BARIATRIC SURGERY OFFERS EFFECTIVE WEIGHT LOSS SOLUTIONS

St. Joseph’s Weight Loss Surgery Center

A Life Changing Experience

Surgical weight loss offer new solutions if you have had trouble losing weight or keeping it off.

If you are significantly overweight, you may be at risk for a wide variety of health issues, including diabetes, heart disease, sleep apnea, breathing problems and depression — and you are not alone. For millions of Americans, weight loss is a lifelong struggle that not only affects self-image, but overall health and well-being. 

If you have had trouble losing weight or keeping it off, surgical weight loss may be a solution. Considered one of the most effective and long-lasting treatments for morbid obesity and related illnesses, bariatric surgery may improve your health and quality of life.

St. Joseph’s Wayne Medical Center is now offering the benefits of bariatric surgery, close to home. Through a comprehensive program (including a combination of specialized surgery, personalized exercise and diet, and support before, during and after your procedure) we can help you reclaim a life of health and wellness.  If you are a candidate for weight loss surgery, St. Joseph’s Wayne Medical Center has the bariatric experts, advanced procedures, and full support you’ll need to achieve long-term success.

Excellence in bariatric surgery begins with a personalized treatment plan that addresses your individual weight loss goals.   Then, together, we decide on the safest and most effective surgical option for you.

Our doctors and staff are caring, skilled professionals dedicated to helping you successfully navigate the path to weight loss and a healthier, happier more active lifestyle.

For more information, please contact Dr. Naveen Ballem or Dr. Harvey Rainville at the St. Joseph’s Weight Loss Surgery Center at 973.744.8585.

St Joseph’s Wayne Office
General & Bariatric Surgery
234 Hamburg Tpke
Suite 203 | Wayne | NJ | 07470

Email: wayne@drballem.com
Phone: 973.744.8585
Fax: 973-748-5990

 

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GERD: NEW TREATMENT OPTIONS FOR HEARTBURN

Comprehensive Care for Digestive Disorders

St. Joseph’s offers cutting-edge techniques and sets a new standard for patients with digestive disease.

St. Joseph’s Health brings together some of the leading gastroenterology experts in the tri-state area to set a new standard of care for patients with digestive diseases. Whether you are managing a chronic condition or taking preventive measures for your health, the St. Joseph’s Gastro Center is here to help you regain your health and lifestyle.

For many patients with a digestive disease, your doctor may refer you to a gastroenterologist (GI)—a physician specializing in the digestive system.  They may also send you for diagnostic tests or recommend treatment options that could include medication, a GI procedure or surgery.

GERD: ACID REFLUX

New Advancements in Heartburn Treatment

GERD today is typically treated with medications such as histamine receptor antagonists (H2 blockers), - Pepcid, Tagamet and Zantac - and with proton pump inhibitors (PPIs) - Nexium, Prilosec and Protonix. Unfortunately, these medications can lose their effectiveness over time. More importantly, they do not treat the underlying root causes of acid reflux.

For people who have severe GERD, surgical intervention may be required. Though the conventional laparoscopic procedure has long been proven a very effective solution, it is still an invasive procedure. It includes incisions and patients must remain in the hospital for up to several days. For that reason, the number of GERD sufferers who undergo this procedure is declining. Fortunately, there are new, less invasive techniques available today for treatment of GERD.

Less Invasive GERD Treatment Options

LINX® Procedure

Gastroesophageal Reflux Disease (GERD) is a chronic, often progressive disease caused by a weak Lower Esophageal Sphincter (LES) that allows acid and bile to reflux, or flow back, from the stomach into the esophagus.

The LES is a muscle at the junction of the esophagus and stomach that functions as the body's natural barrier to reflux. The LES acts as like a valve, allowing food and liquid to pass through to the stomach. Normally, the LES resists opening to gastric pressures to prevent reflux. In people with GERD, the LES is weak and allows acid and bile to reflux from the stomach into the esophagus, often causing injury to the lining of the esophagus and symptoms such as heartburn, chest pain, regurgitation, sore throat and cough.

LINX® is a small, flexible band of magnets and enclosed titanium beads. The beads are connected by titanium wires. The magnetic attraction between the beads is designed to help keep the weak LES closed to prevent reflux (see Figure 2). Swallowing forces temporarily break the magnetic bond, allowing food and liquid to pass into the stomach. Magnetic attraction closes the LES after swallowing to reinforce the body's natural barrier to reflux.

