The Bariatric Center team works with you to determine the best course of care for your situation. Medical interventions include:
The bariatric team counsels you to create a calorie-controlled meal plan. You will learn guidelines for healthy food selection and portion control.
You will learn about behaviors contributing to your struggle with weight and strategies to change those behaviors. Problematic behaviors can include:
- Skipping meals
- Snacking between meals
- Eating out daily
- Frequently consuming indulgence foods
- Eating in response to stress or negative emotion
- Not participating in physical activity
Weight-loss medications can be a helpful addition to a healthy low-calorie diet and exercise plan. The bariatric team can advise you whether medications are an appropriate treatment option and provide you with a prescription and monitoring plan.
Liquid meal replacement
This physician-supervised program may be an option for those with a body mass index (BMI) between 30 and 35. It provides a nutritionally balanced full-meal replacement diet for rapid weight loss. The program also includes weekly lifestyle education classes led by a dietitian, clinical psychologist or exercise specialist.
A partial meal replacement program is available for people who want to incorporate one meal daily in addition to the liquid supplements replacing all other meals.
A program using the meal replacements to lose weight prior to surgery (such as knee, back, bariatric and gynecologic surgery, or hernia repair) also is available.
Weight-loss (bariatric) surgery
Weight-loss procedures, including minimally invasive surgery and endoscopic (through the mouth) procedures, are for people who are obese and have obesity-related health problems. The bariatric team helps people decide if this is a good option and which procedure is best.
The most common weight loss surgeries performed at the Mayo Clinic Bariatric Center in Florida are:
- Adjustable gastric banding
- Gastric bypass
- Sleeve gastrectomy
All surgeries are performed using minimally invasive surgery whenever possible.
Endocsopic weight-loss (bariatric) procedures
The Bariatric Center in Florida also offers intragastric balloon placement, a weight loss procedure performed completely through the mouth using an endoscope. This physician-supervised procedure may be a good option for those with a body mass index (BMI) between 30 and 40 or an even higher BMI.
The intragastric balloon placement procedure involves an upper endoscopy and placement of a silicone balloon inside the stomach. The balloon is inflated with sterile fluid and left in the stomach for up to six months. Another upper endoscopy is then performed to remove the balloon. The balloon limits the amount of food you can eat, ultimately helping with portion control and leading to weight loss. Intragastric balloon placement is performed in the endoscopy lab.
The Bariatric Center in Florida also offers another endoscopic procedure, known as gastric outlet reduction, for some people who have had successful gastric bypass surgery but start to regain weight a year more later. Gastric outlet reduction reduces the size of the opening between the stomach and small intestine. Mayo Clinic researchers have demonstrated that in some cases, over-dilation of this opening is responsible for weight regain after gastric bypass surgery.
Evaluations for weight loss procedures usually take three to eight months from initial appointment to procedure. Before you decide to go through with the surgery or the endoscopic weight loss procedure, it's important to understand that these successful procedures require a lifelong commitment to changing diet and exercise habits. In large part, you determine the success of the treatment.
Learn more about bariatric surgery and endoscopic bariatric procedures at Mayo Clinic.