Morbid obesity is a major public health problem in the United States and throughout the developed world. The Bariatric Surgery Program offers the full array of diagnostic modalities and surgical treatment options for the morbidly obese (those who are 100 pounds or more above their ideal body weight), including:

• Minimally invasive procedures, such as the “lap-band,” which restricts stomach volume
• Open, more traditional gastric bypass procedures.
• Nationally recognized expertise in addressing complications from previous bariatric surgery.
• Nationally recognized expertise in providing bariatric surgery to patients who present with challenging histories, for instance, obesity and ulcers.

Minimally Invasive Bariatric Surgical Techniques
Along with traditional, open gastric bypass, the program’s bariatric surgeons perform many procedures using minimally invasive techniques. The lap band, for instance, reduces the complication rate significantly. While the lap band’s results are often slower than gastric bypass, the end total weight loss is as good.

Whether considering the always-effective standard gastric bypass or a minimally invasive technique, the most appropriate procedure is recommended to suit the individual needs of each patient.

Multidisciplinary Approach
Because of the nature of obesity and the collegial, multidisciplinary atmosphere at Beth Israel Medical Center, the Bariatric Surgery Program routinely integrates its treatment of patients and works closely with other services. All patients receive nutritional counseling before and after surgery. In fact, the program has the services of an internist who is also a nutritionist. A full evaluation is based on consults with psychiatrists and nutritionists, as well as a pre-operative patient education process.

Surgeons also consult regularly with endocrinologists regarding care for patients with diabetes. Patients with hypertension demand close collaboration with medical internists. When eating disorders are at play, a greater relationship with psychiatrists is fostered. Complicated cases may require ongoing discussions with a gastroenterologist.

Self-care is necessary, too, and patients are supported by peer groups, ongoing nutritional education, and input from psychologists, psychiatrists or social workers, when necessary. A coordinated, multidisciplinary management approach allows every patient to achieve the best possible outcome and long-lasting health.

Research Activities
The Bariatric Surgery Program is also involved in active research efforts, including a close collaboration with Albert Einstein Medical School. Two clinical trials are tracking the effects of weight loss after surgery, one on bone metabolism and the other on reproductive physiology.

Program Surgeons

• Richard L. Friedman, MD
• Elliot R. Goodman, MD
• John Holup, DO
• I. Michael Leitman, MD
• Burton G. Surick, MD

To make an appointment with one of our surgeons, please complete the appointment scheduling form. A staff member will contact you within 48 hours to schedule an appointment.