If you’re considering weight-loss surgery, you probably have questions about what type of anesthesia your surgeon will recommend. The American Society of Anesthesiologists describes four types of anesthesia: general, IV monitored with sedation, regional and local.
This article examines weight-loss surgery options and the type of anesthetic they may require. If you have concerns about undergoing a weight-loss procedure with anesthesia, talk to your primary care physician, your weight loss surgeon and, most importantly, an anesthesiologist.
Today’s most popular surgery is the gastric sleeve, according to American Society for Metabolic and Bariatric Surgery. Nearly 60 percent of all weight loss surgeries performed in 2017 were gastric sleeve. This minimally invasive procedure involves making small incisions to insert laparoscopic tools into the body to remove a large portion of the stomach including the area that creates hunger-producing hormones. The smaller stomach resembles a sleeve and restricts how much food it holds. The incisions create small scars, approximately ½- to ¾-inch long.
What type of anesthesia is used for gastric sleeve surgery? Your weight-loss surgeon and anesthesiologist will likely recommend general anesthesia; however, some patients may be able to elect regional anesthesia with or without sedation.
An endoscopic sleeve gastroplasty is a non-invasive way to get the same result as the gastric sleeve. The surgeon inserts a small camera and suturing device through the throat to the stomach to create a sleeve-like structure.
What type of anesthesia is used for endoscopic sleeve gastroplasty? Your surgeon and anesthesiologist will likely recommend general anesthesia for this procedure.
When a patient has lap-band surgery, a band is placed around the stomach to restrict the size of the stomach, compressing it into a small pouch. This limits a patient’s ability to take in food, and it slows digestion. The band can be removed or adjusted later. As with the gastric sleeve, small incisions are required to insert the laparoscopic instruments.
What type of anesthesia does lap-band surgery require? Your surgeon and anesthesiologist may recommend general or regional with IV sedation.
A gastric bypass sections the stomach into two pouches, a small upper pouch and a larger lower pouch. The small intestine is rerouted to attach to both sections. The smaller pouch restricts food intake while rerouting the intestine, which causes fewer calories and nutrients to be absorbed.
What type of anesthesia does gastric bypass surgery use? Most cases use general anesthesia, but some special cases may use regional anesthesia (epidural) with sedation. Talk to your weight-loss surgeon and anesthesiologist about what option is best for you.
The non-invasive gastric balloon inserts a deflated balloon into the stomach through the mouth. When the balloon is in position, it is inflated with a saline solution to fill up a portion of the stomach to reduce hunger and space in the stomach. The balloon is typically in place for a few months before it is removed by a doctor.
What type of anesthesia is used for gastric balloon? In most cases, an IV sedation is all that is needed; in some cases, the surgeon may recommend general anesthesia. You and your surgeon will make this decision before scheduling your procedure.
If you have questions about anesthesia, talk to your family doctor, your surgeon and the anesthesiologist. Make sure you share with your anesthesiologist your full medical history, so he or she can make the best recommendation for your individual needs. You might also ask:
If you are still on the fence about which surgery is right for you, learn more about the specific techniques, including the results you can expect by reviewing this checklist.
If you would like to talk more about surgery and anesthesia options, the Soma Weight Loss team can help you identify your best weight loss surgery plan. Call toll free, 855-766-2411 (855-SOMA-411) or request a call from one of our weight-loss specialists.
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