The TIF Procedure

Transoral incisionless fundoplication (TIF) is a minimally invasive treatment for gastroesophageal reflux disease (GERD) that is performed in the outpatient setting. The TIF procedure is performed from inside the patient’s stomach without incisions.

TIF was developed to emulate more invasive surgical techniques, but from within and completely without incisions and visible scars. Using the FDA-cleared EsophyX device, the procedure is performed through the mouth, rather than through an abdominal incision. Typically lasting no more than  60 minutes, the procedure is performed under general anesthesia and reconstructs the antireflux barrier to restore the competency of the gastroesophageal junction. Most patients can go home the next day and return to work within a few days.

Robotic Surgery Procedure

If your doctor recommends surgery to treat GERD, you may be a candidate for a safe, effective and minimally invasive procedure – da Vinci Surgery. Using the most advanced technology available, the da Vinci System enables our doctors to perform this delicate operation with breakthrough precision, superior vision, dexterity and improved access to the affected area.

St. Joseph’s’ University Medical Center and St. Joseph’s Wayne Medical Center offer the advanced options of robotics technology -- making surgery easier on the body, and helping you get back to normal life faster.

This breakthrough advancement allows our surgical team to be in control, but with greatly enhanced precision. This technology uses much smaller instruments than a human hand could control. Some of the incredible benefits include: a faster recovery time; smaller incisions; less blood loss, scarring and pain.

Robotic surgery is incredibly accurate, which means less stress on your body. Many patients who experience robotic surgery at St. Joseph’s go home the same day and return to normal activities faster than expected.

For a referral to a St. Joseph’s affiliated physician who can offer you these and other options for treatment of GERD, please visit Find-A-Doctor  and search Specialties: Gastroenterology.

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ROBOTIC-ASSISTED SURGERY. LESS PAIN – FAST RECOVERY

Robotic-Assisted Surgery Treats a Variety of Health Conditions

St. Joseph’s is leading the way in robotic surgery techniques, offering you shorter hospital stays.

If you or a loved one has been diagnosed with a condition that may require surgery, you owe it to yourself to learn about all of your medical options, including the most effective, least invasive surgical treatments available.

Minimally invasive, robotic-assisted surgery allows our surgeons to perform many kinds of major surgery with less patient pain, minimal scarring, faster recovery and shorter hospital stays. Robotic technology takes surgery beyond the limits of the human hand, introducing precise, versatile instrument movement combined with three-dimensional visualization of the operative site

“Robotic surgery is the latest evolution of minimally invasive surgical procedures and is now available at St. Joseph’s on the da Vinci and Mako Robotic Surgical Systems,” explains Tanuja Damani, MD, FACS, Director of Robotic Surgery at St. Joseph’s University Medical Center.

Today, robotic-assisted surgery is the least invasive and often most effective procedure available. Addressing the shortcomings of other types of surgery, robotic-assisted surgery offers many advantages to both the patient and the doctor. It combines the effective control of open surgery with the less invasive approach of laparoscopy.

St. Joseph’s University Medical Center and St. Joseph’s Wayne Medical Center are leaders in Minimally Invasive Robotic-Assisted Surgery for a variety of health conditions using the da Vinci Surgical System. 

  • Cardiac Surgery
  • Colorectal Surgery
  • General Surgery
  • Gynecologic Surgery
  • Head & Neck Surgery
  • Thoracic Surgery
  • Urologic Surgery
  • Oncologic Surgery

To learn more about our advanced robotic-assisted techniques – or to find a physician, please visit our Robotics Surgery website at:  www.stjosephsrobotics.com.

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ST. JOSEPH’S ALTO – ALTERNATIVES TO OPIATES

Reducing the Risk of Opioid Dependency & Overdose

St. Joseph’s is the first in the U.S. to launch a unique approach to pain management without opioids. 

The United States is in the middle of an epidemic, seeing an increasing number of preventable deaths and emergency department visits due to prescription opioid abuse. Every year, healthcare providers write over 250 million prescriptions for pain killers, enough for every American adult to have a bottle of pills.  And every day, 46 people die from an overdose of prescription pain killers in the U.S.

For the majority of painful conditions opioids should not be the first line treatment. In fact, selected conditions such as headache and acute low back pain can be made worse when opioids are used. Physicians must be aware of the non-opioid modalities and medications available, and work to integrate them into their day-to-day practice.

