Obesity is a preventable medical condition that can cause diabetes, high blood pressure, sleep apnea and joint problems. If exercise and diet alone have failed to help, weight loss surgery offers an effective way to lose weight and improve your health.
At UVA, we have the most experienced bariatric and metabolic surgery team in Central Virginia. We offer the following procedures:
- Gastric bypass
- Sleeve gastrectomy
- Endoscopic sleeve gastroplasty
- Endoscopic gastric balloon
Understanding Weight-Loss Surgery
Listen to Peter Hallowell, MD explain types of bariatric and metabolic surgery, who is a candidate and what patients can expect. View Transcript.
Weight Loss: Surgical Options
Gastric bypass, also called Roux-en-Y gastric bypass, involves creating a small pouch from the stomach and connecting that pouch directly to the small intestine. After the procedure, swallowed food goes into this small stomach pouch and then directly into the small intestine (bypassing the rest of your stomach and some of your small intestine).
Sleeve gastrectomy, also called a vertical sleeve gastrectomy, is a less-invasive procedure that only uses small cuts in your upper abdomen. During the procedure, surgeons reduce the size of your stomach by forming it into a tube about the size and shape of a banana. This restricts the amount of food you can eat and causes hormonal changes that promote weight loss and help relieve some conditions associated with being overweight.
These surgical procedures are usually only done if diet and exercise haven't worked or you have serious weight-related health issues, including:
- Heart disease
- High blood pressure and/or cholesterol
- Obstructive sleep apnea
- Type 2 diabetes
- Severe gastroesophageal reflux disease (GERD)
Body Mass Index (BMI) is a tool that compares your height to your weight to measure your body fat. BMI results fall into these ranges:
- BMI less than 18.5 = underweight
- 18.25-24.9 = healthy weight
- 25-29.9 = overweight
- 30-34.9 = Class I obesity
- 35-39.9 = Class II obesity
- 40 and over = Class III obesity
You can calculate your BMI using this tool from the NIH.
Individuals qualify for weight loss surgery if they:
- Have a Body Mass Index (BMI) of 35 and over with at least one obesity-related condition, or
- Have a BMI of 40 and over
Why Choose UVA?
UVA has been a leader in weight-loss surgery for more than two decades. We:
- Have the most experienced metabolic and bariatric team in central Virginia, with more than 3,000 successful surgeries performed
- Take patients with a BMI of 35 and higher, with expertise treating patients with a BMI of 60 or higher
- Are designated a comprehensive center by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)
- Are a Blue Cross and Blue Shield Blue Distinction Center
- Offer a comprehensive program that includes:
- Education and evaluation
- Board certified surgeons
- Physicians specially trained in metabolic disorders
- Certified registered nurses
- Behavioral health specialists
Learn more about the services offered at the UVA Metabolic & Bariatric Surgery Clinic.
Our Weight Loss Program
Our weight loss team is highly experienced and can offer comprehensive life-long care that is tailored to your individual needs, including education and follow-up support. We are committed to helping you navigate your risks and reach your lifestyle goals. View transcript.