful about eating urges that are tied to emotions, including boredom.
  • Drink at least 1.5 liters of fluids daily.
  • Do not drink within 15 to 30 minutes of mealtimes as this can cause vomiting.
After bariatric surgery, you may feel like a new person. You might even be asking yourself, How will life change after weight loss surgery? Our blog has great advice to guide you through the process! For more information about the post-bariatric surgery diet, set up a consultation.

Advantages of Gastric Sleeve Surgery

With so many types of weight loss procedures available, it can be difficult to settle on the one that is perfect for you. After all, each has its advantages and disadvantages. So why should you consider gastric sleeve in Maryland above other surgeries? In truth, it isn’t always best, but for many patients it is. And it comes down to these key gastric sleeve benefits.

Benefits of Gastric Sleeve Surgery

  1. Stomach Function: With gastric sleeve surgery, your stomach is made smaller—much smaller. However, its function is not altered. This means that you can continue to eat most foods, just in smaller portions, and with a healthier approach.
  2. Ease of Conversion: For some patients, the sleeve doesn’t end up being ideal for their weight loss goals. Should this happen, the sleeve can easily be converted into a gastric bypass during revision surgery.
  3. Hunger Reduction: With this procedure, the upper portion of the stomach is eliminated. It is this portion that produces the majority of ghrelin in the body. Known as the hunger hormone, it stimulates appetite, so reducing it can stop hunger pangs.
  4. Reduced Acid Secretion: After gastric procedures, stomach ulcers are a serious concern. Since the gastric sleeve reduces acid secretion, there is a reduced likelihood of an ulcer developing.
  5. Normal Nutrient Absorption: The biggest competing surgery to gastric sleeve is gastric bypass. This reroutes the intestines, reducing nutrient absorption, requiring supplements for life. With the sleeve, you absorb nutrients like always. This is a major gastric sleeve benefit. Want to know more about nutrition and diet after gastric sleeve surgery? Check out our blog on “Diet After Gastric Sleeve Surgery
  6. Reduced Capacity: Like most weight-loss surgeries, the sleeve reduces your stomach capacity, making it more difficult to overeat. This is important if your obesity is related to binge eating.
  7. No Dumping Syndrome: One of the worst side effects of gastric bypass is dumping syndrome, a painful condition that results when food is not properly digested. The sleeve is not associated with this.
  8. It’s a Simple Procedure: While still complex enough to require the work of a specialized surgeon, it is comparatively much easier than gastric bypass and the duodenal switch procedure, which means it comes with faster surgery times and lower risk.
  9. Even the Morbidly Obese Can Get It: You might think that weight loss surgery should always be for those who qualify as morbidly obese, but in some cases, the procedures aren’t safe. However, the sleeve is.
Do these sound like benefits you’d like to enjoy? Then now is the time to set up your consultation about gastric sleeve surgery in Maryland. Contact MD Bariatrics today to schedule your appointment.

What Medication to Take and What to Avoid After Gastric Sleeve Surgery?

After getting a gastric sleeve in Maryland, you have to face a lot of changes. One of those is avoiding certain medications for at least a few weeks — though in some cases, you’ll have to cut down or avoid them for life. While your surgeon should go over the specifics with you since they can vary between patients, we can give you the basics on medications to avoid after gastric sleeve surgery.

Are Pills Safe After Gastric Sleeve Surgery?

Taking pills after gastric sleeve surgery is safe once you are cleared to do so by your doctor. Typically, during the first few weeks after surgery, you will take liquid medications or crush your pills into a powder. However, not all pills can be safely crushed and taken, so do not do this indiscriminately. Only take medications your doctor approves.

What About OTC Pain Killers?

Some over-the-counter pain medications are OK to take after you have gastric sleeve surgery. However, they are highly limited. In most cases, you will only be approved to take acetaminophen, which is the generic name for Tylenol. Nonsteroidal anti-inflammatory drugs (NSAIDs) must be avoided until full recovery since they can cause ulcers. Once the patient has fully recovered, these medicines can be used on occasion, but not consistently. It is important to note that many arthritis medications are NSAIDs, so if you have any type of arthritis, you will want to work out a new treatment plan with your rheumatologist prior to getting bariatric surgery.