The Emergency Department at St. Joseph’s University Medical Center is the first in the United States to launch an Alternatives to Opiates Program (ALTO), a highly successful and unique approach to acute pain management without the use of opioids.  Initial results of the ST. JOSEPH’S ALTO program are very promising. Up to 75% of patients have achieved adequate pain relief with alternative therapies and there has been a decrease in opioid use by almost 50% since the inception of the program. 

Clinical Solutions to the Opioid Crisis

To combat the prescription opioid problem, St. Joseph’s Health in Paterson, NJ, has developed an innovative program that gives providers options they can use to effectively alleviate pain without resorting to highly addictive medication.

Launched in January 2016, in the Emergency Department at St. Joseph’s University Medical Center, the Alternatives to Opiates (ALTO) program utilizes protocols that primarily target five common conditions: renal colic, sciatica, headaches, musculoskeletal pain, and extremity fractures.

The architect of the ALTO program is Dr. Mark Rosenberg, Chairman of Emergency Medicine and Population Health at St. Joseph’s Health.  Along with Dr. Alexis M. LaPietra, DO, FACEP, Medical Director of Emergency Department Pain Management at St. Joseph’s, the two clinicians have presented across the country on the impact of their program to turn the tide against opioid addiction and overdose.

Eliminating the Risk of Addiction & Dependency

Because opioid dependency starts with the first dose, the innovative ALTO program uses non-addicting, evidence-based alternatives that have a significant safety profile so clinicians never have to give the first dose - thereby avoiding any risk of addiction.       

Alternative therapies offered through the ST. JOSEPH’S ALTO program including targeted non-opioid medications, trigger point injections, nitrous oxide, and ultrasound guided nerve blocks to tailor patient pain management needs and avoid opioids whenever possible.

Initial results of the ST. JOSEPH’S ALTO program are very promising. Up to 75% of patients have achieved adequate pain relief with alternative therapies and there has been a decrease in opioid use by 50% since the inception of the program.

Successful examples of the ALTO program using alternatives to manage acute pain include kidney stone patients treated with intravenous lidocaine (that not only relieves the kidney stone pain but also allows for easier passage of the stone), back pain patients treated with trigger-point injections, and long-bone fracture patients treated with ultrasound-guided nerve blocks. Receptor management strategies are also utilized to block pain at the receptor site without the need for opioids.  

The ALTO Program uses targeted non-opioid medications, trigger point injections, nitrous oxide, and ultrasound guided nerve blocks to tailor its patients’ pain management needs and avoid opioids whenever possible, for example, in cases of kidney stones, acute low back pain, broken bones, acute headache and migraine pain. 

A model for other hospitals and healthcare providers nationwide, the Emergency Department at St. Joseph’s - the busiest ED in New Jersey with more than 160,000 patient visits in 2016 - is an innovator in Emergency Medicine, having established such programs as the first Geriatric Emergency Department in the US, the first ED-based Palliative Care Program (Life Sustaining Management and Alternatives) in the US, and now, the ALTO program.


Media Links


New York Times
An E.R. Kicks the Habit of Opioids for Pain
http://www.nytimes.com/2016/06/14/health/pain-treatment-er-alternative-opioids.html


YAHOO News
The ER department fighting the US opioid crisis
https://www.yahoo.com/news/er-department-fighting-us-opioid-crisis-062050396.html


Healthcare Business & Technology
Stopping opioid abuse: Hospital uses alternatives to manage pain in ED
http://www.healthcarebusinesstech.com/opioid-abuse-ed/

The Center On Addiction & Substance Abuse
Safer Options: Alternatives To Opioids For Pain Management And Relief 
http://www.centeronaddiction.org/the-buzz-blog/safer-options-alternatives-opioids-pain-management-and-relief

American Osteopathic Association
Outside The Box: DO develops protocols to help patients manage pain without opioids
http://thedo.osteopathic.org/2016/04/do-develops-opioids-last-protocols-at-new-jersey-hospital/

NPR News
No Joke: N.J. Hospital Uses Laughing Gas To Cut Down On Opioid Use
http://www.npr.org/sections/health-shots/2016/04/01/472640008/no-joke-n-j-hospital-uses-laughing-gas-to-cut-down-on-opioid-use 

NJTV News
St. Joseph’s Has First ER with Alternatives to Opioids Program
http://www.njtvonline.org/news/video/st-josephs-has-first-er-with-alternatives-to-opioids-program/

Beckers Hospital Review
New Jersey's largest ER shares findings from Alternatives to Opiates program
http://www.beckershospitalreview.com/quality/new-jersey-s-largest-er-shares-findings-from-alternatives-to-opiates-program.html

