Bariatric surgery: the weight you lose, the life you gain

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Dr. Nilesh Patel, MD COURTESY PHOTO | ATASCOSA METHODIST HOSPITAL

Bariatric surgery isn’t just about the weight you lose; it’s about the life you earn. Obesity is a complex metabolic disease, not just a weight problem. Bariatric surgery can counteract metabolic changes by helping individuals feel full and satisfied after a small meal. Bariatric surgery is considered the most effective treatment for obese people. However, there are required multidisciplinary approaches from pre-surgical education to long-term management, which the Methodist is equipped to provide.

Methodist Hospital | Atascosa, in partnership with Methodist Hospital | Metropolitan in San Antonio, now offers surgical weight loss options to Atascosa County residents. Their new weight loss center in Atascosa offers patients a multidisciplinary and holistic approach. Each patient who participates in the program experiences an individualized care plan designed just for them. This is essential for maintaining weight loss and improving quality of life after bariatric surgery.

According to Lacy Fisher, director of the rehabilitation and multi-specialty clinic at Methodist Hospital | Atascosa Partnership Provides Patients with Access to Surgery Performed by Methodist Hospital Board Certified Surgeons | Metropolitan in San Antonio and the convenience of all pre and postoperative appointments and other services in Atascosa. Fisher says patients get the best of both worlds while saving time and money.

Nilesh Patel, MD, FACS, Methodist Hospital | Metropolitan’s, is a nationally recognized, fellowship-trained bariatric surgeon and board-certified general surgeon with over 21 years of experience. He has performed nearly 7,000 laparoscopic weight loss surgeries. He is an expert in LAP-BAND, Gastric Bypass, Gastric Sleeve, Gastric Band and Revision surgeries. He received his medical degree from Robert Wood Johnson Medical School – Piscataway, NJ. He completed his surgical residency at Allegheny General Hospital – Pittsburgh, Pennsylvania, and continued with college for postgraduate training in minimally invasive weight loss surgery.

Dr. Patel is a bariatric surgery myth buster. Dr. Patel states that bariatric surgery has evolved since the first laparoscopic gastric bypass surgery was performed around 1999. The surgeries are now minimally invasive in most cases, leaving no significant scarring. Recovery after surgery, he said, is surprisingly fast.

Dr Patel said that in its early years surgery was associated with the stigma of obesity and the characterization of patients who would benefit from surgery was a stereotype that was not necessarily medically or ethically correct. “We ostracized tall patients because they were judged or perceived as being too lazy to exercise and eating incorrectly. Over the past 20 years or more, particularly over the past five to seven years, we have come to realize that obesity is just one symptom within a complex of diseases, which many of us call metabolic syndrome.

“If we were to put it in this perspective, bariatric surgery evolved not just for weight loss, but also as a metabolic procedure,” Dr. Patel said. “I think this evolution and thought process will allow us to help more patients.”

Dr. Patel says they don’t necessarily like to talk about bariatric surgery because it’s metabolic surgery. “If we look at the metabolic syndrome, several disease complexes are involved in it, such as diabetes, high blood pressure, sleep apnea, fatty liver disease, high cholesterol and obesity is just one of those factors, not the determining factor,” Dr. Patel said. “And to put that into perspective, we may have patients who come into our office who are only 30 to 50 pounds overweight, 60 pounds overweight, who have diabetes, but patients who are 400 pounds who come into the office, don’t have a bit of diabetes and the labs are normal. Yet they both suffer from Metabolic Syndrome because they qualify with other disease complexes they suffer from being a tall patient or having Metabolic Syndrome. I think the evolution of bariatric surgery is not only technical, but also the understanding of the pathological complex on which we operate.

Dr. Patel states that the American Heart Association, American Endocrinology Society, and diabetes associations have bariatric surgery as an indication for specific pathological conditions. He says 90% of diabetics will go away with bariatric surgery.

Dr. Patel advises viewing bariatric surgery as a journey, not a destination.

“When patients ask me, ‘Am I going to be successful?’ I tell people it’s a love triangle of three, the surgeon, the patient and the procedure. The procedure is over; he will always be there, the surgeon and the patient must remain connected to the procedure.

