https://www.lamspc.com/diet-and-weight-loss-surgery daily 0.75 2025-02-10 https://www.lamspc.com/diet-and-weight-loss-surgery/staying-hydrated-post-bariatric-surgery-tips-and-tricks-for-a-healthy-recovery monthly 0.5 2024-08-11 https://www.lamspc.com/diet-and-weight-loss-surgery/snacks-for-weight-loss monthly 0.5 2024-08-11 https://www.lamspc.com/diet-and-weight-loss-surgery/vitamin-and-mineral-supplementation-after-bariatric-surgery monthly 0.5 2024-08-11 https://www.lamspc.com/diet-and-weight-loss-surgery/what-can-i-expect-of-the-pureed-diet monthly 0.5 2025-02-10 https://www.lamspc.com/diet-and-weight-loss-surgery/800-calorie-diet monthly 0.5 2025-02-10 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1662388309305-PPQFGL4SCDVJAO2VFAT4/non-fatty+liver+2.JPG Diet and Weight Loss Surgery - The 800Kcal diet - A non-fatty liver is smaller and flexible It is far less prone to injury as it does not get in the way of surgery. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1662388297942-MU5ATAKIVQHNO3YAACFD/non-fatty+liver+1.JPG Diet and Weight Loss Surgery - The 800Kcal diet - A small non-fatty liver leaves much more space for the surgeon The larger working space makes it easier and safer to move instruments around. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1662387748707-HHOW7PAFNJN20EYKDGEK/fattty+liver+1.JPG Diet and Weight Loss Surgery - The 800Kcal diet - Fatty liver is large and easily breaks This can result in liver injury and increased blood loss https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1662387748883-V2CXO886QUPF358P0P9F/fatty+liver+2.JPG Diet and Weight Loss Surgery - The 800Kcal diet - Fatty liver takes up much space making it harder for the surgeon Fatty liver gets in the way of the surgeon safely reaching the stomach. It is more likely to be injured by the liver retractor. https://www.lamspc.com/diet-and-weight-loss-surgery/tag/News monthly 0.5 https://www.lamspc.com/about-weight-loss-surgery daily 0.75 2022-08-30 https://www.lamspc.com/about-weight-loss-surgery/frequently-asked-questions monthly 0.5 2024-08-11 https://www.lamspc.com/about-weight-loss-surgery/obesity-information-seminar monthly 0.5 2024-08-11 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1657247459731-TZ9JRI7OZ6HE45I32L22/Slide1.PNG About weight loss surgery - Information Seminar https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1657247459766-5FWKCLEDTCLPZVZVCNSS/Slide2.PNG About weight loss surgery - Information Seminar https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1657247460363-J0I7J298XQRFV5SY7XBS/Slide3.PNG About weight loss surgery - Information Seminar https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1657247460343-UZUBZHK6UBHAKSNNT9RA/Slide4.PNG About weight loss surgery - 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Information Seminar https://www.lamspc.com/about-weight-loss-surgery/qualifying-for-weight-loss-surgery monthly 0.5 2024-08-11 https://www.lamspc.com/about-weight-loss-surgery/risks-and-benefits monthly 0.5 2024-08-11 https://www.lamspc.com/about-weight-loss-surgery/getting-the-best-out-of-surgery monthly 0.5 2024-08-11 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/fd1a0a40-1e4d-456e-9946-198a9fc4e806/weight%2Bloss%2Bbar%2Bstool.jpg About weight loss surgery - Getting the best out of surgery - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.lamspc.com/about-weight-loss-surgery/paying-for-weight-loss-surgery monthly 0.5 2024-08-11 https://www.lamspc.com/about-weight-loss-surgery/tag/News monthly 0.5 https://www.lamspc.com/benefits-weight-loss-surgery daily 0.75 2023-06-21 https://www.lamspc.com/benefits-weight-loss-surgery/fertility-miracle monthly 0.5 2024-08-11 https://www.lamspc.com/benefits-weight-loss-surgery/Blog Post Title One-y5jhf monthly 0.5 2024-08-11 https://www.lamspc.com/patient-experience-and-testimonials daily 0.75 2024-08-11 https://www.lamspc.com/plastic-surgery-after-weight-loss-surgery daily 0.75 2024-10-21 https://www.lamspc.com/bariatric-surgery-locations daily 0.75 2025-02-10 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1645068541657-SMV1MZZONF8H4ZC262S3/unsplash-image-Eh1xd5xDE-s.jpg Bariatric Surgery Locations https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1652652913287-K3G3B79JG8L4II81DDLG/mount-sinai-downtown-pacc.jpg Bariatric Surgery Locations https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1693843501746-M3BGGGMVHASULSW6B86C/image-asset.jpeg Bariatric Surgery Locations https://www.lamspc.com/heartburn-reflux-and-swallowing daily 0.75 2022-07-24 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/c230c7fd-0278-4b77-a117-3a2e9fceb066/Hiatal_Hernia.png Heartburn, Reflux and Swallowing Repair of hiatal hernia with Nissen wrap This is a surgical option that is appropriate when reflux occurs in a person of normal weight. It consists of repairing the hiatal hernia and then using the upper stomach to create a wrap (like a blanket) around the lower esophagus. This procedure can result in complete resolution of reflux symptoms, abolish the need for reflux medications and potentially reverse some of the acid or bile induced damage to the esophagus. It is not an ideal procedure in patients with severe obesity because the excessive weight can cause the repair to fail making a future repair risky because of scarring. In such patients, a gastric bypass is considered a preferred option. