Surgical Weight Loss in Morristown, New Jersey
Obesity Treatment Centers of New Jersey is a trusted facility in the state to provide bariatric surgery procedures. It can be a safe way to help people lose weight*, as well as reduce high blood pressure and minimize Type 2 Diabetes*. Keep in mind that these procedures are not a quick fix*— you must be dedicated to lifelong follow ups, vitamin supplements, and changes to your diet, including restrictions. There are many advantages and disadvantages to all of these procedures, which is why it’s important to discuss with your physician whether bariatric surgery is right for you.
Vertical Sleeve Gastrectomy
This procedure is an alternative to lap-band surgery and laparoscopic gastric bypass surgery. A newer technology, it has been approved by many insurance companies. 85% of the stomach is removed and the remaining part takes the shape of a sleeve. Small incisions are made to complete this surgery, and a small camera and other instruments are used to remove stomach tissue. The remaining stomach is stapled closed. In some cases, a second bariatric surgery of a different type follows later after the patient has lost weight*, usually a year to a year and a half after the vertical sleeve gastrectomy procedure.
There are a number of advantages to this type of surgery, including an average weight loss of up to 70%* of the patient’s total goal for weight loss within a year*, and digestion occurs naturally without causing malabsorption or dumping syndrome. There are also less food restrictions than with other surgery types, and there is no adjustment needed as with gastric band surgeries. One disadvantage, among others, is that the stomach sleeve can stretch and weight can be regained*. Because this procedure is so new, results ten years after surgery and beyond are not well known.
Gastric Bypass Surgery
Gastric bypass weight loss surgery makes the stomach smaller and causes food to bypass majority of the stomach and first part of the small intestine. Patients feel full more quickly* than when the stomach was its original size. This reduces the amount of food you can eat at one time.
In normal digestion, food passes through the stomach and enters the small intestine , where most of the nutrients and calories are absorbed. It then passes into the large intestine (colon), and the remaining waste is eventually excreted.
In gastric bypass, only a small part on the top of the stomach is used to create a new stomach pouch, roughly the size of an egg. The smaller stomach is then connected directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper portion of the small intestine (duodenum). The procedure results in reduced calorie and nutrition absorption*.
Single Incision Surgery
The Gastric Bypass, Realize Band, Lap-Band and Sleeve Gastrectomy surgery can now potentially be performed through a single incision. The ability to do so uses cutting edge technology which falls under the title of Single Incision Laparoscopic Surgery (SILS) which has been trademarked by Covidian. While recovery after weight loss surgery is not significantly different than conventional multi-incision laparoscopic surgery, the cosmetic results are by far superior.
- Fewer Incisions – Typically patients receive one incision.
- Health and Cosmetic – With fewer incisions there is less chance of infection, less scarring and better cosmetic results.
- Faster Recovery Times – Same day as the surgery with even shorter recovery time*.
With the lap-band procedure, the amount of food your stomach can hold is reduced without any staples or cuts. You will eat less while feeling satiated longer*. Your stomach is divided into an upper and lower pouch, with the upper pouch being much smaller. It does not change the way your digestion works, and after six weeks, you will begin regular adjustments to the band.
This procedure is minimally invasive and the procedure can be reversed. It has the lowest risk for complications and nutritional deficiencies*. However, there are some risks involved, which include an infection, bleeding, moving or erosion of the band, and leakage. These risks are minimized by strictly following aftercare instructions and diet restrictions while keeping up with follow up exams.
Realize Band Surgery
The Realize Band is the second gastric band to be approved by the FDA for weight loss in the United States. The Realize Band is made of a strong, flexible silicone. During surgery, the band is completely wrapped around the upper part of your stomach. This creates a small pouch and a narrow passage to the lower stomach. This small passage delays the emptying of food from the pouch and causes a feeling of fullness.
The upper pouch can hold only about 4 ounces (1/2 cup) of food. As a result, you eat less food at one time, feel full sooner, and feel satisfied longer. The goal is to lose weight gradually, at a healthy rate of 1 to 2 pounds per week.*
Gastric Band Adjustments
The purpose of an adjustment is to ensure that you feel satisfied when you eat and that you are losing weight gradually*, about 1-2 pounds per week*. This illustration describes adjusting to optimize weight loss.
Our following locations offer Gastric Band Adjustments
Saint Barnabas Ambulatory Care Center (ACC)
200 South Orange Ave
Morristown Medical Center
GI Endoscopy Suite
100 Madison Avenue
Bariatric Revision Surgery
Revision Weight Loss Surgery is a surgical procedure that is performed on patients who have already undergone a form of bariatric surgery, and have either had complications from such surgery or have not successfully achieved significant weight loss results from the initial surgery. Procedures are usually performed laparoscopically, though open surgery may be required if prior bariatric surgery has resulted in extensive scarring.
Here are Obesity Treatment Centers of New Jersey, we offer the following revisions:
Gastric Band Revision
Gastric Bypass Revision
Vertical Sleeve Revision
Most revision operations are higher risk than the first time a weight loss surgery procedure is performed. Due to the unique needs of each and every patient seeking revision weight loss surgery, each revision must be tailored to meet the particular needs of the patient*.
GERD (Acid Reflux) Surgery
Heartburn and GERD (Acid Reflux) treatment ranges from over-the-counter remedies to surgery. For most people, heartburn is a treatable symptom. When treatment doesn’t work and heartburn is severe despite lifestyle changes, surgery may be an option.
Intragastric Balloon Non-Surgical Procedure
The ReShape Procedure is an alternative option to patients who may not want or who may not qualify for bariatric surgery. ReShape is a new, FDA approved, non-surgical approach to weight loss that is proven to help people achieve and maintain significant weight loss.* The ReShape Procedure is specifically designed for patients with a lower BMI between 30–40, who have not had any previous weight loss surgery, and who are willing to make changes to support a healthy lifestyle.
We welcome patients from Morristown, Union, West Orange, Clifton, Livingston and neighboring locations.
1. Ponce J, Woodman G, Swain J, et al; for the REDUCE Pivotal Trial Investigators. The REDUCE pivotal trial: a prospective, randomized controlled pivotal trial of a dual intragastric balloon for the treatment of obesity [published online ahead of print December 16, 2014]. Surg Obes Relat Dis. 2014. doi: 10.1016/j.soard.2014. 12.006.
*Results can vary for each patient and there is no guarantee of specific results