Bariatric Seminar

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• Hope Bariatrics Online Seminar
• This presentation is...
• Your first step to becoming a healthier, happier person
• Essential information about bariatric or weight loss surgery
• Mandatory to learn about surgical treatment for weight loss before making your final decision
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  Geoffrey H. Wilcox, MD, FACS

  • Our Dedicated Staff
  • Our bariatric surgeon Dr. Geoffrey Wilcox
  • Board certified general surgeon specializing in weight loss surgery with over 1,700 surgeries since 2003 (as of Jan 2019, over 3,500 bariatric surgeries for Hope Bariatrics)
  • Assisted by Certified Physician Assistant, Jamie Dunn
  • Centers of Excellence Facility
  • Recognized by the American Society for Metabolic Bariatric Surgery
  • Surgeons, dietitian, and support staff are committed to helping you achieve your goals
  • Our follow-up program tracks progress, addresses concerns, and gives you ongoing support
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• • Comprehensive Approach
  • Dr. Wilcox perfoms weight loss surgery at Heritage Valley Sewickley
  • Accredited Metabolic and Bariatric Surgery facility
  • High Quality of Care

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• • Facts
  • Morbid obesity is related to multiple health problems
  • Obesity is the 2nd leading cause of preventable death
  • The morbidly obese die 10-15 years sooner than non-obese people

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• • What is Obesity?
  • Not simply the result of overeating
  • Serious disease of excess fat storage that requires treatment and prevention
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  • Genetics
  • Genetics can predispose a person to obesity
  • Children of morbidly obese parents are more likely to struggle with obesity as adults
  • Behavior
  • May be learned or may develop for other reasons
  • Making unhealthy food choices, lack of exercise and consuming large portions
  • Environment
  • Lack of education about nutrition
  • Availability of cheap, high calorie foods
  • Less time for exercise
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• • Body Mass Index (BMI)
  • Measures obesity based on weight and height
  • Used to determine if you qualify for surgery

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• • Health Risks of Obesity
  • Obesity is associated with many other problems
  • Diabetes
  • Arthritis
  • High Blood Pressure
  • Sleep Apnea
  • Depression
  • Infertility
  • Cancer
  • GERD
  • Asthma

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• Weight Loss Options
• Non-surgical Approach
• Diets, exercise, and behavioral change
• Weight Loss Drugs
• Surgical Approach
• Long Term Weight Loss for Severely Obese
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• Non-Surgical Weight Loss
• Q: Does Non-Surgical Weight Loss Work?
• Research Study:
• Comparison of several major commercial
  weight loss programs
• Results:
• No one diet shown to produce
  lasting significat weight loss
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• A: Only 3% - 5% will lose more than 50%
  of their excess weight...
  
  and keep it off more than 2 years
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• Criteria for Surgery
• National Institute of Health
• Hope Bariatrics
• Body Mass Index (BMI)
• BMI greater than 40
• BMI of 35 to 40 with two other health problems
• Psychological Evaluation
• Determine a patient"s readiness for change
• Rule out untreated mental illness
• Document Past Attempts at Non-Surgical Weight Loss
• Understand the Risks
• Patient Commitment
• Learning all you can and using weight loss surgery as a tool
• Eating differently, taking vitamins, and increasing your activity
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• • Gastric Bypass
  • Most frequently performed weight loss surgery according to the ASMBS
  • Stomach cutting, stapling and intestinal re-routing required
  • Fast initial weight loss
  • Greater % of excess weight loss loss overall
  • Dumping syndrome

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• Gastric Bypass Surgery -- Possible Side Effects
• If you have a question or are not feeling well, CALL YOUR SURGEON'S OFFICE
• Knowledge is the Key to Prevention
• Recognize the signs
• Contact our office
• Post-Op Complications
• Nausea and/or vomiting
• Diarrhea or constipation
• Dehydration
• Later Complications
• Ulcers
• Internal hernias
• Hair loss
• Anemia
• Vitamin and nutrient deficiencies
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• Gastric Bypass Surgery -- Benefits
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• Medical Co-Morbidities Resolved
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• Long-Term Weight Loss
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• • Vertical Sleeve Gastrectomy
  • Laparoscopic
  • May be an option for carefully selected patients, including high-risk or super-super-obese patients¹
  • 1. ASMBS, Position Statement on Sleeve Gastrectomy as a Bariatric Procedure. June 17, 2007.
  • Mean excess weight loss at 1 year of 70%²
  • 2. Lee CM, et al. Surg Endosc (2007) 21: 1810–1816
  • No implanted medical device

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• • Sleeve Gastrectomy: Risks and possible complications
  • Leak at staple line
  • Stricture
  • GERD
  • DVT
  • Infection
  • Hernia
  • Death

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• Which Surgery is for You?
• You and your surgeon will discuss:
• Potential weight loss
• Your individual health history and medical problems
• Any concerns, questions you may have
• Decide together which surgery is best for you
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• • General Dietary Guidelines
  • Choose quality foods
  • Drink plenty of fluids (no carbonation)
  • Eat 3 or 4 smaller meals
  • Eat/drink separately
  • Chew food slowly and thoroughly

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• Eating after Weight Loss Surgery
• Includes 4 Phases:
• Phase I: clear liquids and protein
• Phase II: pureed foods
• Phase III: soft/bland foods
• Phase IV: regular consistency foods
• Eat Adequate Protein
• Vitamins and Minerals
• Adequate Fluid Intake
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• Hope Bariatrics Patients
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• Patient Testimonial
• May 2013
• My name is Trisha and I wanted to write how gastric bypass surgery has improved my life.
  
  I had my surgery 12/06/12 and went from 305 lbs to a much celebrated 222 lbs and counting!! The first major change was I was off my insulin before being discharged from the hospital after surgery!! I was doing 70 units twice a day, even my primary care doctor thought it would take time to lower my dosage let alone completely eliminate it. Secondly at 43 years old the arthritis in my knees was so bad I could barely get up and down the steps in my home. There were times I would stand at the bottom in tears and I had to take them one at a time. Now I can sprint up and down them. I used to struggle through grocery shopping I can now walk 3 miles. Thirdly I went from taking 7 prescriptions to 3.
  
  If you are considering this type of surgery I just want to say that my only regret is not doing it sooner!!! I forgot how good life could feel!!!
  
  Sincerely Trisha
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• • Your Commitment
  • Stop smoking before surgery
  • Lose weight on your 3 or 6 month diet
  • Keep all your appointments
  • Take vitamins
  • Learn all you can about nutrition
  • Make a plan for exercise
  • Join our support group
  • Commitment = Success

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• Next Steps
• Thank you for taking the time to learn about our program.
  
  The next step will be a one-time education class conducted virtually by Zoom. You will be called to schedule this class after we receive your quiz from this seminar.
  
  After that class you will see Dr. Wilcox face to face in our Sewickley office.
  
  We have a $200. Program fee, not covered by insurance. The first $100 is due at your first visit with the doctor, the balance on the second visit. This covers dietary consultations, education and administrative work that is costly.
  
  Remember, we are committed to YOU for life!
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