Laparoscopic Sleeve Gastrectomy: a First Step for Rapid Weight Loss in Morbidly Obese Patients Requiring a Second Non-Bariatric Procedure

Conclusions  In this small group, laparoscopic sleeve gastrectomy appears to be an effective and safe first surgical approach for rapid
weight loss in high-risk patients that require a second non-bariatric procedure.

Content Type Journal ArticleCategory Clinical ResearchPages 1-5DOI 10.1007/s11695-011-0574-zAuthors
Jesus E. Hidalgo, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USAMayank Roy, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USAAlexander Ramirez, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USASamuel Szomstein, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USARaul J. Rosenthal, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL…

Erratum to: Long-term outcome after endoscopic stent therapy for complications after bariatric surgery

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s00464-011-2133-zAuthors
Atif Iqbal, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USABrent Miedema, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USAArchana Ramaswamy, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USANicole Fearing, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USARoger de la Torre, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USAYoung…

Healthcare Reform and Bariatric Nursing: Exploring Differences in Patient Experience between Bariatric and Non-Bariatric Patients

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges

Conclusions  Pregnancy outcome of women who delivered after BS, as compared to obese populations, is better and safer and comparable to
the general population. Close supervision before, during and after pregnancy following bariatric surgery and nutrient supplementation
adapted to the patient’s individual requirements can prevent nutrition-related complications and improve maternal and fetal
health.

Content Type Journal ArticleCategory Maternal-Fetal MedicinePages 1-8DOI 10.1007/s00404-011-2187-0Authors
Ronis Magdaleno, Department of Medical Psychology and Psychiatry, State University of Campinas (UNICAMP), Rua Padre Almeida 515, sala 14, Campinas, SP CEP: 13025-251, BrazilBelmiro Gonçalves Pereira, Department of Tocogynecology, State University of Campinas (UNICA…

Bariatric Surgery Q & A with Dr. Abkin

We all know that exercise and eating right are the best ways to lose weight. But for many people, its not enough and they still can’t lose the excess weight — weight that can cause serious health problems. For people in this frustrating situation, weight loss surgery (bariatric surgery) may be an option.

Bariatric surgery has grown into an increasingly effective procedure in the treatment of weight gain and obesity. New procedures and comprehensive programs (including diet and lifestyle components) are making a significant impact on patient’s lives. Dr. Alexander Abkin takes a multidisciplinary approach and truly partners with patients for the best long-term outcomes – offering everything from pre-surgical education, to nutrition and lifestyle counseling, to post-surgical support.

Our bariatric program is committed to providing quality, superior care to those patients looking for a specialized bariatric surgery service. Our program is led by Alexander D. Abkin, MD, FACS, a board certified general surgeon and experienced NJ bariatric surgeon who has performed over 6,500 bariatric procedures in the past 12 years.

Dr. Abkin shares his thoughts on bariatric surgery.

What is bariatric surgery?

The term bariatric surgery refers to a variety of operations for treating obesity. There are several procedures available, which vary based on the type of physical changes made to the stomach and/or the small intestine, but all are very effective in reducing food intake. The type of surgery selected will depend on several factors, such as your level of obesity, overall health status, and future lifestyle changes.

What are the benefits of surgery?

People who undergo the procedure experience a significant amount of weight loss that is maintained on a long-term basis. There is also an improvement in obesity-related health conditions such as diabetes, high blood pressure, or sleep apnea. And finally, the patient’s quality of life is improved as physical and behavioral changes occur, further enhancing the patient’s social well-being.

Who is a candidate for weight loss surgery?

It’s important to note weight loss surgery is not right for everyone. I always advise patients to take in to consideration of all the hard work and lifestyle changes necessary after surgery. All candidates need to meet the National Institute of Health guidelines for the procedure: any patient with a BMI of 35 to 39.5 who suffers with 1 or more major co-morbidities (major obesity related medical problems) or a patient with a BMI of 40 or above, with or without any co-morbidities can be considered for bariatric surgery.

How much weight can I expect to lose after surgery?

The amount and rate at which you lose excess body weight after the surgery varies depending on the type of procedure, the starting weight, and compliance with dieting, exercise, and lifestyle changes. But, you can lose as much as 10-20 pounds in the first 2 weeks after surgery and as much as 30-45 pounds in the first month, again depending on several post-surgery factors.

What’s the best way to determine if bariatric surgery is right for me?

I believe you have to be realistic in your expectations. Bariatric surgery isn’t an easy answer: it’s an opportunity to change your lifestyle. The most successful patients are those who see the procedure as an aid to helping them lose weight.

The best way to determine if bariatric surgery is right for you is to learn as much as you can about the procedure — by talking with the surgeon and other patients who have undergone Gastric Bypass, Realize Band or Lap Band. I offer personal consultations on weight loss surgery, detailing the steps and answering questions. In addition, patients who have undergone the procedure will attend to tell you in their own words what you can expect.