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/4a53480b-b3b3-486e-8d51-25c5fa845c56/Sleeve+to+GBP.png Heartburn, Reflux and Swallowing - Repair of hiatal herniation of sleeve gastrectomy Among the bariatric procedures, sleeve gastrectomy is the most prone to developing acid reflux and is often associated with hiatal herniation of the upper portion of the sleeve. Simply reducing and repairing the hiatal hernia is often not adequate for durable treatment of the reflux. In most circumstances, conversion to a Roux-en-Y gastric bypass would provide lasting resolution of the acid reflux. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/64f028ba-c7a7-4019-bd00-bf18d8428eae/Gastric-Bypass.JPG Heartburn, Reflux and Swallowing Roux-en-Y gastric bypass The Roux-en-Y gastric bypass is an exceptionally good and durable operation for the treatment of acid reflux in a person with severe obesity. Not only does it eradicate reflux, but also helps with weight loss and resolution of medical conditions that invariably accompany obesity. Counseling on postoperative dietary changes and the need for mineral and multivitamin supplementation are essential parts of preparing for a Roux-en-Y gastric bypass. https://www.lamspc.com/metabolic-surgery daily 0.75 2024-08-11 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/5d219980-8ef1-4dd9-b124-ab203215c80b/sadi_asmbs_2021-2-e1620835121722.jpg Metabolic surgery Loop Duodenal Switch Arguably the most powerful metabolic surgical procedure. It is particularly effective in the long-term control and reversal of diabetes mellitus. It can cause the loss of over 80% of excess weight and yet remain robust enough to withstand the effects of smoking and use of anti-inflammatory medications. It does however require multiple mineral and vitamin supplementation. To learn more, visit this presentation. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/64f028ba-c7a7-4019-bd00-bf18d8428eae/Gastric-Bypass.JPG Metabolic surgery Roux-en-Y Gastric Bypass The gastric bypass is one of the longest and best-established bariatric procedures. Its effects on diabetes, fatty liver, and abnormal blood lipids are well documented. It is not suitable for smokers or those on anti-inflammatory medications. One can expect to lose between 70 to 75% of excess weight. To learn more, visit the presentation. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/ab00143f-3006-45e7-99f9-b4c0e5993c7c/sleeve%2Bgastrectomy.jpg Metabolic surgery Sleeve gastrectomy The sleeve is the most widely used weight-loss surgical procedure. While its metabolic effects are not as powerful as the loop DS or the gastric bypass, it has many features that make it an attractive option for many patients. It would be considered a better procedure in advanced fatty liver disease with cirrhotic changes. The average patient can expect to lose between 60 to 65% of excess weight. Learn more in the information presentation. https://www.lamspc.com/minimally-invasive-approach daily 0.75 2022-08-27 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1644206001487-9DW7VQOAN2B9Z05CG5UZ/laparoscopic+approach.JPG Minimally invasive approach https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1644206089015-EGAKLKDDPC1AK6WHIR0S/healed+surgical+sites+-+minimally+invasive.JPG Minimally invasive approach https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1644206760165-M22R3IWWO9ANLWG1QRXU/Img022_Si_OR_with_Single_Console_183842.jpg Minimally invasive approach https://www.lamspc.com/contact-paul-thodiyil daily 0.75 2024-05-11 https://www.lamspc.com/revision-weight-loss-surgery daily 0.75 2024-08-11 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/e147902f-fcb9-4ab6-931d-cdbc051398af/Sleeve+to+GBP.png Revision Weight Loss surgery Sleeve to Gastric Bypass conversion Converting a sleeve gastrectomy to a Roux-en-Y gastric bypass is the most common bariatric revision procedure. The common reasons for such a conversion are severe acid reflux and poor weight loss. This conversion has an excellent track record of curing acid reflux and results in excellent weight loss. