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Bariatric Surgery

Bariatric Surgeries at St. Joseph’s Health 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. 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.

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)
  • SURGERY

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.

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
  • Infections
  • Bleeding
  • 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

Benefits:

  • 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

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

Recommendations:

  • 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

Bariatric Surgery services provides FREE Bariatric Surgery Seminars, a Bariatric Support Group and a Bariatric Pre-op Class. For more information about these services, please click on the links below.

 

  • Surgery Seminar
  • Support Group
  • Pre-op Class
  • Contact Us
  • Location

We host educational Bariatric Seminars once-twice each month. All patients are required to attend a seminar before booking an appointment for a consultation. If you have any further questions or concerns regarding Bariatric Surgery we encourage you to register for one of our free seminars. 

Seminars will be heldat St. Joseph’s University 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.

2018 Seminar Dates

Wayne Bariatric Program

February 6, 2018 (room to be announced) Wayne (6:30-7:30pm)

March 6, 2018 (room to be announced) Wayne (6:30-7:30pm)

April 3, 2018 (room to be announced) Wayne (6:30-7:30pm)

May 1, 2018 (room to be announced) Wayne (6:30-7:30pm)

June 5, 2018 (room to be announced) Wayne (6:30-7:30pm)

July 3, 2018 (room to be announced) Wayne (6:30-7:30pm)

August 7, 2018 (room to be announced) Wayne (6:30-7:30pm)

September 4, 2018 (room to be announced) Wayne (6:30-7:30pm)

October 2, 2018 (room to be announced) Wayne (6:30-7:30pm)

November 6, 2018 (room to be announced) Wayne (6:30-7:30pm)

December 4, 2018 (room to be announced) Wayne (6:30-7:30pm)

Advanced Laparoscopic Associates

January 24, 2018 Auditorium #2 ALA (6:30-7:30pm)

February 28, 2018 Auditorium #2 ALA (6:30-7:30pm)

March 28, 2018 Auditorium #2 ALA (6:30-7:30pm)

April 25, 2018 Auditorium #2 ALA (6:30-7:30pm)

May 23, 2018 Auditorium #2 ALA (6:30-7:30pm)

June 27, 2018 Auditorium #2 ALA (6:30-7:30pm)

July 25, 2018 Auditorium #2 ALA (6:30-7:30pm)

August 22, 2018 Auditorium #2 ALA (6:30-7:30pm

September 26, 2018 Auditorium #2 ALA (6:30-7:30pm)

October 24, 2018 Auditorium #2 ALA (6:30-7:30pm)

November 28, 2018 Auditorium #2 ALA (6:30-7:30pm)

December 26, 2018 Auditorium #2 ALA (6:30-7:30pm)

Dr. Vazquez Seminar

January 25, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

February 22, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

March 22, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

April 26, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

May 24, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

June 28, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

July 26, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

September 27, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

October 25, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

November 29, 2018 Auditorium #2 Vazquez (6:30-7:30pm)

 

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 University 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.

2017 Support Group

January 4, 2018 Auditorium #2 (6-7pm) English

February 1, 2018 Auditorium #2 (6-7pm) Spanish

March 1, 2018 Auditorium #2 (6-7pm) English

April 5, 2018 Auditorium #2 (6-7pm) Spanish

May 3, 2018 Auditorium #2 (6-7pm) English

June 7, 2018 Auditorium #2 (6-7pm) Spanish

July 5, 2018 Auditorium #2 (6-7pm) English

August 2, 2018 Auditorium #2 (6-7pm) Spanish

September 6, 2018 Auditorium #2 (6-7pm) English

October 4, 2018 Auditorium #2 (6-7pm) Spanish

November 1, 2018 Auditorium #2 (6-7pm) English

December 6, 2018 Auditorium #2 (6-7pm) Bilingual

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.

Pre-op Class-English

January 4, 2018 Auditorium #2 (2-4pm)

February 1, 2018 Auditorium #2 (2-4pm)

March 1, 2018 Auditorium #2 (2-4pm)

April 5, 2018 Auditorium #2 (2-4pm)

May 3, 2018 Auditorium #2 (2-4pm)

June 7, 2018 Auditorium #2 (2-4pm)

Jul 5, 2018 Auditorium #2 (2-4pm)

August 2, 2018 Auditorium #2 (2-4pm)

September 6, 2018 Auditorium #2 (2-4pm)

October 4, 2018 Auditorium #2 (2-4pm)

November 1, 2018 Auditorium #2 (2-4pm)

December 6, 2018 Auditorium #2 (2-4pm)

Pre-op Class-Spanish

January 11, 2018 Auditorium #1 (2-4pm)

February 8, 2018 Auditorium #1 (2-4pm)

March 8, 2018 Auditorium #1 (2-4pm)

April 12, 2018 Auditorium #1 (2-4pm)

May 10, 2018 Auditorium #1 (2-4pm)

June 14, 2018 Auditorium #1 (2-4pm)

July 12, 2018 Auditorium #1 (2-4pm)

August 9, 2018 Auditorium #1 (2-4pm)

September 13, 2018 Auditorium #1 (2-4pm)

October 11, 2018 Auditorium #1 (2-4pm)

November 8, 2018 Auditorium #1 (2-4pm)

December 13, 2018 Auditorium #1 (2-4pm)

If you are interested in learning more about the different procedures, have a question or would like to register for a seminar please call the Bariatric Coordinator at 551.795.4665.

St. Joseph’s University Medical Center
703 Main St.
Paterson, NJ 07503
Copyright © 2014 St. Joseph's Health