Ready to get started?

Dr. Abkin Voted NJ "Top Doc" in Bariatric Surgery in 2011 by New Jersey Monthly Magazine

Advanced Laparoscopic Surgeons were voted NJ TOP DOCS in Bariatric Surgery by New Jersey Monthly Magazine 5 Years Straight! (2007, 2008, 2009, 2010, 2011)

Precise care provided in a patient-friendly setting is the foundation of Advanced Laparoscopic Surgeons of Morris.

Comprehensive care provided in a bariatric-friendly setting is the foundation of Advanced Laparoscopic Surgeons of Morris (ALSOM). Dr. Alexander Abkin and Dr. Nicholas Bertha, along with their collegue Dr. Vincent Iannace are dedicated to minimally invasive weight loss surgery and medical weight loss management. Through various regional affiliations, the doctors provide exceptional care for patients throughout New Jersey, from north to south. ALSOM’s on-site assets are unparalleled, including a state-of-the-art surgery center and a radiologic band adjustment center on the premises.

top_docs_2011_small

For the past year, the doctors have also been performing single-incision laparoscopic bariatric surgery. This approach features one incision in the abdominal wall rather than multiple incisions to accomplish the intended procedure and is more cosmetic with less scarring.

 

The practice is recognized as a Center of Excellence by the American College of Surgeons and the Surgical Review Corporation for the American Society for Metabolic and Bariatric Surgery. Both doctors are also directors of Bariatric care at Saint Clare’s Hospital in Dover. In addition, Dr. Abkin is medical director of bariatric care at JFK Medical Center in Edison, and Dr. Bertha is medical director of bariatric care at Saint Peter’s University Hospital in New Brunswick.

Addictive personality and maladaptive eating behaviors in adults seeking bariatric surgery.

This study examined the relationship between addictive personality and maladaptive eating behaviors in bariatric surgery candidates. Ninety-seven bariatric surgery candidates completed the Eysenck Personality Questionnaire (EPQ-R) Addiction Scale, the Overeating Questionnaire (OQ), binge-eating questions from the Questionnaire of Eating and Weight Patterns (QEWP-R), and the Eating Attitudes and Behaviors Questionnaire. Participants with Binge Eating Disorder (BED) displayed addictive personality scores comparable to individuals addicted to substances (M=17.5, SD=5.3). Addictive personality was associated with Overeating (r=.45, p<.001), Cravings (r=.31, p=.005), Affective Disturbances (r=.62, p<.001) and Social Isolation (r=.53, p<.001). Addictive personality was associated with m…

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Revisionary bariatric surgery: indications and outcome of 100 consecutive operations at a single center

Conclusion  Insufficient weight loss is the most frequent indication for revisionary bariatric surgery. The surgery can be performed laparoscopically
in most cases, and a significant EWL (> 50%) can be achieved in 1 year if the right revisionary procedure is chosen.

Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-011-2098-yAuthors
Simon Kuesters, Department of General and Visceral Surgery, University of Freiburg, Surgical Metabolic and Anastomotic Research Team (SMART), Hugstetter Strasse 55, 79106 Freiburg, GermanyJodok M. Grueneberger, Department of General and Visceral Surgery, University of Freiburg, Surgical Metabolic and Anastomotic Research Team (SMART), Hugstetter Strasse 55, 79106 Freiburg, GermanyTobias Baumann, Department of Radiology, …

Alterations in the Common Pathway of Coagulation During Weight Loss Induced by Gastric Bypass in Severely Obese Patients.

The objective of this study was to establish the relationship between the plasminogen activator inhibitor-1 (PAI-1), antithrombin-III (ATIII), fibrinogen, and white blood cell (WBC) levels in severely obese patients. We analyzed various plasma parameters implicated in the intrinsic and extrinsic coagulation pathway from 34 severely obese patients before and 1, 6, and 12 months after gastric bypass. In obese people, ATIII, fibrinogen, and WBC levels were in the upper limit of the normal range, and all were higher and significantly different from nonobese people. After bariatric surgery, the ATIII level continued to be high during the first month and increased until 12 months, while fibrinogen decreased only at that time. PAI-1 plasma protein and PAI-1 mRNA levels in liver and adipose tissue…

Erratum to: Evolution of Lipid Profiles after Bariatric Surgery

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s11695-011-0584-xAuthors
Ignacio Garcia-Marirrodriga, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainCesar Amaya-Romero, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainGabriel Patiño Ruiz-Diaz, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainSandra Férnandez, Resistencia a la Insulina SL, 08035 Barcelona, SpainCarlos Ballesta-López, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainJose Ma. Pou, Servicio de Endocrinología y Nutrición, Hospital de Sant Pau, 08025 Barcelona, SpainJune H. Romeo, Baldwin-Wallace College, Berea, OH, USAGemma Vilahur, Cardiovascular Res…