Bariatric Program at St. Joseph's Hospital
Bariatric Surgeries at St. Joseph's Healthcare System are performed in a state of the art operating room by highly-skilled, board-certified, experienced surgeons. Services St. Joseph's provides to qualified patients include:
- Laparoscopic Roux-en-Y Gastric Bypass
- Laparoscopic Adjustable Gastric Band
- Laparoscopic Sleeve Gastrectomy
These procedures are done through small incisions in the upper abdomen. Each prospective patient is evaluated by one of our surgeons in a one-to-one consultation. The type of surgery will be determined during the consultation based on what is most appropriate for the individual patient.
We offer a distinctive multidisciplinary approach which focuses on meeting the patient's needs through every step of the process. Services for our bariatric surgery patients include; seminars, individual consultations with the surgeon, assistance with insurance approval, preparation classes before the surgery and continuous support group meetings after the procedure to ensure the best possible outcome. We will work together to ensure that your pathway to surgery goes smoothly. If you are interested in learning more about the different procedures or if you have any questions please call the Bariatric Coordinator at 551.795.4665 or via email Pichardn@sjhmc.
Candidates include those who:
- Have tried and failed to lose weight
- Are more than 100 pounds overweight
- Have a body mass index (BMI) greater than 40
- Have a BMI of 35 or more and suffer from any obesity-related health problem including diabetes, high blood pressure, infertility, breast cancer, high cholesterol, heart disease/attacks, gallstones, arthritis, sleep apnea, joint & spine problems, uterine cancer, prostate cancer, colon cancer, varicose veins, depression, social isolation.
Obesity can result in overall decreased life expectancy.
For more information on Bariatric Services please click here.
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Timeline to Surgery
Timeline to Surgery
- Attend a Seminar
- Call your insurance provider to check for Bariatric surgery benefits
- Consult with the Surgeon
- Nutrition Evaluation
- Psychiatric Evaluation
- Medical Clearance if applicable
- Cardiac Clearance if applicable
- Pulmonary Clearance if applicable
- Insurance Pre-certification/ Insurance Approval
- Pre-Admission Testing (within 30 days of procedure)
Bariatric Surgery Services Available
Laparoscopic Adjustable Gastric Band
Laparoscopic Adjustable Gastric Band is a restrictive surgical procedure; it works by limiting the amount of food that can be eaten at one time. During this procedure, two medical devices are implanted in the patient: a silicone band and an injection port. The silicone band is placed around the upper part of the stomach and molds the stomach into two connected chambers. The injection port is attached to the abdominal wall, underneath the skin. The port is connected to the band with soft, thin tubing.
The band is adjustable. Adjustments are made by your healthcare professional using a needle to inject saline solution into your band through the port. Adding saline increases the amount of restriction provided by the band, helping patients feel fuller sooner and with less food.
Laparoscopic Roux-en-Y Gastric Bypass surgery
Laparoscopic Roux-en-Y Gastric Bypass surgery uses a combination of restriction (limiting the amount of food that can be eaten at one time) and malabsorption (bypassing a portion of the small intestine means the patient's body absorbs fewer calories). During the procedure, the surgeon creates a smaller stomach pouch. The surgeon then attaches a Y-shaped section of the small intestine directly to the pouch. This allows food to bypass a large portion of the small intestine, which absorbs calories and nutrients. Having the smaller stomach pouch causes patients to feel fuller sooner and eat less food.
Laparoscopic Sleeve Gastrectomy
The Sleeve Gastrectomy is a restrictive procedure. It works by limiting the amount of food that can be eaten at one time. During this procedure, the surgeon creates a small, sleeve-shaped stomach. It is larger than the stomach pouch created during Roux-en-Y bypass—and is about the size of a banana.
Sleeve gastrectomy patients experienced resolution rates for type 2 diabetes, high blood pressure, high cholesterol, and obstructive sleep apnea that are similar to resolution rates for other restrictive procedures such as gastric banding.
To learn more about sleeve gastrectomy, visit the website of the American Society for Metabolic and Bariatric Surgery (ASMBS) and review the ASMBS Position Statement on Sleeve Gastrectomy as a Bariatric Procedure. http://asmbs.org/2011/12/sleeve-gastrectomy-as-a-bariatric-procedur/
Risks and Benefits
Risks and Benefits
As with any selective surgery there are risks involved. The following risks are associated with any Bariatric surgery:
- Leakage from the intestinal tract
- Blood clots in legs/lungs
- Nausea and Vomiting
- Gastric Bypass
- Nutritional and Vitamin Deficiencies
- Kinks or twists in the intestine
- Dumping syndrome
- Adjustable Gastric Band
- Weight loss failure 8-10%
- Band slippage <1-2%
- Band erosion <0.5%
- Balloon leaks, Port malfunction
Research has show that reversal of obesity- related co-morbidities has been achieved subsequent to Bariatric surgeries.
Studies found that gastric banding:
- Resolved type 2 diabetes in 47.8 percent of patients and often resolved the disease within days of surgery
- Resolved high blood pressure in 38.4% of patients
- Improved high cholesterol in 78.3% of patients
Studies found that gastric bypass:
- Resolved type 2 diabetes in 83.8% of patients and often resolved the disease within days of surgery
- Resolved high blood pressure in 75.4% of patients
- Improved high cholesterol in 95% of patients
- Studies shows that sleeve gastrectomy patients experienced resolution rates for type 2 diabetes, high blood pressure, high cholesterol, and obstructive sleep apnea that are similar to resolution rates for other restrictive procedures such as gastric banding.
