September 27, 2017  |  6:30-8:00 PM  |  St. Joseph's Regional Medical Center, Auditorium #2         October 4, 2017  |  6:30-8:00 PM  |  Courtyard Jersey City Newport       October 11, 2017  |  6:30-8:00 PM  |  Hackensack UMC at Pascack Valley, Community Center       October 18, 2017  |  6:30-8:00 PM  |  Hekemian Conference Center, Hackensack University Medical Center       October 25, 2017  |  6:30-8:00 PM  |  St. Joseph's Regional Medical Center, Auditorium #2         November 1, 2017  |  6:30-8:00 PM  |  Hackensack UMC Palisades, Auditorium       November 8, 2017  |  6:30-8:00 PM  |  Hackensack UMC at Pascack Valley, Community Center       November 15, 2017  |  6:30-8:00 PM  |  Hekemian Conference Center, Hackensack University Medical Center       November 22, 2017  |  6:30-8:00 PM  |  St. Joseph's Regional Medical Center, Auditorium #2         December 6, 2017  |  6:30-8:00 PM  |  Courtyard Jersey City Newport       December 13, 2017  |  6:30-8:00 PM  |  Hekemian Conference Center, Hackensack University Medical Center       December 20, 2017  |  6:30-8:00 PM  |  Hackensack UMC at Pascack Valley, Community Center         ----> For additional dates please review the dates by location on the SEMINAR SIGN UP page. |
Calculate Your BMI

Meet the Team


Contact Us

Advanced Laparoscopic Associates

Main Office:
35 Plaza 81 Route 4 West
Suite 401
Paramus, NJ 07652 Map
Tel: (201) 646-1121
Fax (201) 646-1110

Additional Office Locations:
377 Jersey Avenue, Suite 470
Jersey City, NJ 07302 Map

250 Old Hook Road, Suite 302
Westwood, NJ 07675 Map

7600 River Rd
North Bergen, NJ 07047 Map

Hospital Affiliations:
Hackensack University Medical Center
Hackensack, NJ 07601 Map

Hackensack UMC at Pascack Valley
250 Old Hook Road
Westwood, NJ 07675 Map

HackensackUMC Palisades
7600 River Rd
North Bergen, NJ 07047 Map

SurgiCare of Carlstadt
630 Broad St
Carlstadt, NJ 07072 Map

About Obesity

About obesity surgery

If you are thinking about bariatric (weight-loss) surgery and are having doubts about whether it is right for you, you’re not alone. Wondering if bariatric surgery is right for you is a very common concern. Bariatric surgery is a life-changing procedure, and making that decision requires research, a good amount of reflection and discussion with your doctor.

However, you also should take a look at the science and know that weight-loss surgery can be an effective treatment for the lifelong condition of morbid obesity. As with any surgery, bariatric surgery may present risks. It’s important to learn about these risks and discuss them with your bariatric surgeon.

If traditional weight-loss methods have not worked, weight-loss surgery may be the right answer for you. And with its effectiveness in resolving or improving conditions such as type 2 diabetes, high blood pressure, arthritis, sleep apnea and others, it may improve the quality of your life.

Almost everyone has had at one point or another concerns and fears during the bariatric surgery decision-making process. By browsing these web pages and hearing our patients describe their experiences in their own words, you’ll find that you’re not alone.

The majority of people who consider bariatric surgery do so after years of unsuccessful dieting attempts, including participation in diet programs, taking weight-loss medications and exercising. After years of losing weight and gaining it back, it is not unusual to blame yourself. This vicious cycle of weight loss and regain leaves many patients feeling demoralized and like failures. While this is the unfortunate nature of morbid obesity, this cycle can be broken.

Morbid obesity is a disease requiring lifelong treatment. Weight-loss surgery is a treatment option that alters the patient’s anatomy and physiology, allowing for significant weight loss and the reversal or improvement of co-morbid conditions.

Weight-loss surgery is not a cure-all and never should be regarded as such. However, as an effective tool, it helps patients attain a feeling of satiety, or fullness, because the stomach has been partitioned into an egg-sized pouch. For many weight-loss surgery patients, dieting was frustrating because the feeling of satiety was missing. Surgery helps patients to feel full and satisfied with much less food.

Successful weight-loss surgery patients use the surgery as a powerful tool to help control their hunger. Along with exercise and a healthy diet, weight-loss surgery can help patients feel full and attain their goals of health and wellness. For more information or to schedule an appointment, please call Advanced Laparoscopic Associates in Paramus, New Jersey today!

back to top

What is obesity?

The most common major chronic illness in the western world is obesity! A more severe form of obesity is called morbid obesity. Obesity results from excessive accumulation of fat that exceeds the body’s skeletal and physical standards. Obesity is emerging as a health epidemic around the world. According to the Centers for Disease Control and Prevention, obesity is rapidly spreading across all regions and demographic groups. It is to the point where our life expectancy as a nation has actually decreased. According to the National Institutes of Health (NIH), more than 50% of the adult population is overweight or obese. An estimated 11 million are considered morbidly obese.

