Which Surgery Involves Stapling The Majority Of The Stomach Shut

Weight loss surgery in New Jersey

At Mountainside Medical Center, we understand that weight loss surgery is a big decision that can change your life. That’s why our bariatric doctors are prepared to answer your questions and offer you support every step of the way on your weight loss journey. We offer weight loss seminars and a variety of surgical treatments, including gastric bypass and sleeve gastrectomy, for patients who are eligible for bariatric surgery. Whenever possible, we also offer minimally invasive techniques and laparoscopic surgery to help reduce scarring and speed up recovery times.

Preoperative weight loss evaluations

When diet, exercise and medication aren’t working, weight loss surgery may be an option for treating obesity. Research from The American Society for Metabolic & Bariatric Surgery shows that patients may lose as much as 60% of excess weight six months after weight loss surgery, and up to 77% of excess weight a year after surgery. The majority of patients also see comorbidities like diabetes, dyslipidemia, hypertension, and sleep apnea decrease or go away altogether after weight loss surgery.

You may be eligible for weight loss surgery if your body mass index (BMI) is higher than 40. If you have serious health conditions like diabetes or heart disease, bariatric surgery may be beneficial if your BMI is between 35 and 40. Patients with a BMI below 35 do not qualify for weight loss surgery.

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If you’d like to learn more about bariatric surgery, attending a free seminar is a great place to start. Click here to browse our seminars.

Weight loss surgeries we offer

There are two types of weight loss surgery: restrictive procedures and malabsorptive procedures. Restrictive procedures aim to decrease your food intake by reducing the size of the stomach. Malabsorptive procedures bypass a portion of the food directly to the small intestines, limiting the amount of nutrients the body absorbs.

At Mountainside Medical Center, our skilled surgeons are trained to perform various bariatric surgical procedures. Whenever possible, your doctor will perform surgeries laparoscopically or using minimally-invasive techniques.

We offer the following weight loss surgeries:

  • Gastric band (LAP Band) — During this restrictive procedure, a silicone band is placed around the top of the stomach. This creates a small pouch and a narrow passageway into the rest of the stomach, which limits the amount of food you can consume. The band is then inflated with a saline solution. When food enters the pouch, it slowly empties into the rest of your stomach. Liquid passes through the narrow passageway and denser foods are delayed from passing through. Adjustments to the gastric band occur six to eight weeks after your surgery, and as needed thereafter. This procedure is fully reversible.
  • Roux-en-Y gastric bypass — This combined restrictive and malabsorptive procedure is the current gold standard procedure for weight loss surgery. During this procedure, the surgeon will separate the upper and lower portions of the stomach to create a small pouch. This pouch restricts the amount of food you can consume, which helps you feel full from smaller portions.
  • Sleeve gastrectomy – During this restrictive procedure, the left side of the stomach is removed, leaving it smaller and roughly the size and shape of a banana. The nerves to the stomach and the outlet valve remain intact to preserve the function of the stomach while greatly reducing its volume.
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After your surgery, our bariatric doctors will connect you with various resources, including support groups, dieticians, and other forms of follow-up care, to ensure you achieve your long-term weight loss goals.

Insurance coverage for weight loss surgery

If you are considering bariatric surgery, you will need to call your insurance company to verify your plan includes bariatric benefits for the treatment of morbid obesity.

You will need the following information from your insurance company:

  • Does your plan cover bariatric services and surgery, or is it an exclusion or only covered if life-threatening (meaning they do not cover bariatric surgery)?
  • If your plan covers bariatric services and surgery, you will need to know what pre-surgical requirements are necessary to qualify for surgery. For example, Medicaid requires six consecutive months of medical weight management and psychological evaluation.
  • What is your portion of the cost? Confirm how much your insurance will cover for the procedure.

In case you need to contact your insurance company again, write down the name of the representative you spoke to, as well as a reference number for the call.

Here are the specific codes your insurance company may request:

  • ICD code of obesity E66.01
  • CPT code for sleeve 43775
  • CPT code for bypass 43644

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