May 17, 2017  |  6:30-8:00 PM  |  Hekemian Conference Center, Hackensack University Medical Center   -    May 24, 2017  |  6:30-8:00 PM  |  St. Joseph's Regional Medical Center, Auditorium #2   -      June 7, 2017  |  6:30-8:00 PM  |  Jersey City Medical Center, Conference Rooms 5 & 6, via the Main Lobby   -    June 14, 2017  |  6:30-8:00 PM  |  Hackensack UMC at Pascack Valley, Community Center   -    June 21 , 2017  |  6:30-8:00 PM  |  Hekemian Conference Center, Hackensack University Medical Center   -    June 28, 2017  |  6:30-8:00 PM  |  St. Joseph's Regional Medical Center, Auditorium #2   -     July 5, 2017  |  6:30-8:00 PM  |  Hackensack UMC Palisades, Auditorium   -    July 12, 2017  |  6:30-8:00 PM  |  Hackensack UMC at Pascack Valley, Community Center   -    July 19, 2017  |  6:30-8:00 PM  |  Hekemian Conference Center, Hackensack University Medical Center   -    July 26, 2017  |  6:30-8:00 PM  |  St. Joseph's Regional Medical Center, Auditorium #2   -    For additional dates please review the dates by location on the SEMINAR SIGN UP page. |
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Contact Us

Advanced Laparoscopic Associates
Tel: (201) 646-1121
Fax (201) 646-1110

Main Office:
35 Plaza 81 Route 4 West
Suite 401
Paramus, NJ 07652 Map

377 Jersey Avenue, Suite 470
Jersey City, NJ 07302 Map

7600 River Rd, Suite 302
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 Map

HackensackUMC Palisades
7600 River Rd
North Bergen, NJ 07047 Map

SurgiCare of Carlstadt
630 Broad St
Carlstadt, NJ 07072 Map


Gastric Bypass

Roux-en-Y gastric bypass

Discover the “gold standard” in weight-loss surgery

If you desire a reliable surgical option for rapid and long-lasting weight loss, the gastric bypass is considered the gold standard. It has been studied for nearly 30 years, and now over 90% of these procedures are performed using laparoscopic techniques. Our five highly skilled, board-certified surgeons are national pioneers in this procedure. They have the largest experience in laparoscopic weight-loss surgery in New Jersey and, in fact, performed the first laparoscopic gastric bypass and laparoscopic gastric banding in the state.

Major weight-loss surgery that uses minor incisions

Unlike conventional “open” gastric bypass surgery, which often requires a foot-long incision, laparoscopic surgery avoids any large incisions. Instead, our physicians operate through tiny openings, about the size of buttonholes, while viewing the patient’s internal organs on a high-definition TV monitor. Since there is no large incision to heal, patients have less pain and less scarring and recover more quickly.

The most commonly performed laparoscopic bariatric procedure is called the Roux-en-Y (pronounced ROO-on-why) gastric bypass. The Roux-en-Y procedure helps you lose weight and keep it off in two ways. First, part of the stomach is sectioned off, strictly limiting the amount of food that can be eaten at one time. Second, part of the intestine is bypassed, limiting the body’s ability to fully absorb all of the calories that are eaten. This procedure is generally not reversible.

A solid track record for producing dramatic weight loss

In the right hands, this is a very safe procedure. Our results are consistently the best in New Jersey and rank among the very top in the country. Most patients lose weight quickly and continue to do so for as long as 18 to 24 months after the procedure. Most patients lose 75% of their extra weight. As a result of this weight loss, many patients achieve greatly improved health.

Complications after gastric bypass are rare but can be serious. As described in the seminar, a leak from the surgical connections can result in a potentially serious abdominal infection. Other problems may include but are not limited to: bleeding, injury to other organs, blood clots, pulmonary embolism, narrowing at the connections, wound infection and anesthetic complications. Lifelong vitamin supplementation is required or serious deficiency may develop. Screening is provided at routine postoperative visits. Future endoscopic or surgical procedures may be required. Any gastrointestinal problems should be brought to the attention of your surgeon at any time after your surgery. Pregnancy occurring greater than two years after surgery is safe with appropriate nutrition counseling.

For more information on laparoscopic Roux-en-Y gastric bypass or to schedule an appointment, call Advanced Laparoscopic Associates at 201.646.1121.

How it works:

Laparoscopic gastric bypass surgery (Roux-en-Y) is generally considered to be the best surgical procedure for the treatment of morbid obesity. Weight loss is achieved by reducing the functional portion of the stomach to a pouch about the size of an egg and by bypassing about 100 cm. to 150 cm. of small intestine.

After the gastric bypass procedure, the egg-sized stomach pouch causes the patient to have a sensation of fullness after eating only a small portion of food. Additionally, only a very small opening from the stomach pouch to the intestine is intentionally created during surgery to delay stomach emptying, making the sensation of fullness last longer.

The intestinal bypass portion of the procedure separates the digestive juices from the food for about 100 cm. to 150 cm. This prevents the digestion and absorption of food during the time it is separated from the digestive juices. Once the food does meet with the digestive juices, the digestive process starts; however, the creation of these permanent anatomic changes results in less absorption of nutrients and contributes to weight loss.

The following animation helps illustrate the gastric bypass procedure. Please click on the image to view the animation.

Click here to view animation!

In the video, notice the creation of a small egg-sized stomach pouch followed by the dividing and reconnecting of the small intestine. The pathway the food takes is illustrated in blue and the digestive juices are shown in green.

After surgery:

Patients will be on a clear liquid diet for the first week immediately following gastric bypass surgery and then advance to a pureed diet for one week. These foods will be very soft so as to pass through the small, newly formed pouch. The third week consists of soft solid foods.

Approximately one month after the gastric bypass surgery, patients can expect to eat more regular table foods. Patients at this point will still be learning how to eat right, including chewing food carefully, learning to drink liquids between rather than with meals and learning that eating the wrong foods, such as sweets or fatty foods, can cause the “dumping syndrome.”

At six months after the gastric bypass surgery, most patients will be on their long-term maintenance diet, which is more or less what and how they will eat for the rest of their lives. The maintenance diet for the most part consists of regular table foods, but in small portions. Most patients describe their meals as child-sized, and they often do not finish what they are served. Patients generally become comfortable eating these small meals and almost always say the loss of the ability to enjoy large meals or certain foods is more than compensated for by being able to successfully control their weight.

Patients may expect to lose approximately 75% of their excess body weight during the first two years following surgery. Sometimes a weight regain of about 10% is seen between years two and five, perhaps because the small pouch increases in size and perhaps because patients learn how to take in extra calories without realizing it.

 

Gastric Bypass

Click to download in MP4 format (1.48MB)