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1e3fd321-bdb3-411e-a312-03716b916155/Sleeve+to+loop+DS.png Revision Weight Loss surgery Sleeve to Loop duodenal switch conversion This is a well established conversion procedure that is especially useful for patients who have excessive weight regain or have poorly controlled diabetes despite a sleeve gastrectomy. The loop duodenal switch is a robust procedure that can better withstand the injury caused by smoking or the use of non-steroidal anti-inflammatory medications, making it a useful option for those who may not be able to stop smoking or give up NSAIDs. This conversion is not helpful if acid reflux is also a problem. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/2b15f692-8712-4d9c-96cd-65a70be5a6f3/sleeve+-postop.png Revision Weight Loss surgery - Re-sleeve gastrectomy There are some situations where it would be appropriate to ‘re-sleeve’ a prior sleeve gastrectomy. This is relatively uncommon. In situations where there is weight regain or poor weight loss and the original sleeve is significantly large or stretched, re-doing the sleeve gastrectomy to reduce the gastric pouch is a reasonable option providing there is no acid reflux. This is especially the case when the patient’s options are limited by a history of smoking or use of NSAIDs or there is a risk of poor compliance with taking vitamin supplements. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/300cad9a-253c-447c-8f20-94cebf0683f9/GBP+labeled.jpg Revision Weight Loss surgery - Revsions of gastric bypass Revisions of a gastric bypass could be challenging and without commensurate weight loss, Such revisions may be indicated where the gastric pouch is particularly dilated and or the Roux limb is short or where there is an abnormal communication with the ‘old’ remnant stomach (gastro-gastric fistula). The standard gastric pouch is 3-4cm long and excludes the gastric fundus, while the Roux limb is 150cm long. In the absence of clearly identified anatomical deficiency of the gastric bypass, a revision will bring little value to the patient. https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/3ac6901a-c966-4dd7-832d-b05e3e0986ea/Lap+band+to+GBP+or+sleeve.png Revision Weight Loss surgery Lap band to sleeve or gastric bypass conversion The lap band was a common procedure 10 to 15 years ago. About one out of three lap bands develop complications that require their removal. Simply removing the lap band alone invariably results in weight regain to levels prior to placing the lap band. For this reason, it is recommended that removal of the lap band be accompanied by the creation of either a sleeve gastrectomy or Roux-en-Y gastric bypass. In most circumstances, this conversion can be done at the same operation to remove the lap band. https://www.lamspc.com/weight-loss-surgery daily 1.0 2025-02-10 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/91758531-7cec-400b-b3a8-496158784830/sleeve+gastrectomy.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/a0d09372-be42-458c-88b5-f88e87f5fbee/GBP.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/5d219980-8ef1-4dd9-b124-ab203215c80b/sadi_asmbs_2021-2-e1620835121722.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/fd1a0a40-1e4d-456e-9946-198a9fc4e806/weight%2Bloss%2Bbar%2Bstool.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1690049309580-Z2LZ2GG7JU7ZSA5KX7Q6/image-asset.jpeg Weight Loss Surgery https://www.lamspc.com/profiles/paul-thodiyil daily 0.75 2024-05-11 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/0fdc9605-c11e-4598-9b70-119a517d6ad1/Ramesh+Gowda.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/67226608-09e0-469a-b895-5287dd290b7e/Virginia+Pena.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/b84b1569-1484-4890-94b2-a8a6c6cabd7a/Judyann+Nedd.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1655596131539-OBTGM1TEQMJP0LUHWPYM/unsplash-image-jUPOXXRNdcA.jpg https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/601fb3b0-e231-4323-b68b-3c43bcc532c1/2x2cropped-Thodiyil_Paul_441+-+Copy.jpg https://www.lamspc.com/about-paul-thodiyil daily 0.75 2024-08-11 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1652652913287-K3G3B79JG8L4II81DDLG/mount-sinai-downtown-pacc.jpg https://www.lamspc.com/terms-of-use daily 0.75 2022-07-24 https://www.lamspc.com/weight-loss-information daily 0.75 2025-02-10 https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1661108513239-H0YX0JRIAHQ175AA2633/Pannus+grading.jpg Learn https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1661108559407-YMO7DH3MM0JG8JEALCM6/unsplash-image-fV3zTanbO80.jpg Learn https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1657247469200-WI1PJYKNVFEYCTY9UXSB/Slide27.PNG Learn https://images.squarespace-cdn.com/content/v1/61edf5dd4c563d156ec3aefb/1687220592966-RNRZ9TVUD5YVY535I4VE/image-asset.jpeg Learn https://www.lamspc.com/privacy-policy daily 0.75 2023-05-17 https://www.lamspc.com/cookie-policy daily 0.75 2022-08-27 https://www.lamspc.com/7fc29993234a4f78951b358a9ad25d8b daily 0.75 2025-02-10