The Truth is, Weight Loss Surgery Can Change Your Life

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The Truth is, Weight Loss Surgery Can Change Your
Life

• Ranjan Sudan, M.D. Medical Director
• Alene Wright, M.D.
• R. Armour Forse, M.D.

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Multidisciplinary Team

• Surgeons
• Medical Physicians
• Nurses
• Registered Dietitian
• Program Manager
• Insurance Specialist
• Physical Therapists
• Psychologists

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Program Highlights

• Offer three different options
• Offer laparoscopic and open approaches
• Individualize options
• Multi-disciplinary approach
• Life-long follow up
• Support groups
• Leaders in robotic surgery
• Intense level of care

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What is Morbid Obesity?

• More than 100 pounds over ideal weight
• Severely affects health and increases risk of
  dying prematurely
• Body mass index (BMI) of 40Kg/M2 or more

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Indications for Surgery

• A BMI of 40 or more
• A BMI of 35 or more if serious medical issues are
  present
• Benefits of surgery outweigh risks
• At least one well documented attempt to lose
  weight by medical means

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Types of Obesity Surgery

• Gastric Restrictive
• Lap band
• Combined mode of action
• Roux en Y Bypass
• BPD/DS

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Lap Band (Continued)
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Surgical difference
BPD/DS
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Results

• Lap Band
• Average of 30-40 of excess body weight lost
• Gastric Bypass
• Average of 55 - 65 of the excess weight lost
  and maintained
• B.P.D. with Duodenal Switch
• Average of 75 of excess weight lost and
  maintained

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Results (Continued)

• Diabetes Type 2
• Virtually 100 cured
• Hypertension
• Most cured or improved
• Many medical conditions resolved
• Sense of well being improved
• Depression improved in most cases

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Creighton Weight Management Program

• Birgit Khandalavala, M.D.
• Medical Director
• Shelly Oestmann, R.D., L.M.N.T.
• Nutritionist

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Our Mission

• To improve the quality of life through lifestyle
  changes lifelong

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Our Focus

• To maintain weight loss with the use of lifestyle
  tools
• Behavior Modification
• Nutrition
• Activity/Exercise

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5 Step Program

• Outreach
• Group Sessions
• Medical/Medication
• Very Low Calorie Diet
• Surgery

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• Use the
• Lifestyle TOOLS
• and
• BUILD a HEALTHIER LIFESTYLE