Nash Surgical Weight Loss

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November 17th, 2011 was my Independence Day

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August 12th, 2011 was my Independence Day

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Is Surgical Weight Loss Right for You?

You must have a BMI greater than or equal to 35, and an existing health condition, or a BMI greater than 40

You must be over the age of 18. Those over age 65 will be at the discretion of the surgeon.

You must not have any medical or psychological contraindications (this will be determined during your assessment).

Acceptable operative risk. This will be determined by our team during your assessment.

You must be dedicated to a lifestyle change and willing to attend follow up appointments and meetings.

Calculate Your BMI

Calculate Your BMI

BMI (Body Mass Index) is a measurement of body fat based on height and weight that applies to both men and women between the ages of 18 and 65 years.

lbs
inches

Body Mass Index

Interpretation of Results

BMI < 18.5 Underweight BMI 18.5 to 24.9 Healthy
BMI 25 to 29.5 Overweight BMI 30 or more Obese

The Process

Each surgical candidate begins their journey by attending an educational class. The class teaches candidates about the types of surgical weight loss procedures, the risks involved, and what to expect throughout the process. Each candidate will have a one-on-one assessment with the program’s physician assistant and receive a comprehensive guidebook to help them on their journey. To register for a class, call (252) 962-6503.

Candidates will go through a series of evaluations to make sure they are medically and psychologically ready for surgery.

These evaluations will be scheduled by the program’s administrative coordinator.

This appointment will take place after your consultations, evaluations, and clearances have been completed.  At this visit, you will meet with the surgeon to make a final decision on your choice of procedure. In addition to a physical exam, he will discuss the specifics of the surgery along with the risks and benefits of the chosen surgery.  

Once your surgery date has been set, you will be given an appointment to come in for lab work and final instructions related to the day of your surgery.  You will also meet with the program's physician assistant to update your history and perform a physical exam.

Your experience on the day of surgery will vary based on the type of surgery you have selected.

The introductory class and pre-op visit will provide more details on what you can expect.

You will be in the hospital anywhere from a few hours to 48 hours depending on the type of procedure you choose.  From that point, you will be discharged to home. Depending on the type of job you have, you may return to work as soon as you feel up to it.  This can take anywhere from a few days up to 4 weeks, depending on the individual patient.   It is important that after your surgery, you maintain a healthy diet and exercise routine. But don't worry; you're not alone in this challenge. We've assembled a support group to assist you with the process

Type of Surgery

Roux-en-Y gastric bypass surgery uses a combination of restriction and malabsorption. This procedure (the Roux-en-Y gastric bypass) involves placing rows of staples near the top portion of the stomach to form/create a small pouch that will initially hold about 1-2 ounces of food or liquid.  The remainder of the stomach is not removed, but excluded (separated) from the pouch, therefore making it unable to receive food.  A portion of the small intestines is then attached to the pouch, constructing a “bypass”.  This “bypass” allows food to skip a large portion of the small intestines which reduces the amount of calories the body can absorb.

Sleeve gastrectomy is another restrictive type of weight loss procedure in which the stomach is reduced to about 15% of its original size, by surgically removing a large portion of the stomach. The remaining portion of the stomach will then be shaped more like a tube, or a sleeve, with a banana shape. It is larger than the stomach pouch created during Roux-en-Y bypass. The procedure permanently reduces the size of the stomach. This procedure is also performed using the preferred laparoscopic approach. 

It is a form of restrictive weight loss surgery, by which an inflatable silicone prosthetic device (“band”) is placed around the top portion of the stomach.  The placement of the band creates a small pouch which holds a small amount of food.  The pouch “fills” with food quickly and the passage of food from the upper to the lower part of the stomach is slowed.  As the upper part believes it is full, the message to the brain is that it “is” full.  This sensation helps people eat smaller portions and lose weight over time. Weight Loss is slower with the adjustable gastric band when compared to the gastric bypass or sleeve gastrectomy.  Average weight loss is 1 pound per week.

Patients normally seek a revision surgery if they have an inadequate weight loss or weight gain after their original bariatric surgery. A revision surgery may also be needed if you have certain complications after your original surgery. Not everyone is a candidate for revision surgery. Your surgeon will need to have certain diagnostic tests performed to determine if you qualify for revision surgery.

Frequently Asked Questions

Is weight loss surgery right for everyone?

Surgery is not a solution for everyone. We only determine whether a patient is right for surgery after a complete evaluation and discussion with the patient. Because weight loss surgery is a life-altering procedure, we want to make sure our patients are committed to making the lifestyle changes needed for a successful procedure and life-long health maintenance. 

Will my insurance cover my surgery?