Are There Other Common Medications That Are a Concern?

Yes. Medications that contain estrogen must be discontinued for at least two weeks after gastric sleeve surgery. This includes birth control and hormone replacement therapy. Since these medications are known to cause blood clots, they increase the risk of post-surgery complications. It should also be noted that you may need to use a backup form of birth control once you are feeling well enough to start having sex again as taking a two-week break from birth control leaves you unprotected for about a month after you resume your pills. Additionally, steroids should also be avoided. These can delay healing, hold back the immune system, and harm the lining of the stomach. While occasional steroid use is ok after the first two weeks, chronic use should never be resumed. Are you curious about the Benefits of Gastric Sleeve Surgery or Diet After Gastric Sleeve Surgery? We would be happy to answer any questions! Contact MD Bariatrics to speak with a weight loss surgeon in Baltimore.

Diet After Gastric Sleeve Surgery

Many patients opt to get gastric sleeve surgery in order to lose a large amount of weight very quickly. Gastric sleeve surgery is an alternative to the more involved gastric bypass surgery. It costs less to perform and is just as effective on average when it comes to weight loss. However, to have the best chance of losing weight & keeping it off, patients need to pay careful attention to their diet. What should your diet be after gastric sleeve surgery? What foods can you not eat after gastric sleeve?

Post Gastric Sleeve Diet (Post Op Diet)

Phase 1: Clear liquids

This phase requires that patients eat no solid foods and consume very few calories. Clear broth, decaf coffee, water, and electrolyte beverages are acceptable.

Phase 2: Pureed foods

This phase requires that patients consume blended foods that can be consumed by drinking. Protein shakes, pureed fruit (with no seeds), apple sauce, Greek yogurt, and sugar-free puddings are okay to consume. Patients are advised to make sure they meet their protein goals for speedy recovery.

Phase 3: Soft foods

Soft foods are foods that do not require much chewing and can be easily digested. Foods like scrambled eggs, ground meat, soft fish, cooked vegetables, and cottage cheese are acceptable.

Phase 4: Reintroduction

Patients can now start eating solid foods again, however they are still advised to avoid certain foods which will be explained further in this article.

Recommended Diet After Gastric Sleeve Surgery

We recommend that patients eat a diet made up primarily of whole foods. These are foods that are recognizable as food and have been adulterated as little as possible. These kinds of foods are what we recommend:
  • Fruits
  • Fresh & frozen vegetables
  • Tubers such as potatoes and sweet potatoes
  • Legumes (beans, chickpeas)
  • Lean, low fat meats
  • Whole grains
  • Fermented dairy products

What Foods Can You Not Eat After Gastric Sleeve

Foods high in fat. We recommend reducing your consumption of foods high in fat, especially foods that have been cooked in a lot of oil. Avoid deep fried foods entirely. Spicy foods. Spicy foods can exacerbate symptoms of GERD, or acid reflux disease. Alcoholic beverages. We don’t recommend consuming alcoholic beverages, particularly hard liquors and carbonated alcoholic beverages such as beer, although a glass of wine with dinner will not hurt. Learn about more foods to avoid after weight loss surgery!

Gastric Sleeve Surgery Maryland

If you’re looking for weight loss surgery in Maryland, MD Bariatrics can help. They provide gastric sleeve surgery along with other bariatric procedures to help you lose weight.

What Causes Weight Gain After Gastric Sleeve Surgery?

The gastric sleeve procedure, more properly called sleeve gastrectomy, is one of the most popular and effective laparoscopic bariatric procedures out there. A typical patient can expect to lose 50-60% of their excess weight within the first year after surgery. It’s a less expensive alternative to gastric bypass, a more effective alternative to gastric bands or gastric balloons, and has shown to be effective in promoting sustained weight loss. Despite this, some patients do report gaining weight after gastric sleeve surgery. Gastric sleeve weight gain is a contentious issue, primarily since weight loss was the very reason the patient decided to undergo the procedure in the first place. What causes weight gain after gastric sleeve surgery? And what can be done about it?

Is Gaining Weight After Gastric Sleeve Surgery Possible?

