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Category Archives: Bariatric Surgery

Getting Over the Hump of Bariatric Preop Testing

November 26, 2021

One of the biggest hurdles to patients looking to have bariatric surgery involves preop testing. And while we would love to provide each patient with a quick way to push through to surgery, pre op testing plays an incredibly important role in the safety and effectiveness of the bariatric procedure. Cardiovascular and pulmonary testing helps ensure that the patient is suitable for surgery and that the anesthesia and trauma to the body from the surgical procedure doesn’t cause significant issues. Psychological testing is also used to make the patient aware of their responsibilities after surgery dash mostly that surgery is not a magic bullet dash and prepare them for what’s to come.

Patient and provider complete required pre-op testing before bariatric surgery for a safe procedure and to meet insurance guidelines for weight loss surgery

Most of our patients start their weight loss surgery process with a great deal of enthusiasm and motivation. But as they start navigating what can be up to six months of pre-operative preparation, they can become frustrated and ultimately drop out from the process. So, what can we do to keep that motivation level up and push through the pre-op process as quickly and efficiently as possible?

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Talking To Family and Friends About Your Weight Loss Surgery Decision

November 12, 2021

You are in an incredible place. You’ve done the research, met, and chosen a surgeon, feel comfortable with the staff and the support plan, and above all else, are putting yourself first for probably the first time in quite a while. You are ready to have bariatric surgery and are committed to whatever it takes to ensure the success of your procedure and the long-term results.

Friends exercise together and discuss the choice to have weight loss surgery and how to support your friend through their bariatric surgery journey

What many of us forget to add to our checklist are the very real conversations that need to be had with family and friends. Some of you have already done this, weighing their opinions and thoughts during the decision-making process. While some have family and friends who are solid sounding boards and cheerleaders for their life decisions, not everyone has that type of support system. Some actually have friends and family who have not only challenged their decision to undergo surgery but have probably even contributed to the negative feelings about themselves and led to the coping behaviors, like food, which medicated these tough relationships for years.

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What To Eat and What to Avoid for Optimal Gut Health

October 29, 2021

Most Americans are concerned about their health to some degree. And while there are certain diseases that rightly get plenty of attention, others, including those of the colon don’t get nearly as much press as they deserve. In fact, colon cancer is a leading killer of men and women in the United States, but it also represents one of the most preventable and treatable cancers. Unfortunately, however, many patients do not prioritize their colon health the way they should. Cancer is not the only concern when it comes to colon health. Several conditions that affect the colon can be disruptive, or in some cases, even life-threatening if left untreated. While gut health is often a sign of general health, there are certain foods we can eat and others to avoid to keep our guts as healthy as possible, even in our later years.

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What Is Dumping Syndrome? (And Why It Might not Be All Bad)

September 10, 2021

High sugar foods like this donut can trigger dumping syndrome in bariatric patients, but that may be helpful according to Memorial Advanced Surgery.

No surgery is 100% risk and consideration free and the gastric bypass is no different. In many cases, when we talk about the side effects of surgery, we focus on the decidedly negative ones. However, dumping syndrome is one of those very interesting side effects that, while very uncomfortable for the patient, may actually have some long term beneficial value. When we discussed dumping syndrome, we limit our discussion to the gastric bypass because of the way that the stomach is changed and. The outlets from the stomach into the small intestine, known as the stoma is removed and rebuilt during a bypass surgery. The new valve is not as efficient or as strong as the natural valve. This means that food and drink can enter into the more sensitive small intestines faster without being fully procesed in the stomach. This is known as rapid gastric emptying or dumping syndrome.

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5 Myths About Bariatric Surgery

August 13, 2021

With today’s technology, you have virtually unlimited information at your fingertips. This can be a great resource, but it can also lead to the spread of misinformation. Bariatric surgery often falls victim to this reality. We are here today to shine some light on the truth about the bariatric journey and what you should be aware of when researching the procedures.

A bariatric surgeons weighs out myths versus facts about weight loss surgery at Memorial Advanced Surgery in Jacksonville, FL.

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Why Is the Gastric Band Rarely Placed any Longer?

May 14, 2021

Gastric band on stomach model demonstrating how the gastric band works for weight loss surgery with Memorial Advanced Surgery logo at top center.

In the mid 2000s, a novel approach to weight loss surgery was developed in the form of adjustable gastric banding. The first product to market was a band known as the Lap-Band and shortly after the Realize Band came in as competition. The gastric band was both new and very promising because it gave patients and adjustable and removable option that did not require permanent adjustment of the G.I. system. In essence, the band is placed around the upper portion of the stomach and tightened to form two stomach chambers. The smaller, upper chamber was the new receptacle for food and the band slowed the passage of food from the upper to the stomach. Patients would be limited in the amount they could eat, would feel full longer and ultimately lose weight.

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Eating Out After Bariatric Surgery

January 15, 2021

Eventually this pandemic will be over and we all will feel comfortable eating out again.  Food is a big part of life, and when you suddenly have to micromanage what you put in your mouth, it can become a bit overwhelming. One of the many lifestyle changes following bariatric surgery is to commit to eating a healthy diet. This goes beyond your own kitchen meals to what you eat at a restaurant.

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The Usefulness and Limitations of Body Mass Index or BMI

September 11, 2020

BMI is used as the definitive measure of a person’s weight in relation to their height. While not perfect, it does offer more concrete measurement guidance for those looking to lose weight or have weight loss surgery than any prior tool. In this blog post we explore some of the pitfalls of the BMI and why it shouldn’t be the only factor you look at when measuring your candidacy for surgery or weight loss success.

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Emotional Eating Causes and Considerations

August 28, 2020

We’ve all done it. Taking comfort in food. And we all know that comfort food is rarely the healthiest for us. Ice cream, bread, cake, fried foods…the list goes on. Emotional eating is something that virtually everyone indulges in during their lifetime. For bariatric surgery patients, emotional eating can represent an even greater challenge. Why? After bariatric surgery we “deprive” our bodies and mind of the foods that we may have liked or loved most before surgery. Typically, the foods that created our obesity problem are the same one that we crave. The body no longer has those familiar foods to enjoy.

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Dr Abbas Discusses ASMBS Statement on Bariatric Surgery

July 22, 2020


Hello, this is Dr. Abbas and I just wanted to touch base with some of our patients and prospective patients because recently the ASMBS which is the American Society for Metabolic and Bariatric Surgery put out a statement which essentially has been something that we’ve known for a long time. It’s of course composed of a very large number of bariatric surgeons and non-surgeons who specialize in metabolic surgery. Essentially the problem has been labeling. Calling bariatric surgery “purely elective” is… probably not very true.

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Jacksonville, FL 32216
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