Is Bariatric Surgery Right For You?

Obesity is a growing public health issue in our region.  According to NYC.gov, more than half of New Yorkers are overweight, and nearly a quarter qualify as obese.  The New York City Department of Health and Mental Hygiene, reports that an estimated 23% of the population living in Queens is obese.

These rates are concerning  because people who are obese are at an increased risk for developing chronic diseases such as diabetes, stroke, hypertension, heart disease and some cancers.  However, the good news is the risks associated with many of these conditions can be significantly reduced by losing weight.

Diet and exercise are highly recommended methods of weight loss but they may not be enough to yield significant results for those who are obese.   Bariatric surgery offers an extremely effective weight loss solution for people who have tried and failed to lose weight by way of diet and exercise. Additionally, it has been shown to help improve several obesity-related health conditions.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy operation a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created.  During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. These surgeries are usually done through small incisions either laparoscopically or using the da Vinci surgical robot, ensuring a minimally invasive approach. Both surgeries offer excellent long term results and positive outcomes in most patients.

With this is in mind, it is important to understand that bariatric surgery is a major operation, no matter which procedure is chosen.  Bariatric surgery is not an easy way out. It is an important decision to be made under strict physician supervision and with the support of loved ones.  The process is immersive and takes approximately 4-5 months of supervised dieting and being seen by multiple specialties for approval.

Although bariatric surgery is considered safe, it is very important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

For those who would like to explore non-surgical weight loss procedures, there are options such as the FDA-approved Obalon Balloon System. This involves three air filled balloons inserted via a swallowed capsule. The patient is given no anesthesia and most people return to work the same day. The balloons stay in for six months after which they are removed via endoscopy. The procedure is generally very well tolerated with some side effects such as nausea and cramping. Studies have shown weight loss to continue beyond removal and many patients lose significant amount of weight.

When deciding which procedure is best for you, it is recommended that you receive an expert consultation with a surgeon. Your physician can assess your health which can lead to the decision on which surgery is suitable for your needs.

To ensure the highest quality care and maximize your chances of a successful weight loss procedure, it is recommended that you receive treatment at a “Bariatric Center of Excellence”, such as Flushing Hospital Medical Center.

Flushing Hospital is the only Center of Excellence in Queens. The process to reach this designation is arduous and ensures that the center and the surgeons are of the highest quality and preparedness. Surgical outcomes are measured very strictly and the capability of both the surgeons and the center must be of the highest caliber when compared nationally.

To make an appointment, please call 718-408-6977.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Keeping The Weight Off With Bariatric Surgery

Man Measuring Stomach Fat

One of the most popular New Year’s resolutions, judging by an increase in gym memberships, is to lose weight. Losing weight and maintaining a healthy diet isn’t always the hardest part of the weight loss journey, keeping the weight off is. Bariatric surgery enhances weight loss in obese people who have not achieved long-term success with other weight loss methods.

Bariatric surgery is performed on the stomach or intestines to induce weight loss. The basic principle of the procedure is to restrict your food intake and reduce the absorption of food in the stomach and intestines. As a result of this weight loss procedure you will feel full after eating a small amount of food. That is exactly what bariatric surgery does and why it helps people lose weight.

There are multiple forms of bariatric surgery. Options include:

  • Gastric Bypass
  • Sleeve Gastrectomy
  • Gastric Revision
  • Lap Band Surgery
  • Duodenel Switch

The rate of obesity in America is rising at an alarming rate. Bariatric surgery certainly represents a powerful tool for providing sustained relief for overweight people. There are many health complications associated with being overweight. Weight loss surgery can reduce the risk of metabolic syndrome, pregnancy complications, gallbladder disease and more. Your physician can help determine if you are eligible for surgery and, if so, which option will work best for you.

Bariatric surgery aids in mass weight loss at one time and keeping the weight off. Losing the weight and gaining it back does nothing to alleviate the potential health problems associated with obesity. You must keep the weight off for a minimum of five years to consider the loss successful, resulting in a healthier, happier you.

Flushing Hospital Bariatric Center is comprised of a multi-disciplinary group of health care providers that are compassionate and fully invested in helping you in every step of your weight loss journey. For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Gastric Bypass Surgery Right For You?

Is being overweight affecting your health and overall quality of life? For several people,the answer is yes. Obesity is a disease that affects more than one-third of people in the United States. It is the second leading cause of preventable death.

The contributing factors that can lead to obesity include metabolic, pre-existing health conditions, eating disorders, environment and genetics.

Overcoming obesity can be difficult. You may have tried several weight loss treatments or methods that include diet and exercise to lose weight, but were unsuccessful. Bariatric (weight loss) surgery is an option that has proven to be effective in producing significant weight loss.

One of the most commonly performed types of bariatric surgery is gastric bypass surgery. The procedure requires a surgeon to divide the stomach into two parts (one small and one large). The surgeon may use staples or vertical banding to create a small pouch from the upper part of the stomach.

The small pouch is then directly attached to the small intestine bypassing the rest of the stomach and the upper part of the small intestine. This limits the amount of food that can be eaten and reduces the fat and calories that can be absorbed. The larger part of the stomach will remain intact to produce digestive juices. This surgery is usually performed laparoscopically.

The benefits of having this procedure may include:
•Accelerated weight loss
•Improvement in quality of life
•Improvement in obesity- related medical conditions such as diabetes, hypertension or high cholesterol

There are several accepted medical criteria that will determine if you are a candidate for surgery. You may be eligible if:
•You have a body mass index (BMI) over 40
•Are 100 lbs. or more over your ideal body weight
•Are experiencing disabling pain in weight-bearing joints
•You have a BMI of 35 along with obesity-related disorders such as high blood pressure, diabetes, sleep apnea or degenerative joint disease.
•Your efforts to lose weight through diet and exercise have been unsuccessful

If you meet these requirements and are considering moving forward with bypass surgery, there a few things you can expect after the procedure:
•You may experience pain at the incision site; however, your medical team will be available to help you in keeping your pain under control.
•There is a possibility that you may experience discomfort from the gas used during laparoscopic surgery.
•You will be asked to walk on the day of your surgery as frequently as possible. This will promote circulation and prevent blood from clotting.
•To prevent possible complications such as pneumonia, you may be asked to take deep breaths and breathe into an instrument called an incentive spirometer and cough frequently.
•You will be given ice chips and water to sip, if these are not rejected by the body, you will be placed on a clear liquid diet. Gradually you will be able to ingest solid foods.
•Prior to discharge, the surgeon, nurse or discharge coordinator will instruct you to follow a specific diet.

When combined with eating a healthy diet and exercise, gastric bypass surgery can offer long-term weight loss success. It is important to keep in mind that each case is unique to the individual and it is suggested that you consult a bariatric surgeon for an assessment.

Flushing Hospital Medical Center offers a unique and multidisciplinary program that involves a complete mind, body and wellness approach to weight loss surgery. For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.