If you answer yes to these questions, you may be a candidate:
Ask your primary care doctor about referring you to our center or consider attending one of our monthly seminars presented by our Medical Director, Dr. Karl Strom, to learn more. We will work with you to evaluate whether surgery is an appropriate option and help you determine if your insurance will cover it.
From nutrition counseling and group support to individual therapy and the latest advances in bariatric weight loss surgery, we offer a world-class program in a convenient community setting. We offer access to a panel of dedicated and experienced specialists. Our team includes cardiologists, gastroenterologists, pulmonologists, endocrinologists, surgeons, nurses, dietitians and behavioral health experts, all working together to develop a personalized care plan for you. This care plan includes extensive education and evaluation before surgery, as well as the lifetime follow-up care and support crucial to keeping weight off and staying healthy.
According to the American Society for Metabolic and Bariatric Surgery, there are two basic approaches to weight loss surgery:
At Hackensack Meridian Health Mountainside Medical Center, we perform the following minimally invasive surgeries:
The sleeve gastrectomy is an operation in which the left side of the stomach is surgically removed, leaving it roughly the size and shape of a banana. The nerves to the stomach and the outlet valve remain intact to preserve the functions of the stomach while drastically reducing its volume.
By comparison, when a gastric bypass (Roux-en-Y) procedure is performed, the stomach is divided rather than removed and it can be reconnected (reversed) if necessary. There is no intestinal bypass with sleeve gastrectomy procedures, only stomach reduction.
The Laparoscopic Adjustable Gastric Banding procedure controls the amount of food that you can eat at one time. A hollow silicone band, placed around the top of your stomach, creates a small pouch and narrow passageway into the rest of the stomach, thereby limiting the amount of food you can consume. The band is then inflated with a saline solution. After food enters the pouch, it slowly empties into the rest of the stomach. Liquids pass through the narrow opening created by the band while denser foods are delayed from passing through.
Band adjustments occur six to eight weeks after surgery and as needed thereafter. For example, the band can be adjusted during pregnancy to allow for appropriate nutritional intake. Patients considering this procedure are carefully screened for dietary habits and preferences as well as pre-existing gastroesophageal reflux disease.
In recent years, better clinical understanding of procedures combining restrictive and malabsorptive approaches has increased the choices of effective weight loss surgery for thousands of patients. By adding a technique called malabsorption, food is delayed in mixing with bile and pancreatic juices that aid in the absorption of nutrients. The result is an early sense of fullness, combined with a sense of satisfaction that reduces the desire to eat.
According to the American Society for Bariatric Surgery and the National Institutes of Health, Roux-en-Y gastric bypass is the current gold standard procedure for weight loss surgery. It is one of the most frequently performed weight loss procedures in the United States. In this procedure, stapling creates a small (15 to 20 cc) stomach pouch. The remainder of the stomach is not removed, but is completely stapled shut and divided from the stomach pouch. The outlet from this newly formed pouch empties directly into the lower portion of the jejunum, thus bypassing calorie absorption. This is done by dividing the small intestine just beyond the duodenum for the purpose of bringing it up and constructing a connection with the newly formed stomach pouch. The other end is connected into the side of the Roux limb of the intestine creating the "Y" shape that gives the technique its name. The length of either segment of the intestine can be increased to produce lower or higher levels of malabsorption.
These procedures are known as laparoscopic. When a laparoscopic operation is performed, a tiny video camera and surgical instruments are inserted through small incisions made in the abdominal wall and the surgeon views the procedure on a separate high definition video monitor.
This provides the laparoscopic surgeon with better visualization and access to key anatomical structures while also eliminating the need for one long abdominal incision.
Studies have proven that patients who have laparoscopic weight loss surgery experience less pain after surgery, as well as easier breathing, improved lung function and higher oxygen levels. Other benefits of laparoscopy include fewer wound complications such as infection or hernia and a quicker return to pre-surgery activity levels.
Laparoscopic procedures for weight loss employ the same principles as their "open" surgery counterparts and produce similar excess weight loss. However, not all patients are candidates for this approach and all bariatric surgeons are not trained in the advanced techniques required to perform this less invasive method. The American Society for Bariatric Surgery recommends that laparoscopic weight loss surgery should only be performed by surgeons who are experienced in both laparoscopic and open bariatric procedures.
Weight loss surgery is major surgery. Although most patients enjoy an improvement in obesity-related health conditions (such as mobility, self-image and self-esteem) after the successful results of weight loss surgery, these results should not be the overriding motivation for having the procedure. The goal is to live better, healthier and longer. This surgery is only a tool. Your ultimate success depends on strict adherence to the recommended dietary, exercise and lifestyle changes.