- Bariatric patients also experienced improved physical functioning and appearance; and improved social and economic opportunities. In addition there has been a reduced relative risk of mortality as well as an improved quality of life.
Recommendations After Surgery
Recommendations After Surgery:
Weight loss after the procedure will depend on several factors including:
- The type of surgery performed
- Patient's age and weight prior to surgery
- Overall health of patient
- Motivation of patient and support from family members, friends, and healthcare providers
- Follow up care, ability and commitment to exercise, and maintain dietary guidelines
- Follow up care services include consultations with Surgeon/nutritionist/nurse, support groups and bariatric rehabilitation
- Activities allowed after Weight Loss Surgery include:
- No strenuous exercise for six weeks.
- Driving is allowed once not taking pain medications.
- Consider exercising at least 5 times per week once you are cleared by your surgeon
- Your healthcare team will advise you when to return to work and when you are able to resume normal activities.
Diet Plan after Weight Loss Surgery:
- Sleeve Gastrectomy patients needs to follow each phase of diet for two consecutive weeks
- Gastric Band and Gastric Bypass patients need to follow each phase of diet for one week
- Phase/Week 1: Thin Liquids ex; clear liquids
- Phase/Week 2: Soft, Moist, Mushy Food ex; yogurt, cottage cheese
- Phase/Week 3: Soft Food ex; chicken salad, eggs, shrimp, flaky fish
- Phase/Week 4+: Regular Food
- Drink at least 64 oz. of non caloric beverages throughout the course of the day
- Sip small amounts of liquids, after surgery the stomach is tiny and cannot hold large amount of liquid
- Avoid drinking 30 minutes before and 30 minutes after a meal
- Avoid using straws after surgery because it allows air into the stomach
- No carbonated beverages or beverages containing sugar
- Avoid skipping meals or eating less than 3 times per day
- Eat slowly, it should take at least 30 minutes to eat a meal
- Chew food very well, the smaller the piece of food the better it is to digest
Register for a Free Bariatric Surgery Seminar
Free Bariatric Seminars, Classes and Support Groups - 2014
Free Seminar Dates: 2014
Seminars will be held at St. Joseph's Regional Medical Center 703 Main Street Paterson, NJ 07503 Auditorium 2 -next to the main lobby. Registration will begin at 6:00 p.m. and Seminars will start at 6:30 p.m. until 7:30 p.m.
1/29, 1/30, 2/26, 2/27, 3/26, 3/27, 4/23, 4/24, 5/21, 5/22, 6/18, 6/26,7/16, 7/24, 8/13, 9/10, 9/25, 10/8, 10/23, 11/5, 11/20
Free Bariatric Support Group: 2013 and 2014
The support group is lead by the Bariatric Nurse Coordinator and a Registered Dietician. Our goal is to provide the bariatric patient with ongoing education, support and to reinforce the knowledge gained throughout the surgical process. This is a great opportunity where bariatric surgery patients can support each other by sharing their experiences. Support Group Meetings will be held at:
St. Joseph's Regional Medical Center 703 Main Street Paterson, NJ 07503 Auditorium-next to the main lobby. Registration will begin at 5:30 p.m. and Support Group Sessions will start at 6:00 p.m. until 7:00 p.m.
December 05, 2013 Auditorium 1
January 9, 2014 Auditorium 2
February 6, 2014 Auditorium 2
March 6, 2014 Auditorium 2
April 3, 2014 Auditorium 2
May 1, 2014 Auditorium 2
June 5, 2014 Auditorium 2
July 3, 2014 Auditorium 2
August 7, 2014 Auditorium 2
September 4, 2014 Auditorium 2
October 2, 2014 Auditorium 2
November 6, 2014 Auditorium 2
December 4, 2014 Auditorium 2
Free Bariatric Pre-op Class Schedule: 2013 and 2014
The goal of this class is to prepare the bariatric patient for surgery, to help them understand the lifestyle changes that need to take place before, immediately after surgery and after discharge. The topics that are discussed in this meeting include: Planned Hospitalization Experience (PAT, pre-op, intra-op, post-op & post discharge); diet, behavior modification & social support, exercise & physical activity; medication use after Bariatric Surgery, sleep apnea, c-pap equipment & Incentive spirometry. The class is taught by nine different disciplines, the Bariatric Nurse Coordinator, Pre-op Nurse, Respiratory Therapist, Radiology Tech, Registered dietician (RD), Physical Therapist, Pharmacy resident, Psychiatrist, Post-Op Nurse and PAT Nurse.
December 17, 2013 Auditorium 2- (2-4 PM)
January 16, 2014 Auditorium 2- (2-4 PM)
February 20, 2014 Auditorium 2- (2-4 PM)
March 13, 2014 Auditorium 2- (2-4 PM)
April 4, 2014 Auditorium 2- (2-4 PM)
May 15, 2014 Auditorium 2- (2-4 PM)
June 5, 2014 Auditorium 2 - (2-4 PM)
July 10, 2014 Auditorium 2 - (2-4 PM)
August 7, 2014 Auditorium 2 (2-4 PM)
September 11, 2014 Auditorium 2 (2-4 PM)
October 16, 2014 Auditorium 2 (2-4 PM)
November 13, 2014 Auditorium 2 (2-4 PM)
December 18, 2014 Auditorium 2 (2-4 PM)