Unfortunately, it is possible for patients to gain weight after gastric sleeve surgery. Most weight gain is temporary, though, and usually shows up as slight blips. For example, a patient who has undergone gastric sleeve and has fully recovered from the procedure may find that they gained two pounds from the previous week. This situation is not something to be concerned about. However, some patients report sustained weight gain and an increase in caloric consumption after getting the surgery.

What Causes Weight Gain After Gastric Sleeve?

Stress eating.

Old habits die hard, and many people end up obese due to using food as a way to cope with stress and emotional trouble. Bariatric surgery may reduce the hunger response, the ability to eat in one sitting, and (in the case of some procedures) the absorption of calories, but it does not change the stressors or the coping mechanisms that one comes up with to deal with those stressors. Tackling stress eating should be treated more as an issue of mental health, not one of nutrition. Seeking psychiatric treatment or counseling is highly recommended for those who find themselves stress eating even after surgery.

Stomach stretching.

Although both gastric bypass and gastric sleeve reduce overall stomach volume, the stomach pouch (or reshaped stomach) can still stretch to fit more food. This happens when the body adapts to eating larger portion sizes. In normal stomachs, stomach size is not correlated with obesity. But, if you’ve recently had surgery to shrink stomach volume, it could have lasting effects. Reduce overall portion size and don’t drink water with meals. Instead, continue to sip water throughout the day just as you were instructed to during the post-op diet.

Lack of exercise.

Implementing an exercise routine is one of the best things a bariatric patient can do for their weight loss. It was found that bariatric patients who implement an exercise routine lost more weight than those who did not, and were able to keep it off as well. If you have reached a weight loss plateau or are starting to regain old weight, try adding exercise into your routine. Or, if you’re already exercising, try adding more strenuous workouts such as HIIT or resistance training to help assist in additional weight loss. Maryland Bariatrics at Saint Agnes Medical Center offers gastric sleeve surgery in Maryland as well as Roux en Y in Maryland, also known as gastric bypass surgery.

How Sleeve Gastrectomy Became A Common Bariatric Procedure

Sleeve gastrectomy is one of the most common procedures done for bariatric surgery. For years, surgeons and researchers have figured out ways to mould the digestive process surgically in order to induce rapid weight loss for severely obese patients. Sleeve gastrectomy was an answer, and it became one of the most common procedures done for weight loss. What Is Sleeve Gastrectomy? Sleeve gastrectomy, also called a vertical sleeve gastrectomy, is a surgical weight-loss procedure. It’s a laparoscopic procedure done through small incisions in the belly area. It removes about 80 percent of the stomach, resulting in a stomach that is the shape of a tube. This helps reduce the amount of food that the patient can consume. What Does It Do? When your stomach is the size and shape of a banana, you’re not able to eat nearly as much. Very small portions are required, otherwise, the patient will become very ill. The purpose of this, and all bariatric surgery, is to allow for rapid weight loss by surgically preventing the excess intake of food. It sets a hard limit on the amount of food the patient can eat. What’s The Difference Between Sleeve Gastrectomy and Gastric Bypass? Sleeve gastrectomy and gastric bypass are two very common bariatric surgery options. Gastric bypass causes the same effects as sleeve gastrectomy but does it differently. While the sleeve simply removes a large part of the stomach and forms it into a tube, gastric bypass does not reshape the stomach. It instead creates a pouch for that stage in the digestion process and connects that pouch directly to the intestine. This causes digestion to bypass part of the small intestine, hence the name. Why Is It Such a Common Choice for Bariatric Patients? It can reduce or eliminate common problems caused by high body fat and obesity. Type 2 Diabetes, sleep apnea, high blood pressure, and many other common obesity-related medical issues can be completely eliminated after the rapid weight loss caused by the surgery. Lower Risk of Complications Compared to Gastric Bypass Because gastric bypass is an older, more involved procedure, there is a greater risk of serious complications in the first 30 days. For extremely obese patients, gastric bypass may be the more effective option, however. It has a much higher rate of persistent weight less, although this is highly dependent on the individual and their desire to stick to the strict eating regimen required after the operation.

For more than 150 years, Ascension Saint Agnes Hospital has been dedicated to the art of healing by providing exceptional care to the greater Baltimore area. Built on a strong foundation of excellent medical care and compassion, Ascension Saint Agnes is committed to providing the best care for our patients for many years to come

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