Bariatric surgery is a medical procedure that alters the digestive system to reduce body weight, often recommended for individuals managing obesity and related health conditions. The Department of Veterans Affairs (VA) provides these services to eligible veterans to improve overall health and quality of life. This surgical intervention can effectively address various obesity-related issues, such as type 2 diabetes, hypertension, and sleep apnea, which are common among veterans.
VA Bariatric Surgery Eligibility
Veterans seeking bariatric surgery through the VA healthcare system must meet specific eligibility criteria. This includes a Body Mass Index (BMI) of 40 or greater, or a BMI of 35 or greater with at least one serious obesity-related health problem like type 2 diabetes, high blood pressure, or sleep apnea. Candidates must demonstrate prior unsuccessful attempts at weight loss through non-surgical methods. A psychological evaluation may also be required to assess readiness for the significant lifestyle changes after surgery.
Locating VA Bariatric Surgery Centers
Bariatric surgery is not available at every VA facility; it is performed at specialized VA medical centers with comprehensive weight management programs. Veterans should consult their primary care provider at their local VA facility for referrals and information on regional centers. These specialized centers are often accredited by organizations like the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). The VA can also refer enrolled veterans to non-VA community providers if care is not available at a VA facility.
Bariatric Surgery Types Offered by VA
The VA offers several bariatric surgery procedures, with Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG) being common options. Roux-en-Y Gastric Bypass creates a small stomach pouch connected to the small intestine, bypassing part of the stomach. This limits food intake and reduces nutrient absorption, leading to weight loss and improved metabolic conditions. Sleeve Gastrectomy removes about 80% of the stomach, creating a smaller, tube-shaped stomach. This reduces food capacity and influences hormones regulating hunger. Adjustable Gastric Banding (AGB) involves placing an inflatable band around the upper stomach, but its use has declined due to less impact on obesity-related diseases and lower long-term weight loss.
VA Post-Operative Care
Bariatric surgery requires a lifelong commitment to lifestyle modifications for sustained success. The VA provides comprehensive post-operative care, including regular medical check-ups to monitor progress. Nutritional counseling guides dietary changes essential for healing and long-term weight management. Psychological support and monitoring for potential complications are also integral to follow-up care. Adherence to appointments and lifestyle changes is important for positive long-term outcomes.