In the case of other weight loss surgeries such as the VBG or vertical banded gastroplasty, the problem is quite different.

A Message About Revision Surgery from Dr. Fishman.

A new frontier of incisionless surgery is on the horizon.  The "ROSE" procedure is a new option for those who have either a pouch that is too large or a stoma that is too large or both.  Using this incisionless approach, an endoscope is placed in the stomach similar to an EGD (which you probably have already had).  Through this endoscope, the stomach is sewn from the inside creating a much smaller stomach from that which you have right now.  In addition, the instrument can close the stoma down to whatever size is desired.  This NEW procedure now offers an additional option to those who struggle with weight regain after gastric bypass.  In addition, it offers an option to those who were found not to be a candidate for traditional revisional surgery.

Dr. Michael K. Fishman, M.D. is board certified in general surgery. He obtained a B.A. in Biology from Pennsylvania State University and his M.D. from Temple University School of Medicine in Philidelphia, PA. He Completed his General Surgery Residency at Albert Einstein Medical Center in Philidelphia, PA.  He continued his training as a Fellow in Minimally Invasive and Bariatric Surgery at Penn State Milton S. Hershey Medical Center.  Dr. Fishman's clincal activity focuses on Bariatric and Metabolic Surgery along with Advanced Laparoscopic General Surgery, including both standard and single incision laparoscopic surgery. He has a special interest in Foregut Surgery which includes the surgical treatment of gastroesophageal reflux and paraesophageal hernias and achalasia. 

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200 South Orange Avenue Suite 203
Livingston, NJ
07039-5817

95 Madison Avenue Suite 201, Morristown, NJ 07960

Toll Free:1-866-522-4326

Phone: 973-322-7977

Fax: 973-322-7979

Dr. Michael Jay Nusbaum, MD, FACS, FASMBS  trained at Saint Barnabas Medical Center and was fortunate to have been trained by Dr. Lubomyr Kuzmak (the inventor of the adjustable gastric band) among other highly regarded surgeons. Dr. Nusbaum began his surgical career at Saint Barnabas Medical Center in early 1998. He started the Laparoscopic Bariatric Program at Saint Barnabas Medical Center in 2000 and was the first surgeon to successfully perform a laparoscopic gastric bypass there. He was also the first surgeon to perform a laparoscopic gastric banding at Saint Barnabas Medical Center. Since then, he has performed well over 2,000 laparoscopic gastric bypasses and over 1,500 laparoscopic gastric banding procedures (Lap Band and Realize Band). Why is Dr. Nusbaum's complication rate so low? Attention to detail and an obsession with perfection both during and after the operation.

Dr. Nusbaum was the first surgeon to invent and report on the concept of "Intra-operative Upper GI Swallowing Studies to Rule out Leakage." This technique consists of placing a tube into the stomach while the patient is still asleep. Then contrast is injected into the stomach under intra-operative fluoroscopy (This is the same contrast typically used the next day). This way, if there is a leak, it can be detected and fixed prior to leaving the operating room. He is also, one of only a hand full of surgeons, who take the time to over sew the entire anastamosis (connection between the stomach and small intestine) with permanent silk sutures as an extra layer of protection.

Medical School: UMDNJ-New Jersey Residency: Saint Barnabas Medical Center (Chairman: Carter Nance, MD, FACS)

Dr. Michael K. Fishman, M.D. is board certified in general surgery. He obtained a B.A. in Biology from Pennsylvania State University and his M.D. from Temple University School of Medicine in Philidelphia, PA. He Completed his General Surgery Residency at Albert Einstein Medical Center in Philidelphia, PA.  He continued his training as a Fellow in Minimally Invasive and Bariatric Surgery at Penn State Milton S. Hershey Medical Center.  Dr. Fishman's clincal activity focuses on Bariatric and Metabolic Surgery along with Advanced Laparoscopic General Surgery, including both standard and single incision laparoscopic surgery. He has a special interest in Foregut Surgery which includes the surgical treatment of gastroesophageal reflux and paraesophageal hernias and achalasia. 

College: Pennsylvania State University, B.A. in Biology

Medical School: Temple University School of Medicine in Philidelphia, PA, M.D.

Residency: Albert Einstein Medical Center in Philidelphia, PA, General Surgery

Fellowship: Pennsylvania State Milton S. Hershey Medical Center, Minimally Invasive and Bariatric Surgery

Saint Barnabas Medical Center

Morristown Memorial Hospital

Florham Park Surgi Center

Saint Barnabas Ambulatory Care Center