Patient Education
Videos and Information about many of the Surgeries, Procedures, Counseling, and Medications we offer
Sleeve Gastrectomy "The Sleeve"
Involves removing 70-80% of your stomach
Average weight loss: 50-60 % of your excess weight, or 25-30% of you total weight
Hormonal reset with you hunger and fullness hormones (Ghrelin and Leptin) to get your metabolism back on track
Most common bariatric surgery performed in the USA
Roux en Y Gastric Bypass "The Bypass"
Involves making a small gastric pouch and bypassing approximately 1/3 of your small bowel
Average weight loss: 60-70 % of your excess weight, or 30-35% of you total weight
Hormonal reset with you hunger and fullness hormones to get your metabolism back on track
Bypassing bowel aids in the increased weight loss
Best for patients with severe reflux, as it's also the treatment for severe GERD
SADI/BPD-DS "The Switch"
Includes making a sleeve (removing 70% of your stomach) and bypassing 2/3 of your small bowel
Average weight loss: 80-90 % of your excess weight, or 40-45% of you total weight
Hormonal reset with you hunger and fullness hormones to get your metabolism back on track
Bypassing more bowel aids in the massively increased weight loss
Most diabetes resolution
Endoscopic Sleeve Gastroplasty (ESG) "The Endo Sleeve"
Includes reducing the stomach size into a sleeve-like shape (reducing the volume of your stomach by 70-80%)
Average weight loss: 40-50% of your excess weight, or 20-25% of you total weight
No incisions and home same day, no lifting restrictions, minimal downtime
Hormonal reset with you hunger and fullness hormones (Ghrelin and Leptin) to get your metabolism back on track
Transoral Outlet Reduction Endoscopy (TORe) and Pouch Recision
For patients who have has previous bariatric surgery
Average weight loss after a revision varies more than with an initial surgery, but in studies is shown to be an additional ~10% weight loss
Can also help in patients with dumping syndrome to slow the progression of food out of the pouch
Surgery reset to get your weight loss and metabolism back on track
Offering the Full Spectrum of Weight Loss
Covering everything from diet and lifestyle with a bariatric dietician and physician supervised weight loss to medical weight loss with GLP and non-GLP-1 medications, to endoscopic bariatric options and the full breadth of surgery
We base your care on your goals, your other conditions (diabetes, high blood pressure, high cholesterol, sleep apnea, hernias, and disability) and how we can best optimize your health and weight to help you get back to enjoying life to the fullest.
Medications
There are many medications: the GLP-1s including wegovy injectable and oral, zepbound, Foundayo (oral), as well as non GLP-1s like Contrave, Phentermine, Topamax, and Qsimia that all have different mechanisms and can work for different patients both as a standalone or before and after any other surgery or procedure
Endoscopic Bariatric Procedures
The endoscopic sleeve gastroplasty is a procedure that shrinks the stomach from just a scope in the mouth and has good data for weight loss - its effectiveness is between medications and full surgery, but lasts longer than the medications
Diet and Lifestyle
We have a dedicated dietician in house who is with you every step of the way who specifically focuses on medical and surgical augmented weight loss before, during, and after intervention
The most effective and lasting intervention for durable and high volume weight loss, from the sleeve, to the bypass, to the switch
Bariatric Surgery
This chart shows the percentage of weight loss you can expect with each intervention, overlaid on the BMI chart, showing the increasing weight loss with each intervention and how it is a full spectrum of care, not limited to only one option.