If you are affected by obesity, you know first-hand that managing your weight and improving your health is difficult. You are not alone. More than 78.6 million American adults are obese, which accounts for one-third of the adults in our country.

Obesity and your quality of life

Our caring, knowledgeable weight loss surgery team wants to help you take charge of your health. Obesity can seriously affect your quality of life and it can increase your risk of other chronic, life-threatening diseases, like:

  • Arthritis
  • Cardiac dysfunction and heart disease
  • Diabetes
  • Gall Bladder Disease
  • High Blood Pressure
  • Liver Disease
  • Reproductive dysfunction, including menstrual irregularities and infertility
  • Respiratory and pulmonary dysfunction, including sleep apnea
  • Stroke and Hypertension

How does bariatric surgery work?

Bariatric Surgery promotes weight loss by restricting food intake and, in some procedures altering the digestive process. As with other treatments for obesity, the best results are achieved when combined with healthy eating behaviors and regular physical activity.

Surgery options

Recently approved by the FDA but this procedure has been performed worldwide for several years. This new same day procedure is an endoscopic procedure that takes 20 to 30 mins. There are no incisions or scars. A soft expandable gastric balloon is placed endoscopically. The balloon is left in place for 6 months. The patient is also enrolled in a 12 month comprehensive weight loss program. Most patients lose 30 to 50 pounds.

Gastric banding, usually done laparoscopically, is a less invasive and the only adjustable and reversible obesity surgery available. During this procedure, surgeons place an inflatable silicone band around the upper stomach to create a new, tiny pouch that limits the amount of food that can be consumed and slows its progression into the stomach and intestines. The patient feels full sooner and satisfied with smaller amounts of food, ultimately losing up to 40 to 60 percent of his or her excess weight over three years. This procedure is usually done on an outpatient basis, normal activities can be resumed in one week.

The band itself is adjustable by adding or removing fluid from the band’s interior through a small port that is placed beneath the patient’s skin. Adjustments can be made as necessary in the surgeon’s office, where the surgeon can adjust the band via the port with minimal discomfort to the patient.

If a patient requires even greater weight loss than banding techniques produce, a gastric bypass operation is considered. Gastric bypass restricts both food intake and the amount of calories and nutrients the body absorbs. Patients who have bypass operations generally lose 70 percent of their excess weight within one-and-a-half years.

In Roux-en-Y gastric bypass (RGB), the most common gastric bypass procedure, a small (30ml) stomach pouch is created by stapling to separate it from the rest of the stomach. Then, a section of the small intestine is attached to the new pouch to allow food to bypass the first portion of the small intestine to reduce calorie and nutrient absorption. The limited quantity of food, combined with reduced absorption of calories, results in faster and perhaps more pronounced weight loss than is normally achieved by the gastric banding procedure.

This procedure usually requires a two-to three-day hospital stay, and normal activities can be resumed in four to five weeks.

The laparoscopic sleeve gastrectomy is a bariatric procedure in which the surgeon removes approximately 85% of the stomach, shaping the remaining stomach into a tube or “sleeve”. It can be used as a first stage operation prior to a gastric bypass or as a definite procedure. Ultimately losing 40 to 60 percent of excess weight over one-and-a-half years.

The preferred method for bariatric surgery involve laparoscopy (also known as minimally invasive surgery), a surgical technique in which a high-definition camera and very fine surgical instruments are placed through small incisions, instead of the standard large incisions. The image is then viewed on a video monitor by highly trained surgeons as they perform the procedures using the specialized instruments.

Eliminating the need for a large incision, laparoscopy results in less tissue damage, less blood loss, shorter hospitalization, a faster recovery, and fewer complications than open operations. Our state-of-the-art operating rooms and staff provide patients with the best care possible using laparoscopic techniques.

Bariatric Surgery is very successful as a long term treatment for Morbid Obesity. However on some occasions patients can experience weight regain. There are multiple causes for weight regain including dietary and anatomical reasons. Revisional Bariatric Surgery can be very complex and requires an individual approach. Our surgeons will investigate the cause for weight regain and need for revision and tailor a plan to fit each individual patient.

Am I a candidate for weight loss surgery?

Your body mass index (BMI) and other factors will determine if you will qualify for specific surgeries or non-surgical procedures.

BMI > 35

If your BMI is 35 or greater and you have an obesity-related condition (such as diabetes or high blood pressure), or your BMI is 40 or greater, you may be a candidate for one of the following procedures:

  • Revision surgical procedures
  • Roux-en-y gastric bypass
  • Vertical sleeve gastrectomy

BMI 30-39

If your BMI is between 30 and 39, you may be a candidate for one of the following procedures:

  • Gastric balloon
  • Laparoscopic adjustable gastric band

Life after obesity…let’s get to it!

The Surgical Obesity Program at Plantation General Hospital provides comprehensive bariatric services, and has helped many men and women enjoy their lives to the fullest once again!
Plantation General hospital takes great pride in our bariatric surgery team, who were selected for their extensive education, experience, and compassionate care.

Additional resources

Listen to Andy Rubenstein, PGH’s first bariatric patient, talk about his pre & post surgical experience with Jimmy Cefalo and Brenda Bassett, on their Saturday morning radio talk show Eat This Drink That Go! on 610AM WIOD.

BMI Calculator

Body Mass Index (BMI) is a number calculated from a person's weight and height. BMI provides a reliable indicator of body fatness for most people and is used to screen for weight categories that may lead to health problems.

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Your BMI indicates that you are underweight.

Congratulations! Your BMI indicates that your weight is in the healthy range. A lifestyle of good food choices and routine exercise will help you with long term weight management.

Your BMI indicates your weight is in the obese range and can have a significant impact on your health. You are at risk for weight related health conditions. If you have been diagnosed with a health condition related to obesity, then weight loss surgery could be right for you. To learn more about the surgical procedures for obesity, please contact us for more information, or sign up for a free seminar schedule and registration.

Disclaimer:
All information provided by this website is intended to be general in nature and should not be used as a substitute for a visit with a health care professional. No information provided in this site may be considered medical advice. The information may not be relevant for your individual situation and may be misinterpreted. HCA assumes no responsibility for how you use information obtained from this site. Before making any decisions regarding your health care, ask your personal physician.