The Valley Hospital is now open at 4 Valley Health Plaza in Paramus. (You may need to use 650 Winters Avenue for GPS.) All emergency care is now being provided at this location. Emergency care is no longer available at our Ridgewood campus.
Surgery is a widely accepted method of treatment for clinically severe obesity because it has been shown to be the only option that can provide long-term weight loss in patients with clinically severe obesity. In fact, the number of patients undergoing surgical treatment for obesity has steadily increased over the last several decades.
Currently, the two leading approaches to weight-loss surgery in the United States are sleeve gastrectomy and Roux-en-Y gastric bypass. Adjustable gastric banding, the duodenal switch and the single-loop duodenal switch are additional surgical options for the treatment of obesity.
Patients who undergo surgery can lose anywhere from 50 to 80 percent of their initial excess weight, depending on the selected procedure.
Weight-loss surgeons should be skilled in more than one surgical approach as the specific procedure needs to be carefully matched to the individual patient.
Procedures for weight loss have traditionally been classified as either restrictive and/or malabsorptive: they restrict the intake of food and/or cause some of the food to be poorly digested and absorbed, and, therefore, eliminated in the stool. These surgical treatments for obesity have also been found to cause a profound change in the gut hormones that are released after eating a meal; therefore, patients no longer experience hunger in the same manner and are satisfied with much smaller food portions. Current advances in bariatrics have focused more on these desirable hormonal effects than on the physical mechanisms of restriction and malabsorption.
Weight loss varies widely, depending on many factors, such as the patient’s age, starting weight, ability to exercise and the type of operation used.
The degree of improvement of various obesity-related problems depends on the extent of the illness and how long the patient has had it. In general, more than half of surgical patients find an improvement of conditions such as hypertension, hyperlipidemia, diabetes mellitus, and sleep apnea. In fact, up to 80 percent of non-insulin dependent diabetes is controlled without medication after surgery.
Obesity-related respiratory problems, including sleep apnea and shortness of breath with minimal exercise, will become asymptomatic, improve or completely resolve.
Weight-induced infertility can be reversed with significant weight loss and patients are able to have safer pregnancies with healthy babies. (Pregnancy should, however, be delayed for one to two years after surgery until weight becomes stable. Pregnancy is not recommended before that time due to the risk of malnutrition to both the mother and her fetus.)
Joint and back pain associated with obesity, urinary incontinence, venous problems in the legs, acid reflux, menstrual irregularities, and certain types of headaches can also improve with weight loss after surgery.
Persons eligible for medications or bariatric surgery include:
The Center for Bariatric Surgery and Weight-Loss Management currently accepts the following insurances: