Monthly Archives: October 2015

Preparing for Surgery & Procedure

The Weeks leading up to Surgery

  1. Exercise
  2. The best time to begin your exercise program is before your surgery. The sooner you start exercising, the easier it will be after you have surgery. Start moving more, but don’t injure yourself. Walking on a daily basis improves your circulation and makes breathing easier during recovery. You will also benefit from having a plan in place prior to your procedure eliminating the need to establish one during your recovery phase. A pedometer is a great tool to help you track your walking progress. If joint pain becomes an issue and prevents you from walking daily, you may want to look into an aquatics program. Water exercises still condition your breathing but are not weight bearing and therefore are easier for people who have joint problems.
  3. Hygiene
  4. Skin integrity is essential for the operative site. It’s important to maintain good hygiene, by keeping skin clean and dry, especially in the days before surgery. Skin breakdown could possibly cause your surgery to be delayed.

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  1. Medicines
  2. It is important to avoid aspirin and all aspirin-based medicines for at least 10 days prior to surgery. Herbal medications such as St. John’s Wort, Gingko Biloba, garlic, etc. should be avoided, as these have blood-thinning properties. Other herbal supplements such as kava and valerian root are known to interact with anesthesia and should also be stopped at least 10 days prior to surgery.
  3. Remember to tell your surgeon all of the medicines and herbal supplements you are taking. Do not forget to check the label of your multivitamin, as many can contain herbal supplements as well. Remember to check all labels of over-the-counter medicines, since certain ones can contain aspirin, too. When in doubt, please check with your pharmacist and/or surgeon.
  4. Tobacco
  5. Since smoking hinders proper lung function, it can increase the possibility of anesthetic complications. Smoking can increase your risk of complications such as deep vein thrombosis (blood clots in the legs). Smoking also reduces circulation to the skin and impedes healing. Smokers who undergo anesthesia are at increased risk for developing cardiopulmonary complications (pulmonary embolism, pneumonia and the collapsing of the tiny air sacs in the lungs) and infection.
  6. Besides the well-known risks to the heart and lungs, smoking stimulates stomach acid production, leading to possible ulcer formation.
  7. Patients are required to stop smoking eight weeks before surgery. Patients must also agree to permanently refrain from smoking after surgery. Ask your primary Care Physician to write you a prescription for a smoking cessation aid, if necessary.
  8. Alcohol
  9. Alcohol causes gastric irritation and can cause liver damage. During periods of rapid weight loss the liver becomes especially vulnerable to toxins such as alcohol. You may find that only a couple of sips of wine can give you unusually quick and strong effects of alcohol intolerance.
  10. In addition, alcoholic beverages are high in empty calories and may cause “dumping syndrome.”
  11. For these reasons, we recommend complete abstinence from alcohol for one year after surgery and avoiding frequent consumption thereafter.
  12. Work and Disability
  13. Typically, bariatric surgery patients can expect to return to work in about two to four weeks, however this can vary from person to person. This may vary greatly. The time you take from works depends on many things, including the kind of work you do, your general state of health, how badly your work needs you, how badly you need you need your work (i.e. the money), your general state of motivation, the surgical approach (laparoscopic vs. open) and your energy level.
  14. It is important to remember that you are not just recovering from surgery, but you are eating very little and losing weight rapidly. We caution you to not rush back to full-time work too quickly. The first few weeks are a precious time to get to know your new digestive system, to rest, exercise and meet with other post-operative patients in support group meetings. If financially feasible, take this time to focus on your recovery.
  15. You may not wish to tell the people you work with what kind of surgery you are having. It is perfectly appropriate to tell as much or as little to your employer as you would like. Although you do not need to tell your employer that you are having weight loss surgery, it is recommended to reveal that you are having major abdominal surgery. Explain that you need two or more weeks to recover, especially if you would like to have some form of financial compensation during your absence.
  16. Your employer should have the relevant forms for you to complete. You may want to indicate that you will not be able to do any heavy lifting for several months after surgery.

General Appointment

Dr. Eslami earned his Doctor of Medicine degree from the University of Tehran in Iran. Upon graduation, Dr. Eslami completed two years of service in the military as a general practitioner. In 1999 he relocated to the United States and completed a residency program in General Surgery at the University of Maryland in Baltimore, and was awarded a chief residency completion in both surgical trauma and intensive care shock trauma. He then went on to the Baylor College of Medicine in Texas to complete his fellowship in Advanced Minimally Invasive and Bariatric Surgery.

In addition to his formal education, Dr. Eslami has been very involved with clinical research, and often presents his articles at various conferences around the country.

Dr Eslami is an active member of the medical staff at several Mercy Hospitals. He has obtained Board Certification in Surgery from the American Board of Surgery. He is a member of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Dr Eslami is designated as a Center of Excellence- Bariatric Surgeon through the American Society for Metabolic and Bariatric Surgery (ASMBS) of which he is an active member. Dr. Eslami is an avid runner, biker, and swimmer. He enjoys boating, spending time with friends and family, participating in cultural meetings, and reading history in his spare time.

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General Appointment

Afshin Eslami, M.D.

Bariatric Surgeon

For all clinic appointments and inquiries, please call (916) 423-2022 or click to request an appointment online.

We are happy to hear from you. Please contact us using the information below:

Sacramento

7501 Hospital Drive

Suite 305

Sacramento, CA 95823

Click here for driving directions and location map.