I think follow-up is key, so when someone asks me, I say, “Look, I can do the surgery as well as I can and that only contributes 30% of your success; the vast majority remaining depends on your compliance and coaching. It’s a lifetime commitment to lifestyle change, and we all fall off the wagon from time to time and you need to get back to your trainer. With bariatric weight loss surgery, no one is born to know how to live with this operation and how to be able to maintain this operation; lifelong coaching is needed. And having a local hub at Atascosa Co. helps make that lifetime commitment more achievable.

Dr. Patel says patients should choose surgeons and hospitals with extensive experience in bariatric surgery.

“Choose an experienced and highly accredited surgeon and hospital. Bariatric surgery is what Metropolitan does; it is one of the busiest service lines. He has all the certificates of excellence currently available for bariatric surgery. So, between the national designation and every common insurance company, we hold a certificate for each of them for excellent results and quality of surgeons. There are other facilities in town that have them, but we have them all.

Dr Patel said Metropolitan is also a Leapfrog Grade A hospital, which means they have a high score for patient safety. “I think there are only 50 in the country. We’re also one of the few facilities where we have nurses nationally accredited by the American Society of Metabolic Bariatric Surgery to care for patients, so that’s an extra level of training, an extra certification that the most establishments can’t say they have.

Jennifer Group, BSN, RN, CBN, Bariatric Program Manager, Methodist Hospital | Metropolitan in San Antonio, said the hospital is focused on maintaining the highest standard of care with personalized treatment plans. She said she was proud that the Methodist Weight Loss Center was designated as a Center of Excellence® by the American Society for Metabolic Surgery in Bariatric Surgery. The center is recognized as a Bariatric Center of Excellence with OPTUM-UHC, Aetna and Blue Distinction Center Facilities with BlueCross BlueShield. He is also accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program.

Group also said that the Methodist Hospital | Metro Bariatric Surgeons provide excellent and compassionate patient care, offering various bariatric surgery options to ensure the best option for each patient.

Surgical options include:

• Gastric Roux-en-Y
bypass (RYGB)
• Sleeve gastrectomy
• Adjustable gastric
band surgeries
• Duodenal switch
• Preservation of the intestinal pylorus (SIPS)
• Robot assisted
bariatric surgery

“There is a range of surgeries available and it’s best to choose a surgeon who has all the options to pick the best one for the patient,” Dr. Patel said. “The patient and the surgeon need to discuss what would be best for them, and I think that’s another great thing about Metropolitan and that we offer every surgical procedure available.”

“All procedures are performed laparoscopically or minimally invasively; in my hands, procedures usually take less than an hour, recovery lasts between a week and 10 days long term, and we now use different pain management techniques to be able to achieve even faster recovery,” said the Dr. Patel. “We did ambulatory sleeves where you come in the morning and leave with your sleeve on the same day, and so it became so progressive. It just requires the right facility, the right nursing, and the right surgical expertise to be able to perform this. We also offer robotic technology where certain benefits and recovery can be accelerated from this point of view. »

Methodist Hospital | Atascosa supports patients before, during, and after weight loss surgery, making it much more convenient than continuous trips to San Antonio. They offer:

• Behavioral health
specialists
• Dietary specialists
• Lab work
• Ambulatory Physics
therapy
• Radiology examinations
• Support groups
• Weight loss seminars

Bariatric seminars are designed to help individuals learn more about how to lose weight safely. The free bariatric support group offers individuals a safe place to receive encouragement and establish resources for their weight loss journey.

Methodist physicians work closely with nurses, dietitians, and other members of the care team to ensure bariatric surgery patients receive quality care in a patient-centered environment. They encourage the involvement of loved ones as a support system to make lifelong changes as part of the weight loss journey.

Methodist recognizes that being overweight can also cause individuals to experience other conditions. The Methodist team can also help you with:

• Degeneration of
weight-bearing joints in the hips,
knees, ankles and feet
• Diabetes
• Gastroesophageal
reflux disease (GERD)
• High blood pressure
• Obstructive sleep
apnea, breathing
failure
• Sleep Apnea
• Heart disease

To learn more about weight loss/bariatric surgery, please call a Weight Loss Specialist at (830) 769-5947 or (830) 769-5947 or use the QR codes below.

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