Bariatric Surgery Program
David Gould MD is board certified in General Surgery with a focus in Minimally Invasive Surgery and Bariatric Surgery. He received his medical degree from The University of Pittsburgh, in Pittsburgh Pennsylvania. Dr. Gould completed his residency at Dartmouth Hitchcock Medical Center in Lebanon New Hampshire.
Kristin Detlefsen is a board certified physician assistant. Kristen received her Physician Assistant degree from Massachusetts College of Pharmacy and Health Sciences, Boston, MA.
All patients must meet minimal criteria for bariatric surgery as proposed by the NIH Consensus Development Panel Report. These include:
1. A Body Mass Index (BMI) over 40, and less than 60 (females) or less than 55 (males), or
2. A BMI between 35 and 40 and the presence of obesity-related conditions such as sleep apnea,
heart problems, diabetes, or high blood pressure and
3. Failed attempts at traditional weight loss methods.
4. Must be less than 60 years of age.
Roux-En-Y Gastric Bypass
Roux-en-Y gastric bypass, (pronounced rue-en-y) can be performed laparoscopically, limiting scarring and easing recovery. It has long been considered the “gold standard” in gastric bypass surgery. Roux-en-Y gastric bypass involves changing the size and shape of the stomach. The surgeon divides the stomach to create a “pouch” about the size of a cherry tomato at the top of the stomach to receive food. A segment of the small intestine is attached to the pouch, so that food “bypasses” the rest of the stomach and first part of the small intestine.
Laparoscopic Gastric Banding Surgery
The adjustable banding device is a silicone band that is placed, laparoscopically, around the top of the stomach. This creates a small “pouch” which limits the amount of food that can be consumed. The device can be removed entirely if necessary. Results of the gastric banding procedure have been encouraging, however weight loss is slightly slower than it is for gastric bypass, and management requires more frequent medical visits to adjust how the band narrows the stomach.
An even newer option, sleeve gastrectomy, changes the shape of the stomach and decreases its overall volume. This is done by excising a large portion of the stomach and leaving only a long stomach tube. Early results of the sleeve gastrectomy procedure show similar results as the Roux-en-Y gastric bypass. This procedure is also performed laparoscopically.
Many insurance companies cover surgery; however there are specific coverage criteria that you will want to be aware of as you begin your preparation. Call your insurance company to verify your benefits. Lap-Band also has a reimbursement solutions hotline to help you with insurance verification. The Hotline number is 1-800-LAP-BAND (527-2263).
Make Elliot your choice for bariatric surgery, call us today at 663-8830.