Tele: (916) 423-2022

Fax: (916) 681-0673

For more Information, appointment, or registering for the informational seminar please call the office Monday–Thursday 9am -5pm or email our Bariatric Coordinator lynette@slimlifesolutions.com

Tel: (916) 423-2022

Fax: (916) 681-0673

E-mail: info@slimlifesolutions.com

Website: http://www.slimlifesolutions.com

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When you come for your appointments, please remember to bring the following

  • Driver’s License or a valid ID
  • Insurance information
  • Referral Letter (if required)
  • Reports, X-rays, MRI’s, CT scans etc. and any other relevant information
  • List of medications (if any)

To Cancel an Appointment

Telephone the office during business hours and allow at least 1 days’ notice so that we can offer your appointment time to patients on our waiting list.

We recognize that your time is valuable, and we make every effort to run on time. Occasionally emergencies or patients require a little more time, and these cause scheduling delays beyond our control. We apologize if we keep you waiting.

Sleeve Gastrectomy California

Afshin Eslami, M.D.

Dr. Eslami earned his Doctor of Medicine degree from the University of Tehran in Iran. Upon graduation, Dr. Eslami completed two years of service in the military as a general practitioner. In 1999 he relocated to the United States and completed a residency program in General Surgery at the University of Maryland in Baltimore, and was awarded a chief residency completion in both surgical trauma and intensive care shock trauma. He then went on to the Baylor College of Medicine in Texas to complete his fellowship in Advanced Minimally Invasive and Bariatric Surgery.

In addition to his formal education, Dr. Eslami has been very involved with clinical research, and often presents his articles at various conferences around the country.

Dr Eslami is an active member of the medical staff at several Mercy Hospitals. He has obtained Board Certification in Surgery from the American Board of Surgery. He is a member of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Dr Eslami is designated as a Center of Excellence- Bariatric Surgeon through the American Society for Metabolic and Bariatric Surgery (ASMBS) of which he is an active member. Dr. Eslami is an avid runner, biker, and swimmer. He enjoys boating, spending time with friends and family, participating in cultural meetings, and reading history in his spare time.

Laparoscopic Adjustable Gastric Banding

In Adjustable gastric banding procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Laparoscopic Gastric Bypass

In Gastric Bypass procedure, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the absorption of nutrients and thereby reduces the calorie intake.

Laparoscopic Sleeve Gastrectomy

Sleeve Gastrectomy (Tube Gastrectomy) procedure involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically (keyhole surgery) but is not reversible. It basically leaves a stomach tube instead of a stomach sack.

Laparoscopic Surgery

Laparoscopy is commonly performed procedure to Investigate and some keyhole surgeries on abdominal and pelvic organs.

Laparoscopy is direct visualization of the abdominal cavity and intra-abdominal organs by using a laparoscopy. The laparoscope is a long thin instrument with a light source at its tip, to light up the inside of the abdomen or pelvis. Fibreoptic fibres carry images from a lens, also at the tip of the instrument, to a video monitor, which the surgeon and other theatre staff can view in real time.

Carbon dioxide (CO2) is put into the abdomen through a special needle that is inserted just above the navel. This gas helps to separate the organs inside the abdominal cavity, making it easier for the physician to see the intra-abdominal organs during laparoscopy. The gas is removed at the end of the procedure.

Weight Loss Surgery

Selection Criteria

There are a number of widely accepted criteria which make a patient suitable for Bariatric or weight loss surgery:

  • BMI of 35 or a BMI greater than 30 with at least with 1 major obesity related disease e.g. Diabetes, Asthma, Heart Disease, sleep Apnoea, osteo arthritis.
  • Reasonable attempts at other weight loss techniques
  • Over 18 years of age
  • Obesity related health problems
  • A capacity to understand the risks and commitment associated with the surgery
  • Pregnancy not anticipated in the first two years following surgery

Slim Life Solutions – Check of the Weight loss treatment such as Obesity surgery, lapband surgery and laparoscopic surgery.

Afshin Eslami, M.D.

Dr. Eslami earned his Doctor of Medicine degree from the University of Tehran in Iran. Upon graduation, Dr. Eslami completed two years of service in the military as a general practitioner. In 1999 he relocated to the United States and completed a residency program in General Surgery at the University of Maryland in Baltimore, and was awarded a chief residency completion in both surgical trauma and intensive care shock trauma. He then went on to the Baylor College of Medicine in Texas to complete his fellowship in Advanced Minimally Invasive and Bariatric Surgery.

In addition to his formal education, Dr. Eslami has been very involved with clinical research, and often presents his articles at various conferences around the country.

Dr Eslami is an active member of the medical staff at several Mercy Hospitals. He has obtained Board Certification in Surgery from the American Board of Surgery. He is a member of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Dr Eslami is designated as a Center of Excellence- Bariatric Surgeon through the American Society for Metabolic and Bariatric Surgery (ASMBS) of which he is an active member. Dr. Eslami is an avid runner, biker, and swimmer. He enjoys boating, spending time with friends and family, participating in cultural meetings, and reading history in his spare time.

What is Obesity?

Obesity results from the excess accumulation of fat that exceeds the body’s skeletal and physical standards. According to the American Obesity Association, Obesity is a disease.

What is Morbid Obesity?

Morbid Obesity is typically defined as being 100 lbs. or more over ideal body weight, or having a BMI (Body Mass Index) of 40 or higher. Morbid Obesity reaches a point of significantly increasing the risk of co-Morbidities that result in either significant physical disability or even death. Morbid Obesity is a serious and chronic disease. Treatment is available, and surgery is an extremely viable option for you.