STEFANIE VAIMAKIS MD FACS FASMBS
Minimally Invasive Surgeon
Robotic Bariatric Surgeon
All of our surgical procedures are performed using state-of-the-art minimally invasive robotic technology. The da Vinci XI robot is the world's most advance surgical system. Benefits include minimal incisions, enhanced 3-dimensional vision, tiny instruments that bend and rotate greater than the human hand, which allow for better precision and control resulting in faster recovery and less post op pain.
SLEEVE GASTRECTOMY & GASTRIC BYPASS
The Gastric Sleeve reduces weight through "restriction," or creating a smaller stomach. It involves using a special surgical stapler to remove about 80% of the stomach. This creates a "sleeve" the size and shape of a small banana. The new stomach can hold about 4-5 ounces of food at one time, resulting in significant restriction, less caloric intake and significant weight loss.
The most important metabolic advantage of a gastric sleeve is that by removing 80% of the stomach the production of the "hunger hormone" ghrelin is also significantly reduced. This causes patients not to feel hungry after surgery. Through good nutrition and smaller portion sizes, patients can lose 70-75% of their extra body weight in one year.
Sleeve Gastrectomy Risks at 1-3%are leak, bleeding, stricture, ulcer, and dvt/pe.
IS SURGERY FOR ME?
There are several factors to consider when deciding if weight loss surgery is right for you. The first is to determine if you are considered morbidly obese. There are several medically accepted criteria for defining morbid obesity:
Weigh more than 100 lbs over your ideal body weight, or have a BMI of 40 or higher.
Weigh more than 30 pounds over your ideal body weight or have a BMI of at least 30 and are experiencing health related conditions such as: diabetes, high blood pressure, sleep apnea, or high cholesterol and you may qualify for gastric banding.
Weigh more than 50 lbs over your ideal body weight, or have a BMI of 35-40 and are experiencing health related conditions, such as: diabetes, high blood pressure, sleep apnea, or high cholesterol and you qualify for gastric bypass, sleeve gastrectomy, and gastric banding.
You must demonstrate an inability to achieve a sustained healthy weight despite significant efforts at weight loss which may include diet, exercise and medications. Some insurance companies will require documentation of a medically supervised weight loss program in order to qualify.
You must be ready to making the necessary lifestyle and dietary changes. Remember that surgery is only a tool. It is not a "quick fix" and is definitely not the "easy way out." Bariatric Surgery requires a commitment to a special diet, vitamin and mineral supplementation as well as a regular exercise program in order to be successful.
You must not have any untreated psychiatric conditions
You must be fully committed to the necessary follow up required. Laparoscopic Sleeve Gastrectomy, Laparoscopic Gastric Bypass, and Adjustable Gastric Banding require regular follow up with the surgeon in order to remain safe and maximize outcome.
WHAT TO EXPECT
The benefits of Bariatric Surgery are impressive. The difference between this and simple diet and exercise is that Bariatric Surgery has long term success. Patients are able to lose the weight but more importantly keep it off. Because of this, we see dramatic improvement in related health conditions.
All surgical procedures carry a certain degree of risk. Keep in mind that the risks must always be compared to the benefits obtained from weight loss and the improvement in health problems related to obesity.
% Co-Morbidities Resolved
In addition, many other conditions such as arthritis, skin infections, asthma, infertility and lymphedema can be improved. There is an improvement in the ability to participate in physical and recreational activities. The majority of patients notice improved social and economic opportunities. Patients who may have suffered from depression or anxiety notice an improved sense of well being.