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Bariatric Surgery

Obesity affects your life?
You may qualify for an effective solution

Bariatric Surgery

Obesity affects your life?
You may qualify for an effective solution

Bariatric Surgery

Obesity affects your life?
You may qualify for an effective solution

What is Morbid Obesity?

Morbid Obesity is typically defined as being 100 or more pounds overweight. The most standard and reliable way to measure obesity is by the use of the body mass index or BMI. Body Mass Index represents the weight in kilograms divided by the height in meters, squared.

A person is considered overweight if their BMI is between 25 and 29.9; considered obese if their BMI is over 30, and morbidly obese with BMI above 40. To determine your BMI, use the calculator.

BMI Calculator

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Who is candidate for surgery?

Patients meeting the criteria of a BMI greater than 40 are candidates for weight loss surgery. Also those patients with a BMI of 35 or greater can be a candidate for surgery if they suffer from a co-morbid condition. The most typical co-morbid conditions include diabetes, high blood pressure, high cholesterol, and obstructive sleep apnea.

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Laparoscopic Gastric Bypass

The gastric bypass has been performed in the United States for many years. It is the procedure that most other bariatric surgeries are compared to when discussing safety and effectiveness. The introduction of the laparoscopic approach has established this procedure as the gold standard and provided lower complication rates, shorter hospital stays and faster recovery.

We perform the Roux-en-Y gastric bypass. In this procedure a little stomach pouch is created and disconnected from the rest of the stomach. At the same time, a new outlet is made for the pouch by attaching it further down the small intestine.

The unused part of the stomach and intestines continue producing digestive juices which empty into the part of the intestine the food is traveling through. This provides sufficient length for food and enzymes to mix together and essential nutrients to be absorbed but does not allow the same amount of nutrient absorption as a normal digestive tract. This is why the gastric bypass is called a restrictive and malabsorptive procedure.

Therefore, a gastric bypass restricts the amount of food that can be ingested and decreases the amount of high sugar, empty calories that can be absorbed. The overall result is an excellent weight loss procedure. Typically the gastric bypass will result in approximately an 80% loss of excess weight.

Sleeve
Gastrectomy

The sleeve gastrectomy has gained popularity as a safe surgery with good long-term weight loss and low long term complication rates. It is a purely restrictive procedure with weight loss somewhat better than the lap band but less than the gastric bypass. Many insurance companies are currently covering it in addition to the gastric bypass and lap band. In our program we offer the Sleeve Gastrectomy to selected patients with BMI under 45 and have been satisfied with its results.

Gastric
Plication

This is the newest weight loss procedure. It is still considered experimental and long term results are in the balance. We offer the gastric placation to highly selected patients as long as they are aware of its experimental nature and lack of long-term results. It appears to be poised to become a very popular procedure due to its minimal risk of forthcoming complications. It has results similar to the sleeve gastrectomy.

To minimize risk and maximize results, weight loss procedures should be individualized depending on the patient.

We have a comprehensive weight loss surgery program which includes all the available operations and will work with you to choose the best one in your conditions! Beware of programs that can merely offer one procedure for all patients.

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Frequently Asked Questions

Find quick answers here

We offer both, Sleeve Gastrectomy and Gastric Bypass, depending on the patient’s needs.

We take into consideration your Body Mass Index, medical conditions, medical history and previous surgeries and together with the patient decide the appropriate procedure either Gastric Bypass or the Sleeve Gastrectomy.

Our package includes a 23 hour stay in a Joint Commission Accredited Hospital. However, if the patient requires another day of stay or two, that can be arranged.

We prefer you stay in town at least one week after surgery to follow up with the doctor and nutritionist before you return home.
We want you active right away, walking immediately after surgery. You are usually driving five to six days after surgery and by a week, you will resume all normal activities and may go back to work depending on duties. At one month you will be given the green light to resume heavy lifting, rigorous exercise, joining a gym, sports, etc.
Although the risk is low there is a possibility of complications after Bariatric Surgery, less than three out of a hundred patients may experience a complication and these can include, bleeding, infection, and need for re-operation.
Weight loss can vary but on average patients undergoing the sleeve gastrectomy can expect to loose 60-80lbs. Patients undergoing gastric bypass will usually loose over 100lbs or 80% of their excess weight.

We see everyone in person for a one week follow-up visit with the doctor and the nutritionist. After this, the doctors’ visits are at one month, three months, six months, nine months and one year. If you are not in town these appointments can be virtual

Nutritionist visits could be done in person or over the phone and usually occur at one week, one month, 6 weeks, then can be customized to meet the patients needs as they advance their diet.

The average surgical time for a Gastric Bypass is one hour. The Sleeve Gastrectomy is somewhat shorter, about fifty minutes.

The Sleeve Gastrectomy is what we call a purely restrictive procedure. In other words, you will eat less food but you will continue to absorb the food and nutrients normally. That is why you tend to lose less weight than with a gastric Bypass.

The Gastric Bypass is a more aggressive surgery because there is a malabsorption component to the surgery, by bypassing a piece of the intestine sugar is not absorbed causing dumping syndrome(diahrrea) when you eat an excess of sugar. Total weight loss with the Gastric Bypass is significantly greater than with the Sleeve due to the malabsorption of sugar.

The Lap Band has been associated with long term problems such as erosion, slipped, dysphagia, reflux. Those problems are not present with the Sleeve, which results in a better weight loss than the Lap Band. So it is much better, and the surgeons have replaced the Lap Band with Sleeve, which is a more effective operation.

The Gastric Bypass is reversible because we have not removed any part of the anatomy, we have just bypassed a certain portion.

The Sleeve Gastrectomy is not reversable because we remove 80% of your stomach.

Both the Gastric Bypass and the Sleeve Gastrectomy are performed under general anesthesia. We have a very experienced anesthesia team that has done many operations.

We work with different medical finance companies to help you. We use CareCredit, Alphaeon Credit, Protapay, United Medical Credit. We also accept all major credit cards

Patients meeting the criteria of a BMI greater than 40 are candidates for weight loss surgery. Also those patients with a BMI of 35 or greater can be a candidate for surgery if they suffer from a co-morbid condition. The most typical co-morbid conditions include diabetes, high blood pressure, high cholesterol, and obstructive sleep apnea.

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If you have an urgency, please call   +1 305 590 8269. Your consultant will ensure that you receive the best attention.

A Staff Highly Specialized in
Treatments of Obesity and Weight Loss Surgery

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