COVID-19: American College of Surgeons releases new guidance for resuming elective surgery

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I recently read the article, which we atAdvanced Laparoscopic Surgeons of Morris will be using to guide our patients, waiting to have Gastric Sleeve, Gastric Bypass, Revisional Weight loss surgery or General surgery, such as Gallbladder removal or Hernia repair. The documents speaks to the need to be careful, when it comes to re-starting the elective surgeries, and additional steps, which we may have to take, including COVID-19 testing for the patients and healthcare providers.

In the interim, we want you to stay safe, but please be in touch with US, – we are open for business, via Telemedicine, Virtual appointments, support groups, etc.

Together, we will get through this period in history and we will be better equipped in the future.

Click here to download the article.

Recidivism Is Not A Failure

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I just read a very good, inspirational article about human history of obesity. it specifically speaks to recidivism of it, but also compares it to other common, deadly diseases, such as diabetes, cancer and cardiovascular and its recidivism.

Not surprising to me, nobody shames medical doctors or surgeons for failure to control diabetes or cancer or cardiovascular diseases, but when it comes to Obesity and surgery for it, we or the patient get blamed for recidivism? Totally wrong and unfair. I think the opposite is true.

When we, bariatric surgeons, perform gastric sleeve or gastric bypass, or even bariatric revision surgery, and our respective patients diabetes, or sleep apnea or hypertension goes away or its management is improved for many years to come, we contribute not just to the obesity treatment of human race, but to other conditions and should not be discriminated against, but instead rewarded or applaud for it.

We at Advanced Laparoscopic Surgeons of Morris have been doing it for 2 decades and proudly helped thousands of patients!

Click here to read the article.

Pain and Nausea Protocols After Bariatric Surgery

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Recently I read the article from ACS (American College of Surgeons), describing a protocol to reduce postoperative pain, nausea and re-admissions after gastric bypass and sleeve gastrectomy. It shows that with good patients education, proper pre, post and intraoperative management patients can be safely discharged in 1 day.

To my satisfaction and to the benefit of our patients I must say, that everything that is described in the article has been in use by my practice at Advanced Laparoscopic Surgeons of Morris, LLC, for many years.

So our patients, who undergo gastric sleeve surgery or gastric bypass can be rest assured that they are getting the best care and have been for many years.

Click here to read to full article.

Long Term Outcomes Comparing Bariatric Surgery to No Surgery in Diabetic Patients with BMI 30-35

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I read an article recently, which compared results between bariatric surgery and medical weight loss for patients with diabetes with BMI between 30-35 – category currently excluded from bariatric surgery coverage through insurance.

The study clearly shows that surgeries, such as gastric sleeve and/or gastric bypass are superior for resolution or improvement in management of diabetes, amount of weight loss and maintained in 5 years, which is a long time, when it comes to statistical accuracy.

Overall it proves what we at Advanced Laparoscopic Surgeons of Morris have known for a long time,- gastric sleeve and gastric bypass are safe and work better for diabetic patients, than medical management, and more patients should be referred and considering it, even if insurance doesn’t cover it, because diabetes is a deadly disease and people shouldn’t be playing with their lives, when it comes to it.

We offer very reasonably priced self-pay packages, when insurance doesn’t cover surgery, and it is tax-deductible and “pays for itself” in less than 2 years, when you compare cost of medications, sick days, etc.

To read the full article, click here to download.

Incidence and Prognosis of Psoriasis and Psoriatic Arthritis in Patients Undergoing Bariatric Surgery

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I came across an interesting article today about improvements in psoriasis and psoriatic arthritis with weight loss surgery. I am proud to say that we at Advanced Laparoscopic Surgeons of Morris have known for many years about benefits of metabolic surgeries, such as gastric bypass and sleeve gastrectomy in the treatment of psoriasis and psoriatic arthritis, as well as the fact that gastric banding really doesn’t have a positive impact on these conditions.

And now one of the most reputable medical journals – JAMA, published an article, which confirms what we already know and have been advocating – we give patients an excellent tool, be it sleeve gastrectomy or gastric bypass, and combined with healthy diet, rich in protein and fiber, as well as plenty of water, they are looking to have improvement or even resolution of these conditions and much better quality of life.

Please click here to read the full article.

RMR Testing

Can You Change Your Metabolism?

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I came across an interesting article recently about the use of Resting Metabolic Rate (RMR) testing to facilitate dieting or changing your metabolic rate.

I am proud to say that we at Advanced Laparoscopic Surgeons of Morris have been using this technology for many years prior to weight loss surgeries, such as sleeve gastrectomy and gastric bypass, to name a few, as well as after, so we can keep our patients on track to reach their goals.

The article confirms what we already know – we give patients an excellent tool, be it sleeve gastrectomy or gastric bypass, and combined with healthy diet, rich in protein and fiber, as well as plenty of water, they are empowered to succeed.

Click here to read the full article from the Washington Post.

The Irony of Medically Supervised Weight Loss Before Surgery

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Insurance-required medically supervised weight loss before surgery is literally killing some patients before they can get life-saving weight loss surgery.

Gastric Sleeve Resection as Day-Case Surgery: What Affects the Discharge Time?

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A lot of patients ask me during the consultation, if they can go home on a same day of Vertical Sleeve Gastrectomy surgery, or they will have to stay in the hospital. I usually answer that majority of the patient elect to stay for variety of reasons – nausea, pain, fear of going home, etc.

But, as early as in 2011, we at Advanced Laparoscopic Surgeons of Morris, were doing Sleeve Gastrectomy at the Surgery Center as a outpatient procedure! So, when I came across the article about the feasibility of surgery as a Same Day Procedure, it confirmed what I already know and now I would like to share that we you, our current or prospective patients.

Click here to read the full article

Effectiveness of Sleeve Gastrectomy and Gastric Bypass in the Resolution of Diabetes

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We at ALSOM wish everyone a healthy and happy New Year.

As the country struggles with diabetes and the obesity epidemic, projected to only get worse, the attached article showcases effectiveness of both sleeve gastrectomy and gastric bypass in the resolution of diabetes, as well as excellent weight loss results.

Click here to download the study.