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Weight Loss Surgery

Our bariatric surgery program offers a comprehensive clinical approach to surgical weight loss management for the morbidly obese. We offer a full complement of resources to help provide every patient with personalized attention and high-quality care.

Our program includes:

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  • An MBSAQIP Accredited hospital facility with the most technologically advanced equipment.
  • The mid-Atlantic’s most experienced weight loss surgeons – trained in the latest minimally-invasive surgical techniques.
  • Caring and specially trained nursing and support staff.
  • Pre- and post-operative nutritional and support staff.
  • Pre-operative patient education classes to prepare patients for weight loss surgery.
  • Individualized treatment plans to assure the best patient outcomes.
  • Monthly support group meetings.
  • Long-term follow-up care.

Laparoscopic (Minimally-Invasive) Surgery

Laparoscopic surgery is a minimally-invasive technique used in a wide variety of general surgeries, including bariatric surgery. When a laparoscopic operation is performed, a small video camera is inserted into the abdomen. The surgeon views the procedure on a separate video monitor, allowing for better visualization and access to key anatomical structures. The camera and surgical instruments are inserted through small incisions made in the abdominal wall. This approach is considered to be less invasive because it replaces the need for one long incision to open the abdomen.

As compared with open surgery, some benefits may include a marked decrease in surgery-related discomfort, reduced time in hospital and hospital costs, and an earlier return to a full, productive lifestyle. Laparoscopic procedures for bariatric surgery use the same principles as open surgery and produce similar excess weight loss results, however, not all patients are candidates for this approach.

Our Process

At Advanced Surgical Partners of Virginia, we will be with you every step of the way on your journey to weight loss. To get started, sign up for an educational seminar.

We offer two convenient ways to explore your options:

  • An in-person seminar during which you can actively participate in the discussion
  • An online seminar that you can view at your convenience any time

After completing the seminar of your choosing, you will work with our Bariatric Patient Navigator to pre-qualify your insurance or desired payment method for the procedure. At this time, you will also be scheduled to have an initial consult with one of our surgeons, officially beginning your journey to improving your life and health.

The Journey to Weight Loss Surgery:
  • Primary Care Provider Referral
  • Initial Surgeon Visit – Selection Criteria, Surgical Treatment Options, Risks, and Benefits
  • Documentation of Medically Supervised Diet
  • Nutrition Evaluation
  • Psychological Evaluation
  • Other Activities: Sleep Study, Cardiac or Pulmonary Exams, etc.
What to Expect Before Surgery:
  • Final Surgery Clearance
What to Expect During Surgery:
  • Standardized Care Protocols
  • Dedicated and Specially-Trained Staff
  • Bariatric Equipment and Supplies
What to Expect After Surgery:
  • The amount of weight loss and rate of weight loss is dependent on the type of surgery. Weight loss expected from the gastric bypass and sleeve gastrectomy is faster than the gastric band expectation of about 1 to 2 pounds per week.
  • Assessment of inadequate weight loss may require radiological studies as well as an evaluation of plan compliance.
  • Follow-up laboratory tests should be regularly performed, including a complete blood count and measurement of iron and B12 levels.
  • Pregnancy is not recommended for at least 12 months.
  • Support group attendance is strongly encouraged.
  • Medication dosages for obesity-related conditions should be closely monitored. Extended-release medications may need to be changed to regular release formulations.
  • Oral contraceptives may not be fully absorbed after bariatric and metabolic surgery, potentially decreasing their effect.
  • ASA and NSAID products (e.g., ibuprofen, naproxen sodium) should be avoided due to increased risk of ulcers and strictures.
  • Patients may need lifelong vitamin and mineral supplements.

Why Bariatric Surgery Works

For a person with obesity to achieve significant long-term weight loss, the body’s weight-regulatory system (or metabolic health) must be reset so that the body will stop storing excess fat. Surgical intervention is the most effective treatment to accomplish this to date. Obesity-related health conditions have been resolved in up to 80% of patients. Bariatric and metabolic surgery helps reset the body’s ability to effectively manage weight by altering the complex relationship the body has with food and its metabolism. New research indicates that bariatric and metabolic surgery has metabolic impacts that enable a new, lower set point, allowing the body to return to a lower body-fat level. By altering the anatomy of the stomach and/or intestine, bariatric and metabolic surgery affects hormonal signals, resulting in decreased appetite, increased feelings of fullness, increased metabolism and healthier food preferences. These positive changes allow the body to lose weight without the internal fight to return to the higher set point.

Source: Ethicon