Call the number on the back of your insurance card and ask the customer service rep if “surgery for morbid obesity,” otherwise known as "bariatric surgery," is a covered benefit for you.  Keep in mind, this is not the actual authorizing or approval for the surgery. Request a copy of their requirements.

After the first appointment, how long will it take before I have surgery?

This depends on your insurance provider and the criteria they require, as well as the tests and requirements our team finds necessary.

Will I continue seeing my primary care physician after surgery?

Yes. Your other medical problems will continue to be managed by your primary care provider after surgery

How much weight can I expect to lose?

Weight loss will vary depending on the surgery, the size of the person prior to surgery and most importantly the compliance of the patient after surgery with respect to proper eating habits and exercising.

Meet the Team

Wade Naziri, MD

Wade Naziri, MD

Physician
Medical School: University of Virginia
Residency: Tulane University School of Medicine

After completing his residency, Dr. Naziri went to The University of Dundee School of Medicine in Scotland where he received Fellowship training in Laparoscopic Surgery under Professor Alfred Cusheri.  His areas of expertise and interest include Laparoscopic and Minimally Invasive Surgery including Bariatric surgery (Gastric Bypass, Sleeve Gastrectomy, and revision surgery), gallbladder surgery, anti-reflux surgery, hernia repair, and colon surgery.

Chris Mann, MD, Medical Director

Chris Mann, MD, Medical Director

Physician
Medical School: Heidelberg Medical School / Duke University
Residency: General Surgery at East Carolina University

Dr. Mann, a native of Germany, finished his last year of medical school at Duke University then completed his residency at ECU. He then received fellowship training in laparoscopic surgery in New York under Dr. Felicien Steichen. His areas of expertise and interest includes Bariatric Surgery (Gastric Bypass, Sleeve Gastrectomy, Gastric Banding, and revision surgery) with an emphasis on Laparoscopic and Minimally Invasive procedures including hernia repair, anti-reflux surgery, gallbladder and biliary surgery and colon surgery.

Shannon Heuts, PA-C

Shannon Heuts, PA-C

Physician Assistant
RN Degree: Kennesaw State University
Physician's Assistant Degree: Trevecca Nazarene University

 Originally from Atlanta Georgia, Heuts has 25 years of operating room experience. With an extensive background in orthopedics and bariatric surgery, she has been with Nash Health Care since 2006, and serves as the Nash Surgical Weight Loss program’s physician assistant and clinical coordinator. Two of her family members have had successful gastric bypass surgery, so she understands the challenges and rewards of the entire process. She is a board certified PA and a member of the American Academy of Physician Assistants and American Society of Metabolic and Bariatric Surgery.

Kandice G. Hendricks, RN, BSN

Kandice G. Hendricks, RN, BSN

Physician
Bachelor's Degree: Regis University
RN Degree: Nash Community College

Hendricks joined the Nash Surgical Weight Loss team in 2012. She teaches the initial surgical weight loss class and, along with the physician or physician assistant, updates all health information at each appointment. She will also meet with each patient within two weeks of the scheduled surgery to update health information, review any medications that need to be taken the day of surgery, receive all surgery information (pre and post) and any other education regarding bariatric surgery.

Jillian Hyttenhove, RD, LDN

Jillian Hyttenhove, RD, LDN

Bachelor's Degree: Bowling Green State University
Dietetic internship: East Carolina University

Hyttenhove joined the Nash Surgical Weight Loss health care team in 2012. She has extensive experience with the unique nutritional needs of those going through bariatric surgery. She meets with individuals before and after surgery to ensure they receive the education and support they need to remain committed to a healthy lifestyle.

Christina Pritchard, BA

Christina Pritchard, BA

Administrative Coordinator

Pritchard is each patient’s first point of contact at the Nash Surgical Weight Loss Center. She will assist each patient with getting started in the program, as well as scheduling all evaluation appointments. Prichard has her bachelor’s degree in psychology and joined the Surgical Weight Loss team in 2008.

Dr. Gail Lisson, Psy. D.

Dr. Gail Lisson, Psy. D.

Clinical Health Psychologist
Masters: Suffolk University
Doctorate: Chicago School of Professional Psychology

Dr. Lisson is a fellowship trained Clinical Health Psychologist and Licensed Clinical Psychologist. As a health psychologist,  Dr. Lisson brings an expertise that focuses on the psychological and behavioral processes in health, illness and healthcare.  As an integral part of our team, she will evaluate all candidates  prior to surgery as well as provide necessary counseling after surgery.

Make an Appointment

If you feel that surgical weight loss is right for you, and you meet the requirements above, please make an appointment by clicking below.

Make an Appointment