There are many contributing factors to obesity and these include genetic/hereditary, environmental, metabolic and eating disorders. Weight gain usually results when one of these factors affects us in a negative way.

Our genetic make-up plays a major role in gaining excess weight. It determines our “susceptibility” or “risk” of becoming overweight or obese. Our personalized attitudes also influence our behavior regarding what we eat and how much we engage in physical activities in our daily lives.

Genes also affect how efficiently our body utilizes and burns calories and where our body fat is stored. If you have a high metabolic rate, this means that you burn your calories a lot faster so you are less prone to gaining weight than someone else who has a slow metabolic rate. Even people with the same diet may not show any relation to the body weight of each other while a family whose members live apart and do not have the same diet may show a close relation to each other’s body size.

Environmental factors such as fast food and the weather can also affect the development of our body weight. For example, people who are always moving or are engaged in physical activities during their daily routine will less likely show signs of obesity than people who sit behind a desk all day.

Eating disorders and other medical conditions also influence our body weight. If you have a medical condition or an eating disorder, it is possible that your condition can be treated with just medication. So it is equally important to consult a doctor to make sure that surgery is the right solution for you.

back to top

What is morbid obesity?

Morbid obesity is typically defined as being 100 lbs. or more over ideal body weight or having a body mass index (BMI) of 40 or higher. According to the National Institutes of Health Consensus Report, morbid obesity is a serious disease and must be treated as such. It is a chronic disease, meaning that its symptoms build slowly over an extended period of time. Morbid obesity can lead to the development of what are known as “co-morbid” conditions. These are serious health issues that arise directly from the severe degree of obesity. These conditions should be thought of as “symptoms” of the morbid obesity disease since many can be prevented, cured or greatly improved if the morbid obesity is treated. In study after study, the only long-term effective treatment for morbid obesity has been weight-loss surgery.

The following is a partial list of co-morbid conditions that can develop due to morbid obesity:

Type 2 diabetes

Type 2 diabetes is a long-term metabolic disorder where the body produces insulin but resists it. Insulin is necessary for the body to be able to use sugar. Because of excess weight, obese individuals develop a resistance to insulin, which controls blood sugar.

High blood pressure & heart disease

Excess body weight keeps the heart from working properly. The result can be high blood pressure (hypertension), which can cause strokes and heart and kidney damage. While hypertension may occur regardless of someone’s age, gender or body mass, it tends to be more severe in the obese.

Dyslipidemia & high cholesterol

Dyslipidemia is a disorder of lipids, which are the fat-like substances in the blood. A common form of dyslipidemia is hyperlipidemia (or high cholesterol), the condition that exists when someone has too much of certain lipids in the blood. As these lipids build up inside the artery walls, harmful scar tissue and other debris begin thickening and hardening the walls. Doctors call this condition atherosclerosis, or hardening of the arteries.

Osteoarthritis of weight-bearing joints

Osteoarthritis is one of the most common forms of arthritis. Known as the wear-and-tear kind of arthritis, osteoarthritis is a chronic condition in which there is a breakdown of a joint’s cartilage. For anyone who is suffering from morbid obesity, the excess body weight placed on joints, particularly knees and hips, results in rapid wear and tear and pain caused by inflammation. Similarly, bones and muscles of the back constantly are strained, causing disc problems, pain and decreased movement ability.


Depression is an illness that involves the body, mood and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself and the way one thinks about things. There are many reasons people with morbid obesity experience depression. Many of the everyday activities people with healthy body weight take for granted are big challenges for a person suffering from morbid obesity. These activities may include walking, social interaction, finding clothes that fit and fitting in public seats. While depression may occur regardless of someone’s age, gender or body mass, it tends to be more severe in the obese.

Sleep apnea & respiratory problems

Obstructive sleep apnea is when breathing suddenly stops because soft tissue in the rear of the throat collapses and closes during sleep. Morbid obesity can cause sleep apnea and other respiratory problems. The greater your excess body weight, the greater the amount of fat pressing down on your chest and lungs. When you are morbidly obese, you are likely to have a greater buildup of fat deposits in the tongue and neck.

Gastroesophageal reflux disease (GERD)

Gastroesophageal reflux disease is injury to the esophagus caused by chronic exposure to stomach acid. While the symptom of heartburn is often associated with this disease, GERD is more than an annoyance. It is a serious disease that can cause esophagitis, Barrett’s esophagus and esophageal cancer. Occasional heartburn does not indicate GERD.

Excess body weight may weaken the valve at the top of the stomach, allowing acid to escape into the esophagus. This escape is known as gastroesophageal reflux.

