Dr. Blackstone explains the determining factors on whether a patient should Have an adjustable gastric band or gastric bypass surgery.
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What determines if a patient should have an adjustable gastric band or gastric bypass surgery? The adjustable gastric band is particularly effective in patients with a BMI below 50. It’s not that patients who are heavier can’t lose all their weight with a band, but it does require longer time and a lot of commitment. In general, we think that patients who have Type II Diabetes where their diagnosis has been in place for longer than two years and maybe a long time, those patients tend to respond better and more quickly to a gastric bypass. Outside of that, a lot of this has to do with your ability to work with the tool that you decide on and that you decide on with your doctor and so, whether you choose the band or the bypass, it’s going to take a lot of commitment on your part to doing the kind of behavior change that those tools require. So, you’ve got to be able to work with either, and I think that the best thing to do is to really research this. There’s a lot of information available, and then come back to your physician and really sit down and talk with them about what procedure is best for you.