Dr. Christian Birkedal

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What you should know about bariatric surgery

Weight Loss

Have you been battling obesity and are ready to live a healthier, more fulfilling life? Dr. Christian Birkedal and his staff are here to help you attain your weight loss and improved health-related goals. We offer both surgical and non-surgical weight loss options. Whether you simply need some help getting back on track with the knowledgeable direction from our medical weight loss team, or if you are interested in a surgical approach, we develop a plan specific to each patient's needs and goals to help them on their path to a healthier life. At Dr. Christian Birkedal's office our team is committed to long-term weight loss management and is here to support you as you conquer your weight loss goals.

Medically Supervised Weight Loss

Diets do not work. We sit down with each patient and analyze their current nutritional intake and physical activity level; then we formulate a nutritional plan that serves as a blueprint for their success whether they do or do not have weight loss surgery. Through our nutrition and wellness appointments our patients are educated about dietary intake, physical activity, behavior modification, and strategies to implement their changes as a new lifestyle and not a diet.

Surgical Weight Loss

If medically supervised weight loss has not provided you with the results you desire, you may be a candidate for weight loss surgery. While each insurance company has different requirements for patients to qualify for surgery, most require a patient to have a Body Mass Index (BMI) of 35 and have a co-morbidity like diabetes, sleep apnea, or hypertension, or a BMI greater than 40 without a co-morbidity. Our experienced team will explore your insurance benefits to determine if your insurance company covers weight loss surgery and what requirements you must meet. For further information on what your current BMI is click here.

We offer both gastric sleeve and adjustable gastric banding surgeries to help you with your weight loss goals. These two surgeries, while different, provide patients with a tool to use in addition to their improved nutritional intake and increased level of physical activity. Below are brief descriptions of the gastric sleeve and adjustable gastric band surgeries.

Sleeve Gastrectomy/Gastric Sleeve

This laparoscopic procedure is performed through several small incisions through the patient's abdomen. Surgically, 75-85% of the stomach is removed, leaving behind a smaller gastric pouch that restricts the amount of food consumed. The gastric sleeve procedure works in two ways; first it limits how much food can be eaten at one sitting. Second, by removing the portion of the stomach that produces a hormone called ghrelin, which regulates a person's hunger, people will feel less hungry and will feel fuller faster.

Roux-en Y Gastric Bypass

The gastric bypass, or Roux-en Y gastric bypass, is a procedure that creates a smaller pouch from a patient’s stomach and then reroutes the intestines. When the intestines are rerouted the body digests and absorbs food differently. This change in addition to a smaller pouch requiring the patient to eat less and feel fuller, results in weight loss.

Adjustable Gastric Banding

Similarly to the gastric sleeve, the adjustable gastric banding procedure is also a laparoscopic surgery. A small silicone band is placed around the upper portion of a patient's stomach. This creates a smaller pouch that allows a person to feel fuller with a smaller amount of food. The silicone band can be adjusted to be tighter or looser by accessing a port connected to the band. This port is placed under the skin on the patient's abdomen. Adjustments to the band are performed in Dr. Birkedal's office based on a patient's weight loss and specific health needs.

Revision and Conversion Procedures

Whether you have an adjustable band that has malfunctioned and needs to be corrected or you are interested in converting your current procedure into a different surgery, our Center for Bariatric Medicine & Surgery is here to assist you with that process. From your initial appointment with Dr. Birkedal to your surgery day, our staff will help you understand the insurance process, educate you regarding your new procedure, discuss possible complications and outcomes with your procedure, and obtain necessary documentation from your original surgical office.


Metabolic and bariatric surgery can lead to the improvement or resolution of various obesity related comorbid conditions. Several of these conditions include, but are not limited to, obstructive sleep apnea, hyperlipidemia, hypertension, and type 2 diabetes. Additional outcomes will be discussed with you during your initial consultation with Dr. Birkedal.

To set up an appointment to meet Dr. Birkedal and have your weight loss consultation, please contact us at 386-210-9844 or HERE. Our office is located in the medical office building at Florida Hospital Memorial Medical Center at 305 Memorial Medical Parkway, Suite 205, Daytona Beach, FL 32117. We look forward to meeting you and helping you on your weight loss journey.