Our Program

Began in 2000

2200 Total cases

629 Gastric Bypasses

615 Sleeve Gastrectomies

712 Adjustable Gastric Bands

Data from 2000 to Date

Our Surgeons

Dr. Pete Avara Bariatric Surgeon Medical Director

Dr. David Jenkins Bariatric Surgeon

Our PatientAdvocates

Kim Fortier, MHS, PA-CPhysician Assistant

Dena Trusler, RN, CBN Clinical Nurse

Robyn Roberts, RMA Medical Assistant

Valorie Barnes, MA Insurance Coordinator

Tanya Delacruz, MA Billing Coordinator

Allison LewisPatient Outreach

Our Hospital

Singing River Hospital Pascagoula, MS

Obesity is a Disease

Psychological

Emotional

Genetic

Behavioral

Physical

Hormonal

Dietary

“It’s Not Your Fault, But It’s Your RESPONSIBILITY”

-Dr. Pete Avara

Medical Weight Loss

Full Meal Replacement Program utilizing OPTIFast® products

Utilizes ‘Stimuli Narrowing’ to Help in Weight Control

Weekly Behavior Modification

For Patients with a BMI of 30-35 or Who Aren’t Candidates for Surgery Need to Lose a lot of Weight Before Surgery is a Safe Option

Have Severe Medical Conditions that Prevent Surgery as a Safe Option

Patients Can Lose an Average of 50 lbs in a 6 Month Period*

*Per the Nestle Corporation’s studies, utilizing a 800 cal/day meal replacement option

Why Surgery? “Bariatric Surgery is the only proven method that results

in durable weight loss.” 2

76.8% of Patients Show Remission to Type 2 Diabetes 3

Hypertension is Eliminated in 61.7% of Patients 3

High Cholesterol is Reduced in 70% of Patients 3

85.7% of Patients Show Improvement in Sleep Apnea 3

Joint Disease, Asthma, and Infertility Either Significantly

Improved or Resolved 3

Information gathered from JAMA 2004

Criteria for Weight Loss Surgery

BMI of 40 or Greater

BMI between 35-40 with significant

obesity related conditions: Diabetes

Hypertension

Severe sleep apnea

Important Considerations

Be aware of risks and benefits of surgery

Long Term Success Depends on a

Lifelong Commitment to Your Health

Involve Family and Friends in Your

Decision, Success Improves with Support

Normal Digestive Anatomy

Surgical Options

Adjustable Gastric Banding

Restrictive

Sleeve Gastrectomy

Restrictive

Roux en Y Gastric Bypass

Restrictive and Malabsorptive

Laparoscopic Adjustable Gastric Banding

Laparoscopic Adjustable Gastric Band Outpatient Procedure

Return to Work in 4 Days to 1 Week

Band Adjustments are Done Every 6 to 8

Weeks

Once Band is at an Acceptable Fill Level

Follow Up in Clinic Yearly with Labs

Follow up is Lifelong

Band Adjustment

Adjustable Gastric Band Advantages Average of 40% Excess Body Weight

Loss4

It is completely reversible

Digestion and Absorption is Not

Changed and Anatomy is Not Altered

Slow and Gradual Weight Loss

Resolution of Co-Morbid Conditions with

Weight Loss

Adjustable Gastric Band Disadvantages Potential Injury to the stomach, liver or

spleen

Frequent Follow up Consisting of an Injection every 6 to 8 Weeks

Potential of Infection or Leaking Around Port or Tubing

Potential of Erosion of Band into Stomach

Potential Stretching of Pouch or Slippage of Band

Potential Intolerance to the Band

Band Slippage

Laparoscopic Sleeve Gastrectomy

Overnight Hospital Stay

Return to Work in 1 to 2 Weeks

Return to Clinic: 3 Weeks, 6 Months, and

1 Year, and Yearly Thereafter

Lab Work done at 6 Months, and 1 Year,

then Yearly Thereafter

Follow up is Lifelong

Laparoscopic Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy Advantages

Average of 65% Excess Body Weight

Loss 4

No Dumping Syndrome

Significant Improvement of Co Morbid

Conditions

Potential for Leaks or Bleeding Along Staple Line

Potential for the Sleeve to Enlarge Over

Time if Lifelong Lifestyle Changes are not Made

Potential for Stricture or Narrowing

Not Reversible

Laparoscopic Sleeve Gastrectomy Disadvantages

Laparoscopic Gastric Bypass

2 to 3 Day Hospital Stay

Return to Work in 1 to 3 Weeks

Return to Clinic: 3 Weeks, 6 Months, and

1 Year, and Yearly Thereafter

Labs Checked at 6 Months, and 1 Year,

then Yearly Thereafter

Follow up is Lifelong

Laparoscopic Gastric Bypass

Gastric Bypass Advantages

Average of 70% Excess Body Weight

Loss 4

Significant Improvement of Co Morbid

Conditions Especially Diabetes and Cholesterol

Most Well Studied

Potential for Leaks or Bleeding Along Staple Line

Potential for Malnutrition

Potential for Strictures and/or Ulceration at the Connection Between the Pouch and Intestine

Potential for Dumping syndrome

Potential for Internal Herniation

Potential for Enlargement of the Pouch Over Time with if Lifelong Lifestyle Changes are not Made

Gastric Bypass Disadvantages

Other Surgical Options

Vertical Banded Gastroplasty Duodenal Switch

Any person having surgery is at risk for certain complications:

Pneumonia

Blood clots

Heart Attack

Stroke

Wound infections

General Risks for Bariatric Surgery

Obesity is a Disease

“It’s Not Your Fault, But It’s Your

RESPONSIBILITY” -Dr. Pete Avara

Insurance Benefits will be Verified

An Assessment Visit will be Scheduled with the Surgeon or Physician Assistant

The Next Steps

Preparation for Surgery

Weight Management

Perioperative Nutrition Class (PET)

Psychological Evaluation

We Want You to be Successful!

Follow up is Key

1. http://www.surgerylaparoscopic.co.uk/website/wp-content/uploads/2011/10/band-adjustment-3.jpg

2. Story of Obesity Surgery. ASMBS. http://asmbs.org/story-of-obesity-surgery-introduction/

3. Benefits of Bariatric Surgery. ASMBS. http://asmbs.org/benefits-of-bariatric-surgery/

4. Rationale for Surgical Treatment. ASMBS. http://asmbs.org/rationale-for-surgical-treatment/

References

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