Monthly Archives: January 2016

Preparing For Weight Loss Surgery

Hygiene

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 Weight loss surgery. Skin breakdown could possibly cause your surgery to be delayed.

Exercise

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.

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Tobacco

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.

Medicines

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.

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.

Work and Disability

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.

Alcohol

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.

In addition, alcoholic beverages are high in empty calories and may cause “dumping syndrome.”

For these reasons, we recommend complete abstinence from alcohol for one year after surgery and avoiding frequent consumption thereafter.

 

 

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Gastric Bypass 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.

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Laparoscopic Gastric Bypass

In Gastric bypass California 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 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 Surgery

Laparoscopy is commonly performed procedure to Investigate and some key hole 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.

Medical Weight Loss

Apart from Medicare and your insurance information, all you need is:

  • 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)

Your medical file is handled with the utmost respect for your privacy. Our staffs are bound by strict confidentiality requirements as a condition of employment regarding your medical records. Ordinarily we will not release the contents of your medical file without your consent.

Most medical specialists will accept only referred patients. This is partly to try to ensure that the specialist you are seeing is appropriate for you and your condition, and also because Medicare pays higher rebates for specialist services if you have been referred. Before seeing any medical specialist, it is always preferable to talk to your own family doctor, who can discuss your condition with you and advice on whether any specialist care is appropriate. If it is, he or she can help you to choose the specialist best suited to your needs. Your family doctor can help the specialist to care for you better by providing relevant information about your health. Communicating with the specialist will also enable your family doctor to care for you better during and after your specialist treatment.

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During your initial visit, the doctor will explain the specific test or procedure you want, help you visualize the results and go over the risks. He may do a physical examination and ask you a bunch of questions. Once you go and have the test done then he will decide what your diagnosis and appropriate treatment.

Right after the operation, we will put you on a strict menu of liquid foods. You will be on our strict diet plan while you heal. The doctor will let you know what foods you will be able to eat and when you start eating them. Most of our patients become lactose intolerant after the operation. We will work with you after the operation to change your diet and show you which foods are good for you and which are not. You will eat whatever you want, but in small portions. Even so, your appetite will feel satiated, and you will not feel hungry.

Most of the weight will be lost in the first six months. Some patients have even been able to lose weight for up to two years after the surgery. This surgery is a tool to help you lose weight, and exercise and diet will help you achieve your ideal body weight. We even have had patients reach a size zero! Losing weight this fast is not a dangerous procedure if you maintain your vitamin supplements and diet. Our team will be with you 100% to support you after the operation.