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795 LifeBridge Health and Fitness 83 695 95 Northwest LifeBridgeHyperbaric Health Hospital Levindale Hebrew RANDALLSTOWN Sinai Geriatric Center Hospital and Hospital WeightOxygen LossTherapy 70 95 Surgery Center 895 Patient Guide at Northwest Hospital BALTIMORE 895 95 97

ou’ve tried diets. Exercise. You’ve even taken appetite-reducing drugs. Still, the excess weight Y remains. You’re not alone. Weighing more than what is physically and emotionally healthy is a major Clinics available at Northwest Hospital, health problem in the United States. More than Sinai Hospital and in Howard County. 66 percent of adults have a serious weight problem. Please call for details. If nothing appears to be helping you lose excess pounds, weight loss surgery – also known as bariatric surgery –

may be your best option. LIFEBRIDGE HEALTH

5401 Old Court Road Randallstown, MD 21133 410-601-WELL (9355) For more information, call 410-601-WELL (9355) www.lifebridgehealth.org www.lifebridgehealth.org/bariatricsurgery LBHM-0293 9/14 Weight Loss Surgery

Who is a candidate for surgery After the surgery, you will feel satisfied after eating smaller portions, so that will limit the Severely obese people are defined as those amount of food you consume. When you eat less who are at least 100 pounds overweight, or food, your body draws on its own fat reserves for twice their ideal body weight. Obesity is a energy, resulting in weight loss. health risk for heart disease, high blood pres- sure, diabetes, sleep apnea, reflux disease, joint pain, high cholesterol, urinary incontinence, Sleeve gastrectomy shortness of breath and leg swelling. Annually This non-reversible procedure generates approximately 112,000 deaths are attributable weight loss through reduced food intake and to obesity, making it the second leading cause normal mechanisms. Divided vertically, the of preventable cause of death (after smoking) in stomach is reduced by more than 85 percent. the United States. The portion of the stomach that remains is Not everyone who has a weight problem shaped like qualifies for surgery. One way to tell is to check a very slim your Body Mass Index (BMI), which is a ratio banana or of your weight to your height. To determine sleeve, which your BMI, see our website for a BMI calculator measures from or ask your doctor. If your BMI is 40 or more, 2 to 5 ounces. Your role and responsibilities or if your BMI is over 30 and you have certain There is no in- ©2007 Sinai Hospital of Baltimore in the weight loss process health conditions, you might be a good candi- testinal bypass, While surgery is the only proven way for date for surgery. only stomach reduction. Similar to the severely obese men and women to lose weight traditional gastric bypass, after the sleeve and keep it off, it is not a magic cure. It requires Laparoscopic gastric bypass gastrectomy you will feel satisfied after eating absolute cooperation and dedication. Before smaller portions. Gastric bypass surgery involves stapling the you agree to surgery, please understand that

stomach and re-routing the small intestine to you must make a lifelong commitment to a Small low-fat, sugar-free, sensible diet; regular form a small stomach pouch about the size of Laparoscpic gastric an egg. The intestine is attached to the pouch to pouch exercise; and daily vitamins. Surgery is a tool adjustable that requires your effort and involvement in create a bypass. After surgery, food enters the Gastric band pouch and empties into the small intestine. gastric band your weight loss. As a result, food bypasses almost all of the procedure Stomach stomach and a segment of the intestine. The Your next steps With this procedure, overwhelming majority of surgeries are per- If you would like to be evaluated as a possible minimally invasive formed laparo- © 2011 candidate for weight loss surgery, call our office surgery is used to place Sinai Hospital of Baltimore scopically using at 410-601-WELL (9355). We will be happy to an inflatable band Access port 1. small incisions B attached to send you a full weight loss surgery information Divide around the upper part abdominal wall Stomach 1/4 to 1/2 inch in package, which contains sections for you to of the stomach. With size. Your surgeon complete and return to us. the band in place, your feeling of fullness is B will determine the A increased when you eat. The gastric banding is You also should attend at least one bariatric 2. A best approach for Divide less invasive than other procedures. It requires surgery information session. During these Small Intestine you based on your free seminars, our surgeons discuss what is medical history, no cutting or stapling of the stomach or bowel, involved with weight loss surgery and answer height and weight. and this procedure is also associated with a lower © 2003 Sinai Hospital of Baltimore risk for malnutrition. Adjustments to the band questions. Call 410-601-WELL (9355) to reserve can be made without additional surgery, and the your place at one of our upcoming bariatrics gastric band is removable if necessary. information sessions.