Staten Island University Hospital 's Center for the Surgical Treatment of Obesity was established in 1998. It is a comprehensive, multi-disciplinary center dedicated to serving the morbidly obese population in the Tri-State area and beyond. The center has completed more than 2,000 cases with safety and success rates at or above national norms. We currently provide three different surgical procedures and favor a minimally invasive (laparoscopic) approach unless otherwise indicated.
The Obesity Surgery Program is prepared to accommodate larger patients in the hospital, providing equipment that will provide a greater sense of comfort and safety to the obese patient. All obesity surgery patients are brought to a nursing unit where the staff is familiar with the needs of the patient, and anticipating no complications, the patient will go home in one to two days (depending on the operation).
Post-operative follow-up is essential to successful and healthy weight loss and maintenance. The Program is committed to lifetime follow-up with patients. Support group meetings at Staten Island University Hospital (SIUH) are held monthly. Friends and family of patients are welcome at these meetings. Psychological support is also available at no additional cost to post-operative patients. A full- time staff consisting of a nurse practitioner, physician assistant and nutritionist are available throughout the week to answer questions regarding diet and pre and post-operative issues.
Surgery for obesity
There are two primary principles utilized in obesity surgery to effect weight loss. These are restriction and malabsorption. Restrictive procedures decrease the effective size of the stomach resulting in a feeling of fullness after a much smaller intake of food. Malabsorptive procedures decrease the absorptive efficiency of the intestine resulting in decreased absorption of food (calories) eaten. Procedures may utilize one or both of these principles.
The SIUH Center offers three different surgical procedures for the treatment of morbid obesity. These are: Gastric bypass, sleeve gastrectomy, and Lap-Band®. Though individual procedures are associated with different specific weight-loss outcomes, all provide significant weight loss within 12–24 months following procedure. Most times, this weight loss is sustained over the long term.
Though generally safe and effective, bariatric procedures involve major abdominal surgery and are associated with a variety of possible post-procedural complications. Development of a clear understanding of the nature of the planned procedure, as well as its potential complications, is essential to every patient prior to deciding to proceed with surgery.
It is clear that a team approach to the surgical treatment of obesity is associated with the best results and lowest rates of complications. To this end, the Center for the Surgical Treatment of Obesity has assembled an experienced multi-disciplinary team of specialists from the areas of Nutrition, Surgery, Psychiatry, Internal and Pulmonary Medicine, Cardiology, Anesthesia, Rehabilitation and Social Work to provide a comprehensive pre-operative evaluation, perioperative management and post-operative follow-up of the surgical obesity patient. The result of this team approach is weight-loss results and complication rates that compare favorably with national and international data.