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Bariatric Surgery
YNHH

Bariatric Surgery Program

Yale-New Haven Hospital offers comprehensive care for the morbidly obese patient through all stages of weight loss — from pre-operative treatment to post-surgical strategies for maintaining health. Led by a dedicated team of experts in medicine, nursing, nutrition, psychology and surgery, our Bariatric Surgery Program is recognized for its safety, efficiency, sensitivity and expertise.

Bariatric Surgery

Why Choose YNHH

Patients at Yale-New Haven Hospital benefit from a dedicated bariatric surgery team led by world-class surgeons and medical caregivers specializing in all facets of weight-loss surgery. All follow standardized protocols to provide consistent, compassionate care and support for the weight loss patient.

Accredited by the Bariatric Surgery Center Network (BSCN)

MBSAQIP

The bariatric surgery program at Yale-New Haven Hospital (YNHH) has been accredited as a Level 1a facility by the Bariatric Surgery Center Network (BSCN) Accreditation Program of the American College of Surgeons (ACS). This designation means that YNHH has met the essential criteria that ensure it is fully capable of supporting a bariatric surgery care program and that its institutional performance meets the requirements outlined by the ACS BSCN Accreditation Program.

Established by the American College of Surgeons in 2005 in an effort to extend established quality improvement practices to all disciplines of surgical care, the ACS BSCN Accreditation Program provides confirmation that a bariatric surgery center has demonstrated its commitment to providing the highest quality care for its bariatric surgery patients.


 

Clinical Team

Our bariatric surgery team is recognized for its expertise and innovation. Each surgeon is fellowship-trained in minimally invasive, bariatric surgery. In fact, our surgeons teach laparoscopic techniques to other physicians around the country. They are also well known for their research, uncovering new approaches to weight loss surgery that may benefit patients in the future.

World-Class Surgeons

Yale-New Haven bariatric surgery physicians are recognized for their expertise and innovation. In fact, they have taught laparoscopic techniques to other surgeons around the country. In addition to being recognized for their surgical skill, YNHH bariatric surgeons are also well known for their research, uncovering new approaches to weight loss surgery that may benefit patients in the future.

Click the links below to learn more about the world-renowned Bariatric surgeons leading our team:


Andrew J. Duffy, MD, FACS
Dr. Nadzam
Geoffrey S. Nadzam, MD, FACS

Kurt E. Roberts, MD, FACS


About Weight Loss Surgery

About one-third of adults in the U.S. are considered obese, according to the most recently available statistics from the Centers for Disease Control and Prevention (CDC). When overweight reaches the stage where it affects your health and causes or worsens certain health issues, it is considered "morbid" or disease-causing obesity. A ratio of weight to height called Body Mass Index BMI is generally used to classify the degree of overweight. An individual is considered to have morbid obesity at a BMI of 40 or at 35 if health problems such as diabetes, high blood pressure, or obstructive sleep apnea are also present. 

Obesity isn't simply a result of overeating. There are many contributing factors such as genetics, hereditary, environmental, metabolic and eating disorders. Certain medical conditions, like hypothyroidism, may result in obesity. Research has shown that in many cases an underlying cause of morbid obesity is genetic. Studies have demonstrated that once the problem is established, dieting and exercise programs have a limited long-term effect.

Weight-loss surgery has been show to be an effective treatment of morbid obesity. Although the complete mechanisms causing this are not yet fully understood, both the procedure and the required lifestyle changes can result in significant weight loss and health improvement.

That's why it's important to understand that medical interventions, including weight-loss surgery, should not be considered medical cures. Rather they are attempts to reduce the effects of excessive weight and alleviate the serious physical, emotional and social consequences of the disease.

Our physicians conduct free seminars throughout the year to give potential patients and their families information on the latest advances in weight-loss surgery, as well as the services provided at Yale-New Haven Hospital.

Available Procedures

Yale-New Haven Hospital offers three different, minimally invasive (i.e. laparoscopic) bariatric operations.

  • Roux-en-Y gastric bypass is a procedure in which a small pouch is made at the top of the stomach, and the upper intestine is connected to the new pouch. It limits the amount of food that can be eaten, limits absorption of some foods, and also causes changes in hormones that regulate food intake.
  • Lap-Band® surgery induces weight loss by placing a band around the top portion of the stomach, thereby reducing the capacity of the stomach. Food eaten passes through the remaining portion of the stomach and into the small intestine where it is absorbed.
  • Laparoscopic sleeve gastrectomy is a procedure where the stomach is stapled and divided into a narrow tube which reduces the amount of food that can be eaten, and also causes changes in hormones that regulate food intake. The small intestine is not changed. 

Each of these procedures can result in significant weight loss and your surgeon will help you determine which is the best for you.

Learn more about the innovative weight-loss procedures performed at YNNH »

Is bariatric surgery right for you?

Most weight loss programs are based on diet, exercise and behavior change. For the morbidly obese individual, these methods alone most often are not enough to cause substantial weight loss and health improvement, or to help maintain weight loss that does occur. New research has shown that the body often resists weight loss efforts for underlying hormonal and metabolic reasons, with a “set point” that often keeps the individual at an overweight level despite efforts to lose weight.

Weight-loss surgery has been shown in studies to interrupt these metabolic patterns and result in reduced hunger, improved “satiety” or satisfaction with meals, and ultimately to reduce fat stores and weight. Other studies have found additional benefits for Type 2 diabetic patients, who may have reduced need for medication, and less complications from this debilitating disease. These results have caused the American Diabetes Association, the American Heart Association, the International Diabetes Foundation, and the American Association of Clinical Endocrinologists to endorse weight-loss surgery as a treatment for Type 2 diabetics with morbid obesity.

Morbid obesity is a complex chronic disease. Weight-loss surgery should be viewed first and foremost as a method for alleviating this debilitating disease.  Having surgery is a serious decision. The information provided is intended to help you become more informed, and to learn how to the start the process.

Learn more about eligibility requirements for Bariatric surgery »

CONTACT US
(203) 789-6237
Yale School of Medicine
Magnet Recognition Best Hospitals 2012-2013

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