REQUIRED FOR ALL PATIENTS
PRIOR TO WEIGHT LOSS SURGERY:
All patients start the process of evaluation by attending a free Patient Information Session. These sessions are held on two Wednesday mornings a month in Dr. Ballantyne's office and one evening a month in the Hekemian Conference Center of Hackensack University Medical Center. Call Dr. Ballantyne's office to reserve an appointment for one of these sessions. During these sessions, Dr. Ballantyne descibes the National Institute of Health (NIH) guidelines for selecting patients to undergo weight reduction surgery. The benefits, risks and outcomes of laparoscopic gastric bypass and laparoscopic adjustable gastric banding (Lap Band) are compared and contrasted. When relevant, outcomes and risks regarding vertical banded gastroplasty and duodenal switch are outlined. At the time of the first individual consultation with Dr. Ballantyne, each patient is given reprints and brochures to read. Each patient must fill out a detailed medical history questionaire and detailed history of professionally supervised and physician supervised weight loss programs in which they have participated before coming to the consultation. At the first consultation, Dr. Ballantyne will determine if the patient meets the NIH recommended guidelines for undergoing weight reduction surgery and will discuss with the patient their preference for laparoscopic gastric bypass or laparoscopic adjustable gastric banding (LapBand).
& PSYCHIATRIC EVALUATION:
All preoperative patients undergo an outpatient psychological and psychiatric assessment at the Center for Trauma Recovery and the Quest Adult Outpatient Psychological Center of Hackensack University Medical Center. Michael malloy directs this process. This evaluation focuses on the identification of any pre-existing depression, eating disorder or personality disorder. A psychiatrist determines if the patient is psychologically prepared to undergo weight reduction surgery. Iindividuals are referred to specific group sessions or eating disorder support groups when appropriate. All preoperative patients must attend at least one of our Bariatric Surgery Patient Support Group meetings. These are held on each first Thursday of the month at Heickemian Conference Center in Hackensack University Medical Center. This gives patients the opportunity to meet patients that have already undergone either laparoscopic gastric bypass or laparoscopic adjustable gastric banding (LapBand). These patients can offer important insights into what can be expected after weight loss surgery. A short lecturer is also presented at each Support Group meeting that addresses an important issue raised b y patients at a previous meeting.
All patients must visit the Dave Winfield Nutrition Center before surgery. Lorna Pascal is the director. They meet with a certified nutritionist who assesses their nutritional status. At this preoperative visit, we begin the process of educating our patients about the diet they should expect after undergoing weight loss surgery. The nutritionist insures that patients understand inportant concepts about food groups, calories and vitamins. Perhaps most importantly, this visit opens lines of communications that may prove essential after surgery. Patients who are not loosing weight at an anticipated rate after surgery often find additional visits to the Dave Winfield Center vitally important in reaching their weight loss goals.
OF CO-MORBID MEDICAL ILLNESSES
ASSOCIATED WITH MORBID OBESITY:
We assess other co-morbid conditions in selected patients. Patients with symptoms of Sleep Apnea may be referred to the Institute for Sleep-Wake Disorders for sleep studies. Patients with asthma are often sent to the Breath & Lung Institute for pulmonary function tests. This assists the anesthesiologists in patient management during the operation. Patients with biliary colic or other significant symptoms of cholelithiasis are asked to undergo ultrasonography of the gallbladder. In selected patients with symptomatic gallstones, we recommend laaroscopic cholecystectomy. Patients with Type 2 Diabetes Mellitus require deligent postoperative manegemnet because of the rapid decrease in medication requirement following surgery. Selected patients are referred to the Molly Diabetes Center for Adults for assistance in the management of their diabetes during the critical early postoperative period. Patients with significant a family history and/or significant risk factors for coronary artery disease are asked to undergo c ardiac stress testing at The Heart Center of Hackensack University medical Center
FOLLOWING WEIGHT LOSS SURGERY:
Patients who loose large amounts of weight often desire reconstructive surgery to remove excess and redundant skin. Dr. Ballantyne works in close cooperation with Dr. Stephen R. Colen in achieving asthetically pleasing outcomes for his weight reduction surgery patients. Dr. Colen was recently featured on the cover of NEW YORK MAGAZINE as one of the five best plastic surgeons in New York City. Patients are encouraged to schedule consultations with Dr. Colen prior to undergoing weight loss surgery. Careful timing and planning is required to achieve optimal BODY CONTOURING results.
LEARN MORE ABOUT Dr. BALLANTYNE, HIS PROFESSIONAL STAFF,
HOW HE EVALUATES PATIENTS & WEIGHT LOSS SURGERY
|LAPAROSCOPIC GASTRIC BYPASS||LAPAROSCOPIC ADJUSTABLE
GASTRIC BANDING: "LAP BAND"
|MEET Dr. BALLANTYNE'S OFFICE STAFF||WHAT IS THE BARIATRIC SURGERY CENTER?|
|HOW DOES Dr. BALLANTYNE EVALUATE HIS PATIENTS?||DATES OF UPCOMING INFORMATION SEMINARS|
PATIENT SUPPORT GROUP MEETINGS
|Dr. BALLANTYNE'S RECENT AWARDS|
|Dr. BALLANTYNE'S RECENT BARIATRIC PRESENTATIONS||BEFORE
SURGERY & AFTER SURGERY
PHOTOS OF Dr. BALLANTYNE'S PATIENTS
SURGICAL SOCIETIES & NATIONAL INSTITUTE OF HEALTH
GUIDELINES & STATEMENTS
ON WEIGHT LOSS SURGERY