Hospitals & Health Networks
The Pain Paradox
http://www.hhnmag.com/articles/7653-How-Three-Hospitals-Are-Managing-Pain-Amid-an-Opioid-Epidemic

CNN: Anderson Cooper 360° Town Hall
Prescription Addiction: Made In The USA
http://cnnpressroom.blogs.cnn.com/2016/05/10/tomorrow-andersoncooper-drsanjaygupta-host-town-hall-re-prescription-addiction/ 

One-On-One with Steve Adubato
ALTO - Alternatives to Opiates Program
https://www.youtube.com/watch?v=n6B7e5cNHII\

News 12 New Jersey
St. Joseph’s University Medical Center program looks to cut opioid prescriptions
http://newjersey.news12.com/news/st-joseph-s-regional-medical-center-program-looks-to-cut-opioid-prescriptions-1.11888798

NJ.com
NJ hospital ER leads nation in tackling pain pill addiction
http://www.nj.com/healthfit/index.ssf/2016/03/nj_hospital_er_leads_nation_in_avoiding_opioid_pai.html

CBS New York
NJ Hospital Cutting Down On Opioids In The Emergency Room
http://newyork.cbslocal.com/2016/03/28/nj-hospital-cutting-down-on-opioids-in-the-emergency-room/

Urgent Matters:
George Washington University – Center for Healthcare Innovation & Policy Research
The ALTO Program
https://smhs.gwu.edu/urgentmatters/sites/urgentmatters/files/4_%20La-Pietra%20Urgent%20Matters%20ALTO%20presenation.pdf


Contact Information

Mark Rosenberg, DO, MBA, FACEP, FAAHPM
Chairman, Emergency Medicine 
Chief Innovation Officer (CINO)
Associate Professor Emergency Medicine
973-754-2240

Alexis M. LaPietra, DO, FACEP
Chair, ACEP Pain Management Section
Medical Director of EM Pain Management
St. Joseph's University Medical Center
Paterson, NJ 07503
973.569.6242

Marketing & Public Relations
St. Joseph’s Health
973-754-4500

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Contact / Directions

Contact us:

Joann Runo
Program Coordinator
Office: (973)-754-2323

Directions :

From New York City

Take GW Bridge to Route 80 west (local or express lanes) for approximately 12 miles. Take Exit 58A Madison Avenue/Clifton (NOT Madison Avenue/Paterson) bear sharp right - Continue right at the yield sign to Madison Avenue and continue to the second light and make right turn onto Main Street north. Proceed under the railroad trestle and St. Joseph's parking pavilion will be on the right.

From Northern areas

Take Garden State Parkway south to Exit 158 - Route 80 west, then follow directions above from New York City.

From Western areas

Traveling east on Route 80 take Exit 58A Madison Avenue/Clifton. Make sharp right up the ramp to Madison Avenue and continue to the second light and make right turn onto Main Street north. Proceed under the railroad trestle and St. Joseph' sparking pavilion will be on the right

From Southern areas

Traveling north on the Garden State Parkway to Exit 155P for Route 19. Follow signs for Route 19. Travel on exit ramp to first for Broad Street/Clifton. Make a right at the end of the exit ramp on to Broad Street. Follow road under train tracks and bear left. Road becomes Marshall Street. Turn right on to Barclay Street. Hospital is directly in front of you. Follow signs to visitors parking.

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How to Apply

The St. Joseph’s University Medical Center / NYMC Anesthesia residency program accepts applications through the AAMC Electronic Residency Application Service (ERAS) only. Please contact your medical school for information regarding the process for submitting application materials.

Please provide the following information through ERAS :

  • Curriculum Vitae
  • Personal Statement
  • Photo
  • Medical School Transcript / USMLE scores
  • Dean's Letter
  • 2 letters of recommendation (minimum)

We will begin reviewing applications September 15. The interview season will start in October and last through January. The interviews are conducted in small groups of 6-7 residents so that we get to spend adequate time getting to know each of our applicants. Interview days commence at 11 AM and typically last to approximately 4:30 PM. Local lodging can be recommended by our program coordinator, Joann Runo.

For additional information regarding the application process  you may contact:

Joann Runo
Program Coordinator
(973) 754-2323

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St. Joseph’s Wayne Medical Center

224 Hamburg Turnpike
Wayne, NJ 07470
Tel: 973.942.6900

St. Joseph's Healthcare and Rehab Center

315 East Lindsley Road
Cedar Grove, NJ 07009
Tel: 973.754.4800

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