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Bariatric/Weight Loss Surgery
948 48th Street | 3rd floor
Brooklyn, NY 11219
Phone: (718) 283-7403
Fax: (718) 635-7226

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Bariatric Treatment Options

 

Most overweight people have experienced the “Dieting Yo-Yo” – they lose some pounds, but soon gain back even more. In the long run, they remain on the same medications for blood pressure and diabetes, and they are still obese.

If you are obese and neither lifestyle changes nor medications have helped you lose enough weight, surgery may be an option. Bariatric surgery (surgery to treat obesity), helps keep weight off long-term, improves your health, and has been shown in multiple studies to cure or significantly reduce many of the other health problems associated with obesity. It is safe in the long-term, fully covered by virtually all insurance plans and, with recent advances, can be minimally invasive and have you back home as early as the next day.

Laparoscopic Banding

Approved in 2001 by the FDA, laparoscopic banding is the safest and least invasive bariatric surgery for patients for patients interested in weight-loss surgery.

The lap band is a small, saline-inflatable band placed around the upper portion of the patient’s stomach.  The surgery is performed laparoscopically, which means less scarring, shorter hospital stay, less pain, quicker return to full activities, and fewer long-term complications.  And it leaves the stomach fully intact.

It works by being placed around the upper part of the stomach to create a small stomach pouch that holds a small amount of food.  The band restricts the amount of food consumed, slows the emptying of food from the stomach, and provides a constant sensation of being full.  It allows you to finally gain control over your hunger.

Operating time is about 60 minutes and most patients are ready to leave the hospital the following day.  Over 200,000 of these surgeries have been performed around the world providing their safety and effectiveness. Most patients can return to work within a week or two.

How does it work?

The lap band is adjustable to fit your particular weight loss needs, which can control the amount of saline in the band with a fine needle through the skin.  The average weight loss of lap band patients in a clinical study was approximately 36-38% of excess weight, two to three years after surgery.  Most importantly, the procedure is 100% reversible, which means that at any point the band can be easily removed, leaving your body virtually unchanged.

Our bariatric program now accepts patients who wish to pay out of pocket for the lap band procedure.  Many of our patients are surprised at just how affordable this option is.  Patients often choose this alternative because their insurance carrier may feel that they do not meet their criteria for bariatric surgery or require a 6 month to one year wait before they will allow patients who otherwise qualify to undergo surgery.  We are more than happy to discuss this very affordable option with in greater detail at the time of your initial consultation.

Sleeve Gastrectomy

Another option in bariatric surgery is the sleeve gastrectomy.  It is a fairly new minimally invasive technique where the surgeon creates a small, sleeve -shaped stomach about the size of a banana.  The stomach is about 15%-20% smaller than its original size.  With this option patients are expected to have 70% excess weight loss at 18 months.  The sleeve gastrectomy is not a reversible procedure.

There are several benefits to the sleeve gastrectomy.  It is effective for patients who are morbidly obese and an alternative for patients suffering from morbid obesity whose health risks are too complicated for earlier weight loss methods.  There is no foreign body present and no malabsorption as with the bypass.  This procedure, which takes about an hour involves at least an overnight stay, does not involve any rerouting or reconnecting of the intestine.

Untitled Document

LEADERSHIP

Sherwinter, Danny MD
Director, Division of
Bariatric Surgery

Adler, Harry MD
Assistant Director, Division of
General Surgery


   
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Maimonides Medical Center    |    4802 Tenth Avenue    |    Brooklyn, NY 11219    |    718.283.6000