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Who is a Candidate? Our Specialists The minimum qualification for weight loss By providing expert physicians experienced is someone with a in the latest minimally invasive weight loss (BMI) (determined by the ratio of weight to and an important height) of 40 or greater, or a BMI of 35 and above program, we offer severely people an with documented, significant -related exciting opportunity to successfully achieve and conditions. For the average height patient, this maintain a healthy lifestyle. equates to about 100 lbs. above ideal body Alan Posner, M.D., F.A.C.S weight for men and 80 lbs. for women. Aaron B. Hoffman, M.D. John Butsch, M.D., F.A.C.S. All qualified patients are carefully screened with Jeanette Keith, M.D. medical, psychological, nutritional and physical Director of Medical Weight Management therapy evaluations. Barbara Lahrs, MSN If the patient meets the selection criteria, Administrative Nurse Practitioner they will be asked to attend an informational Kimberly Pierce, MSN, Clinical Nurse Practitioner seminar, which is by invitation only. Laurie Schmidt, MSN, Clinical Nurse Practitioner Susan Tobias, ANP, Clinical Nurse Practitioner Other criteria include: Jeanne Lew, MS, Registered Dietician • Absence of any uncontrolled or Geraldine Stark, Physical Therapist disorder that may cause (untreated hypothyroidism, Cushing’s To Receive an Application: Syndrome, etc.) Call (716) 859-7640 • Absence of any untreated major psychiatric Main Office (Open 8 a.m. - 4 p.m., Monday - Friday) or (untreated depression, Buffalo General Hospital psychosis, bulimia, nervosa, etc.) 100 High Street Buffalo, New York 14203 • No active substance abuse Phone: (716) 859-1168 • History of obesity (five years or greater) Fax: (716) 859-3352 • Documented unsuccessful attempts at www.kaleidahealth.org/weightloss non-surgical weight loss Language assistance services are available free of charge for Comprehensive • 21 years of age or older anyone who has a need for an interpreter. Weight Loss & Tenemos servicios de ayuda en Español, para cualquiera que • Ability to follow dietary, and necesita un intérprete. behavioral recommendations s er v i c e s

www.kaleidahealth.org BGH-075 Rev. 11/10 Welcome What is Weight Loss Surgery? The Roux-En-Y Gastric Bypass Procedure The Kaleida Comprehensive Weight Loss Weight loss surgery (also called bariatric surgery) Staples are used to create a stomach pouch Program at Buffalo General Hospital is designed is major surgery designed to improve quality of out of a small portion of the normal stomach. to help people who are significantly overweight life by facilitating the loss of excess weight and The new pouch is then attached directly to the (morbidly obese) and have become frustrated the reduction of obesity-related risks for life- small intestine, bypassing a large part of the by their repeated failures to lose weight with threatening conditions like , obstructive stomach (which is only sealed off, not removed) traditional weight reduction methods. , elevated cholesterol levels and more, and duodenum. Not only is the stomach pouch through two basic approaches: too small to hold large amounts of , but About Our Program by skipping the duodenum, fat and calorie 1. Restrictive procedures to decrease food intake absorption is substantially reduced. According to The National Institutes of Health, Society of American Gastrointestinal Endoscopic 2. Malabsorptive procedures that alter digestion Surgeons and the American Society of Bariatric and cause food to be incompletely absorbed Gastric Bypass/Roux-En-Y Surgery, our program meets nationally accepted criteria for surgical intervention in the treatment What Surgery is Right For You? of morbidly obese individuals. We provide the Our bariatric surgical team specializes in following to assist our patients in achieving their minimally invasive laparoscopic surgery, which weight loss goals: involves smaller incisions for less scarring, • A multi-disciplinary team of bariatric decreased pain, fewer complications, and faster specialists that are focused on the causes, recovery times for patients. Below are the two prevention and treatment of obesity and its weight loss procedures we offer: After Surgery associated Most patients are in the hospital for one or • Skilled surgeons experienced in advanced The Laparoscopic Adjustable two days and are able to drive after 10 days, laparoscopic weight loss surgery Banding Procedure providing they no longer need for pain • Knowledgeable nurse practitioners This surgery is designed to restrict and decrease relief. Many return to work after two weeks, experienced in the study and treatment of food intake without interfering in the normal although those who do heavy work may require obesity and family practice digestive process. A hollow band made of special up to two months off. • Compassionate, caring registered nurses material is placed around the stomach near its Weight loss varies with each procedure and how who specialize in the treatment of weight upper end to create both a small pouch and a an individual responds to changes in . Our loss patients narrow passage into the larger remaining portion dietician and physical therapist work with our • Registered dieticians applying the most of the stomach, which delays the emptying of patients to help them adjust to new eating habits effective nutritional counseling food and causes a feeling of fullness. (The band and increased physical activity, changes that • Physical therapists experienced in can be tightened or loosened over time to change patients must commit to for the rest of their lives. multi-level activity evaluation the size of the passage.) Initially, the pouch holds about one ounce of food and usually expands to • Fully equipped facilities and monthly two-three ounces with time. support groups