Bariatric Surgery-Weight Loss Surgery
Mount Sinai Queens now offers weight loss surgery. Weight loss surgery is potentially lifesaving and can change patients’ lives. The Metabolic and Bariatric Surgery Program at Mount Sinai is an innovative, multidisciplinary program that treats obesity and the many health problems that go along with it, such as Type 2 diabetes, hypertension, and obstructive sleep apnea.
Mount Sinai Queens surgeons assess each patient individually and consider factors such as degree of obesity and other medical conditions present to decide which surgery is the best. Most weight loss surgery is performed with minimally invasive techniques which involve small incisions and less trauma to the body. Minimally invasive surgery results in a faster recovery and return to normal activity.
Types of Surgical Weight Loss Procedures
The types of weight loss operations available at Mount Sinai Queens include:
Roux-en-Y Gastric Bypass: The gastric bypass (as it is commonly referred to) is a restrictive procedure, but a small amount of malabsorption also occurs. In a gastric bypass, the surgeon creates a 30-cc (1 ounce) gastric pouch from the upper part of the stomach. This is about the size of an egg. A small intestinal bypass is then performed and connected to the small pouch through a Y-shaped connection. As a result, patients eat less food, and somewhat less food is absorbed.
Sleeve Gastrectomy: In this operation, the stomach is cut into a long, thin tube, or a "sleeve." This operation acts mainly by limiting the number of calories that can be eaten. Also, since a large portion of the stomach is removed, it changes the levels of hormones in the gastrointestinal tract, causing an earlier feeling of fullness.
Am I a Candidate for Weight Loss Surgery?
The Mount Sinai Queens Surgical Weight Loss program follows the National Institutes of Health guidelines:
- Age: Patients must be between 13 and 65 years of age. Those younger than 18 years of age and older than 65 require a deeper pre-operative exam and will be decided on a case by case basis.
- Body Mass Index (BMI): Body mass index, or BMI, is a weight-to-height ratio used by doctors as a yardstick to decide who is a candidate for weight loss surgery. Patients must have a body mass index greater than 40, or above 35 with one or more weight-related health problems such as diabetes, hypertension (high blood pressure), high cholesterol, or sleep apnea.
- Unsuccessful previous weight loss attempts: Patients must prove they are not able to lose weight through non-surgical methods.
- Cause of obesity: The obesity must not be caused by a correctable endocrine (hormonal) problem, such as hypothyroidism.
- Understanding: Patient must have a clear understanding of the surgery and its risks.
- Commitment: Patients must participate in lifelong follow-up after weight loss surgery.
Which Operation is Best for Me?
Your surgeon will discuss the advantages and disadvantages of each operation and help you to decide which procedure is best for you.
We accept most insurance plans.
Eric D. Edwards, MD, FACS
Chief of Surgery
Director Metabolic and Bariatric Surgery
Gustavo Fernandez-Ranvier, MD, FACS