Bariatric Surgery
MD, FACS, FASMBS; Bariatric Surgeon at private practice
My practice philosophy is to cover all various needs for those struggling with weight. As complex and multi-factorial as obesity is, weight loss can be even more complicated. Treatment plans are based upon individuals’ need. We utilize different resources in our comprehensive program with the help of our two full time nurses, one full time dietitian, and psychologist. While surgery is the most critical step, I strongly believe it is only a piece of the puzzle—along with diet, exercise, and behavioral changes—and our job is to provide support in all of these areas to achieve optimal outcome.
Sleeve gastrectomy is one of the most commonly performed bariatric procedures Worldwide. It is technically easier than the gastric bypass and does not entail the creation of any anastomosis. The procedure went on to gain space and popularity since its first description in the early 2000s. The main debate regarding this technique is the presence of postoperative GERD. Reflux has been a concern from the beginning and one of the solutions found was the association of fundoplication to the sleeve procedure. The transition from open surgery to laparoscopy had its challenges, but laparoscopic sleeve gastrectomy is here to stay, although the predictions are that the numbers will go down, with an increase in LRYGB and newer techniques.
Published
Aug 2021
4th International Bariatric Club Symposium at the Argentinian Society of Bariatric Surgery (SACO) Annual Congress
Published
Jul 2021
Moderated by Almino Ramos and Camilo Boza, Ricardo Cohen and Rami Lufti discuss the advantages and disadvantages of both sleeve gastrectomy and gastric bypass. For decades, RYGB remained the gold standard procedure in bariatric surgery, but in recent years, sleeve gastrectomy has become the bariatric procedure most performed worldwide. The latest figures on procedure incidence and its relevance are reviewed and discussed. The efficacy of sleeve gastrectomy vs. gastric bypass in terms of weight loss and metabolic control, as well as postoperative complications, are also discussed. Gastroesophageal reflux after sleeve gastrectomy,, late complications and weight regain after both techniques are also reviewed.
Published
Jan 2019
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