Weight loss surgery

Nationally-recognized weight loss procedures

Established in 2004, we are an accredited bariatric surgery center, as recognized by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, which we proudly maintain through the American College of Surgeons.

Our care is patient-centered, and our surgical teams follow the most up-to-date best practices and guidelines, meeting a national standard of quality.

Our personal approach

Our approach to treatment combines evidence-based medicine with an individualized plan of care. We offer a wide array of options, including weight loss classes with a dietitian, medical weight loss programs utilizing medications and weight loss (bariatric) surgery treatment options. If surgery is right for you, our experienced surgeons will discuss your options and work closely with you to decide the best course of action.

Our program provides:

• Education about lifestyle changes, weight loss medications and bariatric surgeries
• Personalized care plans established by our doctors
• Robotic-assisted for faster recovery times
• Support from our registered dieticians throughout your weight loss journey

Benefits of weight management

Weight management through surgical and nonsurgical means can help manage and reverse obesity, a disease that can lead to a number of health conditions, including:

• Certain types of cancer
• Gastroesophageal reflux disease (GERD)
• High blood pressure
• High cholesterol
• Osteoarthritis
• Sleep apnea
• Type 2 diabetes

Candidates for weight loss surgery

Our team will review your individual eligibility for weight loss surgery, as well as the pros and cons of each procedure. According to the American Society for Metabolic and Bariatric Surgery (ASMBS), a patient qualifies for bariatric surgery based upon the following criteria:

• BMI >/= 35 kg/m2, regardless of presence, absence, or severity of co-morbidities.
• BMI >/= 30 kg/m2 and T2D.
• BMI 30-34.9 kg/m2 who do not achieve substantial or durable weight loss or co-morbidity improvement using nonsurgical methods.
• As obesity definitions using BMI thresholds do not apply similarly to all populations, clinical obesity in the Asian population will be recognized at a BMI > 25 kg/m2.
• No upper patient-age limit – patient will be carefully assessed for co-morbidities and frailty.

Our weight loss treatments and services

We offer a wide range of noninvasive and minimally invasive weight management techniques. Some of the most common weight loss surgical procedures we offer include:

Sleeve gastrectomy (gastric sleeve) surgery

Sleeve gastrectomy (sometimes called "vertical sleeve gastrectomy") is a restrictive procedure, meaning it reduces the amount of food you can consume. This procedure involves removing 75 percent of the stomach, virtually eliminating the hormones in your gastrointestinal tract that stimulate hunger. A sleeve gastrectomy procedure does not involve any bypass of the intestinal tract is performed robotically.

With this surgery, you can eat less, and your appetite decreases. It offers not only significant long-term weight loss of greater than 65 percent but also improves or resolves Type 2 diabetes, hypertension and sleep apnea.

Gastric bypass

Gastric bypass surgery (sometimes called Roux-en-Y gastric bypass) involves making the stomach smaller and bypassing part of the small intestine. This limits how much food you need to feel full and decreases the nutrients and calories your body is able to absorb. This procedure also causes gut hormones to release earlier, making you feel less hungry.

This is one of the most common bariatric surgeries, offering typical weight loss of 75 percent. It also significantly improves or completely resolves Type 2 diabetes, gastric reflux, hypertension and sleep apnea. This procedure is also considered a treatment for metabolic syndrome and can also eliminate the need for reflux medications.

Usually, gastric bypass surgery can be completed in 1.5 hours. Most patients will need to stay in the hospital for one day after their operation, and they can return to their typical lifestyle within two weeks.

Ideal candidates include patients with a BMI greater than 35 with additional conditions such as diabetes, hypertension or sleep apnea.

Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy (SADI-S)

The Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy is referred to as the SADI-S. It combines a sleeve gastrectomy (removing most of the stomach) and intestinal bypass (shortening the length of the small intestine). It is a highly effective and slightly more complex surgical weight loss option. SADI-S typically leads to greater weight loss with a lower risk of obesity recurrence. It is the most effective treatment option for type 2 diabetes. This is also an option for patients who have had weight regain or inadequate weight loss with a previous sleeve gastrectomy alone.

Bariatric revision surgery

Bariatric surgeries are excellent treatment options that help many patients successfully lose weight. However, some patients may not experience the results they want. In these cases, you may need follow-up or additional bariatric surgery. Because these patients have already had bariatric surgery, this type of surgery is called "revisional" bariatric surgery.

Bariatric revision surgery procedures can vary greatly based on the original operation, how long ago it was performed, the degree of weight loss achieved and the current nutritional and physical state of the individual. Revision procedures are not one size fits all and not everyone is a candidate for a revision.

Your physician may suggest a second procedure if your initial surgery hasn't produced the desired weight loss effects, or you have regained a significant amount of weight.

Certain complications or medical conditions may also prompt the need for bariatric revision surgery, including:

• Development of an ulcer or hiatal hernia
• Expansion of the stomach during a sleeve gastrectomy
• Slippage or deflation of the band after gastric band surgery
• Stretching of the tiny stomach pouch created during RYGB surgery