There are several surgical weight loss options available today and there is no need to worry about making the decision on your own. Making the decision to commit to weight loss surgery can seem frightening, confusing and intimidating. Dr. Neil Floch, Dr. Craig Floch, Dr. Abe Fridman, and Dr. Peter Ingraldi will guide you in selecting the weight loss surgery best suited for your needs. Our surgeons are recognized as expert bariatric surgeons in Connecticut who offer the highest standard of surgical care in laparoscopic weight loss surgery. Our practice, Fairfield County Bariatrics, has performed over 4500 weight loss procedures and is recognized as a Center of Excellence® in Connecticut and recognized throughout the country. The programs in the hospitals in which they operate, Norwalk Hospital Weight Loss Surgery Program and Saint Vincent’s Bariatric Surgery Program, are equally recognized as Centers of Excellence®. We are now also performing weight loss surgery at Griffin Hospital in Derby, Connecticut.
Together with their staff, our Connecticut bariatric surgeons will provide a comprehensive and multi-dimensional weight loss program that will address all aspects of your life. We will provide postoperative nutritional and psychological support, which are essential components to the success of The Fairfield County Bariatrics Program. Counseling in these areas contributes to our patients’ success in achieving and maintaining their goals. Monthly support groups and preoperative and postoperative nutritional assistance by a registered dietician, specializing in helping obese patients achieve their desired weight loss and achieve optimal health are major ingredients of our program. We will start you on an exercise program that is unique to your needs.
Our program is designed to not only help you lose the weight but keep it off as you experience long-term success.
LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS (LRYGB) in Connecticut
The Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is considered to be the "gold standard" procedure by the American Society of Bariatric Surgeons (ASBS). This operation is the one most commonly performed and has a proven record of significant weight loss. It includes decreasing the size of the stomach and partially bypassing the small intestine to limit the amount of calorie intake. There are many different techniques that can be used for the LRYGB, all of which are acceptable. At Fairfield County Bariatrics the procedure is done laparoscopically with 5 to 7 small incisions. A camera called a laparoscope, and long surgical instruments are used while the belly is inflated with carbon dioxide gas. The surgeon then operates while visualizing the internal organs on a high definition television screen. During the LRYGB, a 30-60cc pouch is created by stapling-off the stomach.
The remaining stomach stays alive and intact, and the far end is attached to the small bowel. This “remnant stomach” receives blood and produces digestive stomach acid. A 50cm section of the small bowel is then measured, cut, and reattached to the stomach by stapling hand stitching, or a combination of the two. Another 50cm of the small bowel is then attached to the side of the limb to drain the new, small stomach pouch. Food is not absorbed completely because the food and digestive juices are separated for 33% of the length of the bowel. This results in weight loss.
Weight loss from this procedure averages 60-80% loss of excess body weight. The LRYGB is highly effective because patients not only eat less and feel full quickly, but they also do not fully absorb the food they eat. Doing the procedure laparoscopically results in a decreased morbidity and shorter hospital stay when compared to the open procedure. Most patients are discharged home in 2-4 days. An average of 60% to 80% of excess body weight loss can be expected within the first twenty months following this procedure. Most of the loss will occur within the first six months following the surgery. This weight loss can be maintained with post-operative lifestyle changes including diet and exercise.
- Weight loss is quicker than the other procedures
- Nothing is left internally that can slip, break or disintegrate
- Longevity of this operation having been done for over 30 years
- Patients have had better results with total weight loss, long-term weight maintenance, and improved health than those who chose other procedures
- Slightly higher complication rate than the other procedures
- Longer recovery period
- A necessity to take vitamin and mineral supplementation for life.
- Dumping syndrome can occur if foods with a sugary content are eaten. This could result in diarrhea, nausea, cramps, cold sweats and chest pain.
- Pulmonary embolism
- Deep vein thrombosis (DVT)
- Leakage from bowel
- Bowel Obstruction
- Obstruction of the Stomach Outlet
- Wound Infection
- Urinary Tract Infection
- Chronic Nutritional Problems
- Protein Deficiency
- Vitamin and Mineral Deficiency
- Mortality risk is 1 in 1000 depending upon BMI and medical problems.
Fairfield County Bariatrics will try to make your decision to have this surgery come true. Please visit us at one of our free seminars. You can view the seminar schedule and register for the seminar on this website: www.endtheweight.com. Many weight loss surgical procedures are covered by health insurance. Every plan is different and benefits are constantly changing. Our insurance experts will acquire the necessary information and help you through the process of getting approved for your procedure. If it is determined that you do not have the coverage, please don’t be discouraged. Our office can provide you with various financing options. We can direct you to financing companies who specialize in funding surgical procedures. The procedure can also be paid in full or on a payment plan that is right for your personal situation.
You are welcome to call our office and we will supply you with a free insurance evaluation. We are here to assist and support you in your initial decision, to the actual surgery and the aftercare for your long-term weight loss. Our staff will carry you through the process and minimize your fears, pressures and help you overcome your concerns.
Our weight loss surgery team makes the long-term care of your weight loss easy and guides you on a lifelong path to freedom from obesity that is safe, enjoyable and satisfying.