For many people with obesity and related health conditions, bariatric surgery, also known as metabolic or weight loss surgery, is a life-altering option. Before, during, and after surgery, patients at Bayhealth receive the comprehensive care they require through a multidisciplinary approach. According to Bayhealth Bariatric and General Surgeon Anirudha Goparaju, MD, FACS, “Bariatric surgery isn’t just about weight loss — it’s about addressing chronic conditions like diabetes, high blood pressure, and sleep apnea that are directly linked to obesity.” We are aware that people are not obese; rather, they are obese. Because this is a disease that can be treated and is not a flaw in a person, it helps to reduce the stigma. Who is a contender? Everyone is not eligible for bariatric surgery. Body mass index (BMI) and related health conditions determine eligibility. If a patient has comorbid conditions like diabetes or high blood pressure, they may be eligible for Class 2 (BMI 35–39.9). Generally, those in Class 3 (BMI 40+) are eligible, regardless of any other conditions. Those in Class 1 (BMI 30–34.9) typically are not surgical candidates unless there are compelling medical reasons.
Bayhealth’s Options for Surgery Bayhealth provides a variety of surgical options, each tailored to a different patient’s requirements: By restricting food intake, the gastric sleeve (also known as a gastroscopy) helps patients lose approximately 60% of their excess weight. Gastric Bypass (Roux-en-Y): This procedure makes a small pouch in the stomach and redirects the small intestine to make it harder to absorb nutrients. It typically results in a weight loss of 70% to 80%. Duodenal Switch – A combination of a sleeve gastrectomy with intestinal bypass, the duodenal switch can lead to the greatest weight loss — 85–90 percent of excess weight.
Patients who have previously undergone weight loss surgery and require adjustments due to complications or insufficient results can choose revisional surgery. Revisional surgery may be appropriate for medical reasons in patients with a BMI between 30 and 34.9, but typically not for weight loss alone. The Journey to Surgery Dr. said, “Surgery is a team sport.” Goparaju. “It involves not just the surgeon and the patient — but also nutritionists, primary care physicians, psychologists, specialists and caregivers.”
The patient may consult with a team of specialists and complete lab work before surgery, as well as upper endoscopy and abdominal ultrasound. Psychological and nutritional assessments are also necessary. Active smoking and inability to walk independently are absolute disqualifiers, both of which pose significant risks prior to and following surgery. Life Following Surgery Weight loss surgery is not a quick fix; it takes a lifetime to complete. Consuming at least 60 grams of protein per day, abstaining from alcohol and carbonated beverages, and separating liquids and solids at mealtimes are just a few of the strict dietary requirements that patients must adhere to. Exercise is also very important. “I recommend 30 minutes of sweaty cardio at least five days per week, plus resistance or weight training,” said Dr. Goparaju. Medications may be adjusted post-surgery — some patients can even discontinue treatments for diabetes or hypertension, under medical supervision.
Due to the possibility of complications, some medications, such as steroids and nonsteroidal anti-inflammatory drugs like Aleve and Motrin, may be restricted. Understanding one’s relationship with food is critical. Because of this, Bayhealth also includes support for mental health in every patient’s care plan. Psychologists and social workers assist patients in developing healthier coping mechanisms and identifying emotional triggers like stress eating. “Your doctor is an expert in surgery — but you are the expert in your own life,” said Dr. Goparaju. “There are some things they just can’t speak to in the same way that another patient can,” unless your surgeon has undergone the procedure themselves. As a result, Bayhealth recommends that each patient attend at least two sessions of the bariatric support group, which can be a helpful resource for advice and support.
Exploring Your Options
Surgery to lose weight is just one tool. Bayhealth also offers non-surgical options, including GLP-1 medications like Ozempic and Wegovy, as well as nutritional counseling and support groups.