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HEALTH & WELLNESS St. Francis Medical Center offers surgical weight-loss options Anyone who has tried to lose weight knows it’s not easy. A healthy diet and exercise regimen are difficult to maintain, and studies have shown that most people who shed pounds end up regaining them – and then some – within three years. If you’re severely obese, losing weight is even harder. Bariatric, or weight-loss, surgery could be right for you. “When combined with a comprehensive treatment plan, bariatric surgery can be an effective tool for long-term weight loss and improve a patient’s quality of life,” said Chairman of Surgery at St. Francis Medical Center Louis Fares II, MD, FACS. “Bariatric surgery has been shown to improve or resolve many obesity-related conditions, such as type 2 diabetes and high blood pressure.” Types of surgery Bariatric surgery works by restricting the amount of food the stomach can hold and how nutrients are absorbed into the body. There are often hormonal changes, as well, that affect feelings of hunger and fullness. “Bariatric surgery can lead to significant weight loss and improved health,” said Dr. Fares. Today, most bariatric procedures are performed using min- imally invasive approaches. The following descriptions comprise the most common bariatric procedures: • Sleeve gastrectomy: During a sleeve gastrectomy, about 80 percent of the stomach is removed, leaving a narrow gastric tube or “sleeve.” This significantly reduces the amount of food (and thus calories) that the stomach can hold. In addition, the part of the stomach that produces ghrelin, a hormone that stimulates appetite, is removed, noticeably reducing hunger. The stomach’s connection of the esophagus and small intestine are left intact. Patients can expect to lose 60 to 70 percent of their excess body weight. • Gastric bypass: In this operation (also known as the Rouxen-Y), the surgeon first divides the stomach into a small upper pouch and a much larger lower “remnant” pouch. The surgeon then configures a small-intestine connection to the upper pouch. As the new upper stomach can only hold a small amount of food, the patient becomes full more quickly. Additionally, because the digestive tract now goes around a portion of the small intestine, fewer calories and nutrients are absorbed. Because fewer nutrients are ab- The First Responders Partnership Health Center (FRPHC) is the most exciting health care news in many years for first responders! FRPHC is a collaborative effort of the first responder union leadership and Integrity Health, a well-known, New Jersey-based firm specializing in managing health plans from a patient-centered medical home platform called “Partnership Health Center”. FRPHC Services will include: Same-day appointments • Doctor visits • Required Medical Exams/Physicals • X-ray • Lab work Rx • Physical Therapy • Chiropractic • Pain Diagnostics • Behavioral Health • Care coordination Disease Management • Wellness & Nutrition These services will be available to you and your family, at a convenient location, from 7 a.m.-7 p.m., 7 days a week - 7/7/7 The FRPHC will provide customized care by specially trained providers to meet the medical needs of first responders, and will eliminate: • Delays in getting doctor appointments • Shift work interfering with appointments • Trouble with specialist referrals and lack of care coordination among them • Providers unfamiliar with the unique health challenges of law enforcement. www.IntegrityHealth.com 70 NEW JERSEY COPS ■ AUGUST 2016