It is important to remember that there are no ironclad guarantees in any kind of medicine or surgery. There can be unexpected outcomes in even the simplest procedures. What can be said, however, is that weight loss surgery will only succeed when the patient makes a lifelong commitment? Some of the challenges facing a person after weight loss surgery can be unexpected. Lifestyle changes can strain relationships within families and between married couples. To help patients achieve their goals and deal with the changes surgery and weight loss can bring, most bariatric surgeons offer follow-up care that includes support groups, dieticians and other forms of continuing education.
When I was young, I was a competitive figure skater and never thought in a million years that I would end up overweight. But once I stopped training, the weight slowly crept on. I didn't just wake up one day and weigh 300 pounds; it was 20 years in the making, ten pounds a year.
I was tired of being tired. It was getting harder and harder to do my job. To live my life. I wanted to set a good example for my daughter. And deep down I knew that 300-pound woman wasn't me.
I knew I had the potential to lose the weight and get healthy, but I needed help to control my eating and make better choices. I knew that if I was going to do something as drastic and life altering as the surgery, I had to be really committed.
Before that seminar I had no idea how nutritionally deprived I was. I ate too much, but there was no nutrition, and I felt terrible. I just thought that was how I felt. I didn't understand that it was a physiological reaction to the foods I ate.
It was absolutely amazing. I feel like I have a support system there, I can call whenever I want, I can call the nutritionist with questions about diet and vitamins. They are VERY accessible. And I like the group meetings, too. I go whenever I can.
Now I'm a new and improved Deana. My friends love the change because I'm more fun to be around. I have tons of energy. I exercise all the time. My husband and I run together. My competitive spirit is back—I live for race day, crossing the finish line, and getting my finisher medal.
I tell them I wish I'd done it fifteen years sooner. It's life changing. And my life is so much better now.
*Results may vary based on a variety of factors.
After I had my first child and started taking birth control, I started to gain weight. So I joined Weight Watchers. But I'd lose the weight, then I'd gain it right back. Lose it, then gain it back again. And it was very hard to stay motivated.
Yes, I had high cholesterol, swollen ankles, aches and pains in my legs and back.
I saw a nutritionist for six months before the surgery, so I learned a lot of behaviors I didn't know before. Portion control, exercise, that it's better not to eat and drink at the same time.
They are a great team. I can call anytime with any concerns. I had some gallbladder issues that slowed my recovery, and they were very attentive to my concerns. They are the best team ever for this kind of surgery.
I would tell them to do their research first and be serious about it. It's not just about looking pretty, you need to be doing it for health reasons. And you have to be ready and willing to change your behavior.
It's very easy to control my portions now. I have a small stomach. I eat off a smaller plate. I eat protein first, then vegetables, then starches, which helps me a lot.
Going shopping is interesting. I've forgotten and gone to the plus size section to shop, because I'm not used to my smaller body yet. I have clothes from when I was 17 and they're too big!
Once I got the surgery, I was already doing a lot better. Now I feel a lot lighter. And I can run now—I couldn't do that before. I feel great, and I don't worry that I'm going to have diabetes or high blood pressure. This is a great option for health.
*Results may vary based on a variety of factors.
I was always a big guy, but I was in good shape, and I carried my weight well. But in the ten years post-college I gained 40 pounds, and then I got married. I weighed 240 when I got married. Then the kids came along—that's when I really started to put it on. I was 347 pounds when I decided to have the sleeve procedure.
When you get that heavy, doing anything—walking, going up a flight of stairs—is really difficult. My hip started bothering me, then my knee.
Then my cholesterol increased and my blood sugar got up to 149 (150 is Type 2 Diabetes). My blood pressure was 140/90. I had sleep apnea, which makes you extremely tired.
A year and a half ago, I went for my checkup and the doctor said everything looked fine. But then a week later, the nurse called and said the doctor wanted to see me back in his office. I thought, "this is it—the call I've been dreading." He said he was calling me back in as a friend and told me about Dr. Strom's seminar. That was the wakeup call I needed.
I had tried different diets many, many times over the years. I thought it was simply poor choices or a lack of willpower on my part, but Dr. Strom really helped me see that when you're obese, there are many factors working against you that are largely outside of your control.
It was quick. I had no complications. I went in at 7:30 a.m., and I was in recovery by 8:45. Home within two days, and within a week I was riding my bike.
I have been back to my college weight for the past eight months. My blood pressure, my cholesterol, my blood sugar, my vitamin levels—all great. Sleep apnea—gone. I'm not sweating all the time. I have energy. I can be active. It's the best thing I could have done for my health.
*Results may vary based on a variety of factors.