Urinary stress incontinence

Among women, morbid obesity is a big risk factor for urinary stress incontinence, or uncontrollable urine loss. A large, heavy abdomen and relaxation of the pelvic muscles due to morbid obesity may cause the valve on the urinary bladder to weaken, leading to leakage of urine with coughing, sneezing or laughing.

Asthma & pulmonary conditions

Asthma is a disease of the respiratory system in which the airways unexpectedly narrow. Adult-onset asthma is closely associated with GERD. Common symptoms of asthma include wheezing, coughing and chest tightness.

Reproductive health

Reproductive health can be a concern for women struggling with morbid obesity. Issues such as infertility (the inability or reduced ability to produce children) and menstrual irregularities may occur due to morbid obesity. Menstruation issues include cycle interruption, abnormal flow and additional pain during your menstrual cycle. Fertility issues include possible miscarriage, reduced success with fertility treatments and polycystic ovarian syndrome (PCOS).

PCOS is an endocrine disorder in women of childbearing age that can cause infertility and other reproductive health conditions. Classic symptoms include obesity, an increase of facial and body hair (hirsutism), acne, irregular menstrual cycles and infertility.

back to top

Weight-loss surgery

Weight-loss surgery, also known as bariatric surgery, has helped millions of people shed their excess weight and live healthier lives. It is the only proven means of long-term weight loss. In study after study, weight-loss methods such as Weight Watchers, Jenny Craig, Nutrisystem, Atkins, diet pills and shakes, fad diets and most other means have been shown not to offer any substantial long-term weight loss in the majority of people.

Weight-loss surgery is a tool that allows you to transform your eating habits so that you can successfully lose weight and keep it off. The resulting health benefits are clear. Think back to when you were 100 or more pounds lighter. Did you have all of the health issues that you have now? Did you feel better? Did you have a better outlook on life?

If you have tried and failed to lose weight by other means, you may want to consider weight-loss surgery. In considering weight-loss surgery, it is important to select a bariatric program that offers a strong pre- and postoperative care plan. Weight-loss surgery is a lifelong commitment on your part and the program, hospital and surgeon you choose for your surgery should be one that will continue to support you throughout your journey.

Studies have shown that experienced surgeons who operate out of hospitals that are designated “Centers of Excellence for Bariatric Surgery,” such as Hackensack University Medical Center, have the best overall results.

The benefits of bariatric surgery

Bariatric surgery continues to benefit people struggling with morbid obesity worldwide. Most importantly, bariatric surgery saves lives. Recent studies show that bariatric surgery patients are living longer lives than morbidly obese individuals. You also can see the benefits of bariatric surgery when you look back on how individual lives have improved.

Reduction in mortality (extended life expectancy)

Reduced life span due to obesity is important to consider. Compared to a person of normal weight, a 25-year-old obese man has a reduced life span, and he can expect a loss of about 12 years of life. Bariatric surgery has been shown to improve life span by reducing excess body weight. In a recent study, bariatric surgery reduced overall morbidity and the development of new health-related conditions in morbidly obese patients.

Resolution of obesity-related health conditions

Obesity-related health conditions that may be improved or resolved with bariatric surgery include:

  • Type 2 diabetes
  • High blood pressure & heart disease
  • High cholesterol
  • Osteoarthritis of weight-bearing joints
  • Depression
  • Sleep apnea/respiratory problems
  • Gastroesophageal reflux/heartburn
  • Infertility
  • Urinary stress incontinence
  • Menstrual irregularities
  • Asthma
  • Skin breakdown
  • Swollen legs/skin ulcers
  • Extremity venous stasis
  • Long-term weight loss

Bariatric surgery has been shown to be the most effective long-term weight-loss treatment. The amount of weight a patient will lose after the procedure depends upon several factors. These include age, preoperative weight, motivation, exercise and compliance with follow-up.

Surgery is likely to be used more widely given that the number of Americans with a BMI greater than 40 has nearly tripled in the last decade. Each year, more and more people are realizing that weight-loss surgery is the answer for them.

back to top

Lifestyle opportunities

Bariatric surgery, by reducing excess body weight and improving overall health, can improve patients’ lives in many personal ways. Some benefits are common among patients; others are unique to each individual patient.

Here are some of the surgery benefits patients have described:

  • Improvement of medical conditions
  • Improved job or career prospects
  • Reduced shortness of breath
  • Increased energy level
  • Regularly getting a good night of sleep
  • Greater confidence
  • Improved dating life
  • Greater variety in choice of clothes
  • Exercise is more rewarding

In short, the benefits of weight-loss surgery are clear. However, it is a surgical procedure and requires a thorough understanding of the risks as well as the benefits. It is important to meet with one of our qualified bariatric surgeons to discuss your individual health concerns and issues. For more information or to schedule an appointment, please call Advanced Laparoscopic Associates in Paramus, New Jersey at 201.646.1121 today!