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Weight Loss Center

Obesity is a rapidly increasing epidemic—more than one third of the adult population in our country is obese. This serious condition leads to additional health problems, including diabetes, heart disease and stroke. If left untreated, obesity can be fatal.

Higher medical costs are another cause for concern regarding obesity. The Centers for Disease Control and Prevention state medical costs for obese patients are approximately $1,500 higher than for patients of average weight.

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Bariatric surgery

Bariatric surgery is a tool to help patients with obesity with their battle to regain control of their health. Sleeve gastrectomy, a type of bariatric surgery offered nationwide, is now available via the Shannon Weight Loss Center.

The goal of bariatric surgery is to reduce the patient's caloric intake and to curb hunger. The sleeve gastrectomy is a restrictive procedure that narrows the size of the stomach, causing you to consume fewer calories.

The operation removes the receptors that trigger hunger which causes the appetite to decrease. National standards are used to determine if a patient qualifies for surgery.

Meet Our Team

Pictured: Danielle Samaniego, MA, Toyha Harper, NP, Nichole Bartz, RD, Karen Hancock, RN, Kenneth Jastrow III, MD, Eileen Barbella, Ph.D.

The process

Bariatric surgery is a permanent change to the body and Dr. Jastrow, MD, FACS, and his team must make sure patients are mentally and physically capable of tolerating the procedure. The professionals at the Weight Loss Center follow patients pre- and post-operatively. Prior to the operation, patients will have a tailored pre-op clearance plan.

Patients should expect to lose 60 to 70 percent of their excess body weight after the sleeve gastrectomy procedure. How quickly the weight is lost varies for each patient. They may be able to stop taking medications and reverse conditions such as hypertension, high cholesterol and diabetes.

Surgery is only one part of a patient's weight-loss journey. The doctors make sure the operation is a success from the operation standpoint, but the patient plays a crucial role in having a successful outcome. They have to adhere to a diet and exercise regimen.

Patients are given a bariatric manual that offers an in-depth look into the operation itself, including pre- and post-operative care required, dietary plans, medications, exercise, and foods to avoid.

MBSAQIP Accreditation

The American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) combined their respective national bariatric surgery accreditation programs into a single unified program to achieve one national accreditation standard for bariatric surgery center, the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).

MBSAQIP works to advance safe, high-quality care for bariatric surgical patients through the accreditation of bariatric surgical centers. A bariatric surgical center achieves accreditation following a rigorous review process during which it proves that it can maintain certain physical resources, human resources, and standards of practice. All accredited centers report their outcomes to the MBSAQIP database.

Blue Distinction Center for Bariatric Surgery

Shannon Medical Center is proud to be recognized by Blue Cross Blue Shield of Texas with a Blue Distinction® Centers+ for Bariatric Surgery designation, as part of the Blue Distinction Specialty Care program. Blue Distinction Centers are nationally designated healthcare facilities that show a commitment to delivering high quality patient safety and better health outcomes, based on objective measures that were developed with input from the medical community and leading accreditation and quality organizations. 

 

The Blue Distinction Centers for Bariatric Surgery program provides a full range of bariatric surgery care; including surgical care, post-operative care, outpatient follow-up care, and patient education.  

 

“Being recognized by this distinction is such an honor and truly speaks to all the hard work our team and patients have put into this program,” Kenneth Jastrow III, MD, FACS, Shannon General Surgery, said. “It really is a joint effort of patient and provider that we are able to receive these prestigious designations for our center.”

 

Bariatric surgeries are among the most common elective surgeries in the U.S. — with more than 252,000 bariatric surgeries performed in 2018 based on a report from the American Society of Metabolic and Bariatric Surgery (ASMBS). Furthermore, the Centers for Disease Control and Prevention (CDC) estimates that nearly 42.7 percent of U.S. adults and 18.5 percent of youth are obese and are impacted by obesity-related health conditions. With obesity reaching epidemic levels among U.S. adults, a significant opportunity exists to improve quality care for bariatric surgeries within the national healthcare system.

 

To receive a Blue Distinction Centers+ for Bariatric Surgery designation, a healthcare facility must demonstrate success in meeting patient safety measures as well as bariatric-specific quality measures, including complication and readmission rate for laparoscopic procedures in sleeve gastrectomy, gastric bypass, and adjustable gastric band. All designated facilities must also be nationally accredited at both the facility and bariatric program-specific levels, as well as demonstrated cost-efficiency compared to its peers. Facilities designated as Blue Distinction Centers+ are on average 20 percent more cost-efficient in an episode of care compared to other facilities. 

 

Since 2006, the Blue Distinction Specialty Care program has helped patients find quality specialty care in the areas of bariatric surgery, cancer care, cardiac care, cellular immunotherapy, fertility care, gene therapy, knee and hip replacement, maternity care, spine surgery, substance use treatment and recovery, and transplants, while encouraging healthcare professionals to improve the care they deliver. Research shows that, compared to other healthcare facilities, those designated as Blue Distinction Centers demonstrate better quality and improved outcomes for patients. 

Office Visits

  • Initial visit will cover if you qualify for bariatric surgery
    • discuss options and formulate plan
    • referred to our Registered Dietitian, GI Department, and Psychologist
    • meet with our Nurse Practitioner to discuss importance of self-monitoring with calorie tracking and exercise to maintain and improve metabolism
  • Second Visit
    • meet with Nurse Practitioner to address any medical conditions you have and what diagnostic testing will need to be ordered prior to surgery
    • referral appointments needed will be discussed
  • Third Visit
    • we will review the results of any lab and diagnostic tests
  • Fourth Visit
    • meet with Nurse Practitioner to discuss supplementation following surgery
    • you will not be scheduled for surgery until we have received approval from your insurance company
  • Last Visit
    • meet with Dr. Jastrow for pre-operative visit

Benefits

  • average of 66% excess weight loss at 3 years
  • our program average is 55% in 6 months
  • no significant changes in digestive process
  • cannot be reversed although it can be converted to other procedure

Possible Complications

  • Gastric leak from staple line
  • Ulcers
  • Dyspepsia (indigestion)
  • Esophageal Dysmotility
  • Fistula (abnormal connections)
  • Pulmonary embolism (blood clots in lung)
  • Delayed gastric emptying
  • Splenic injury
  • Stricture (narrowing)
  • Late Choledocholithiasis (gallstones)
  • Nutritional deficiencies

Post-Operative Management

  • Most cases are done same day
  • Meds: Prevacid and vitamin patch. Gabapentin, Celebrex, Eliquis, Zofran, Colace, Mylicon, and other medication prescribed as needed
  • Clear liquids first 48 hours, full liquids next two weeks, and slow progression to solid foods as directed
  • Return to work in 1-2 weeks
  • No heavy lifting (over 30lbs) for 4-6 weeks
  • No strenuous activity for 4 weeks
  • Vitamin and nutrient supplementation 

Long-Term Follow Up

  • Follow up appointments and laboratory studies are important to your long term success
  • You will have appointments schedules for 10-14 days, 6 weeks, 3 months, 6 months, 9 months, 1 year, 18 months, 24 months, then yearly therafter
  • Labs are drawn every 6 months or sooner if needed 

For more information or to schedule an appointment, please call our program coordinator at 325.481.2344

To join our online support group on Facebook or monthly support group meetings, please call 325.657.5146 or email KarenHancock@shannonhealth.org

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