Locate a Weight Loss Surgeon
New Hyde Park, New York
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Location and Contact Details
Long Island Institute for Minimally Invasive Surgery
3003 New Hyde Park Road, Suite 307
New Hyde Park, New York 11042
Phone: 516-616-5500
Fax: 516-616-5533
Bariatric Surgeons
Shawn M. Garber M.D., F.A.C.S.
Willo Wisotsky, Ph.D.
Sharon Friedman, R.D.
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Types of Gastric Surgery Performed
1. The Roux-en-y Gastric Bypass
2. Laparoscopic Roux-en-y Gastric Bypass
3. BioEnterics® LAP-BAND® System
The Roux-en-y Gastric Bypass
This bypass procedure is considered the "gold standard" of modern
obesity surgery. This operation achieves its effects by creating a very
small (around 1 ounce) stomach pouch from which the rest of the stomach
is permanently divided and separated. The small intestine is cut about
18 inches below the stomach, and is arranged to provide an outlet to the
small stomach, while maintaining the flow of digestive juices at the same
time. The lower part of the stomach is bypassed, and food enters the second
part of the small bowel. The operation works by reducing food intake,
and reducing the feeling of hunger. The result is a very early sense of
fullness, followed by a very profound sense of satisfaction.
Laparoscopic Roux-en-y Gastric Bypass
The purpose of this approach is to have the same surgical procedure with
as little discomfort to the patient as possible and to also decrease the
chances of some complications. Laparoscopic surgery allows surgeons to
"see" into the abdomen using a pencil-thin optical telescope,
and to project the picture from the video camera on a TV monitor at the
head of the operating table. The surgeon has to develop skills in operating
without being able to feel tissue directly, and by learning to determine
where instruments are by seeing them on TV.
The benefits of the laparoscopic approach come from the 5-6 very small
¼ to ½ inch incisions which are made. With laparoscopic
surgery there is much less pain and very little scarring. Patients are
better able to get up and walk within hours after surgery, can breath
easier, and move without discomfort. Bowel activity usually is not affected,
as it is with an open incision. Most patients find they can return to
normal activities within a much shorter time. People experience similar
weight loss and less overall complications.
BioEnterics® LAP-BAND® System
The BioEnterics LAP-BAND Adjustable Gastric Banding System (INAMED Health,
Santa Barbara, CA) is the newest surgical treatment for morbid obesity
in the United States. It induces weight loss by reducing the capacity
of the stomach, thereby restricting the amount of food that can be consumed
at one time. Like a wristwatch, the band is fastened around the upper
stomach to create a new, tiny stomach pouch. As a result, patients experience
an earlier sensation of fullness and are satisfied with smaller amounts
of food. Since there is no cutting, stapling, or stomach rerouting involved
in the LAP-BAND System procedure, it is considered the least traumatic
of all weight loss surgeries. The surgeon makes several tiny incisions
and uses long, slender instruments to implant the device. By avoiding
the large incision of open surgery, patients generally experience less
pain and scarring. In addition, the hospital stay is shortened to less
than 24 hours, including overnight hospitalization. Patients can typically
resume normal activities within 1 week, which is quicker than with other
surgical alternatives.
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