When losing weight is critical to a patient’s health, Greenwich Hospital delivers a 360-degree program of bariatric care that focuses on the “whole person.” From the moment patients begin considering surgery until long after the weight-loss goal has been reached, the team at Greenwich Hospital works with patients on an outpatient basis to achieve the lifestyle and emotional changes needed to sustain weight loss.
No two people are alike. That's why the bariatric team at Greenwich Hospital specializes in focused, individualized care. Each patient undergoes a clearance process and is thoroughly educated about the surgery options that best suit his/her medical condition and lifestyle. The program coordinator is there to assist throughout the entire process, including organizing preoperative tests and admission/discharge procedures as well as navigating and understanding insurance benefits.
A Multidisciplinary Team
The bariatric team consists of a program coordinator, board-certified surgeons, dietitian, psychologist, specially trained nurses and other hospital staff, as well as a nutritionist and physical therapist. The surgeon and staff work together to provide the best level of care possible, looking after patients with individual attention and compassion.
About Bariatric Surgery
More than 60 percent of Americans are overweight or suffer from obesity. Obesity impairs quality of life and interferes with mental and emotional health. The following symptoms should not be ignored:
- Increased isolation from friends and family
- Depression or anxiety
- Addictive behaviors involving eating, alcohol, drugs, gambling, shopping, internet activity, sex or other compulsions
- Inability to exercise or decreased mobility and energy
“Morbid obesity” is a medical term to describe a chronic, progressive condition that is very difficult to treat. Simply stepping on the scale is not always the best way to measure obesity. Patients can calculate their body Mass Index (BMI) to learn whether they are carrying excessive body fat relative to their body type.
Who is Eligible? BMI and Bariatric Surgery Qualifications
A ratio of weight to height called Body Mass Index (BMI) is generally used to classify the degree of overweight. An individual is considered to have morbid obesity at a:
- BMI of 40 or above, or at 100 pounds above the recommended body weight range
- BMI of 35-40, with a potentially life-threatening medical condition such as diabetes, hypertension or sleep apnea
Determine your BMI with this calculator (NIH)
Patients who fall into one of the above categories and have seriously tried a commercial weight-loss program supervised by a medical professional for at least 6 continuous months without success, may be candidates for bariatric surgery.
Clearances for Surgery
- Consult with bariatric surgeon
- Undergo insurance-required medical appointments (for example: primary care physician, nutritionist, psychologist, pulmonologist, cardiologist)
- Follow-up with bariatric surgeon
State of the Art Surgical Procedures
Bariatric surgery is a rapidly growing and changing field. New procedures and developing technologies are making weight-loss surgery a viable option for more people than ever before. Minimally invasive techniques enable surgeons to perform complex procedures with increased precision through tiny incisions 1-2 cm long. For many bariatric patients, this means less pain and scarring as well as faster recovery for a quicker return to normal activities.
Ongoing Support Makes All the Difference
While surgery is the first step in a patient’s journey to lose weight, emotional support and regular follow-up is essential in maintaining an improved quality of life.
- The program’s coordinator is available at any time to answer questions and provide support.
- Registered dietitians see patients before and after surgery for initial assessments and follow-up dietary guidance. They teach and monitor a modified food plan and ways to apply it to daily life.
- Patients have access to an outpatient physical therapy program both before and after their surgery.
- Patients are encouraged to attend as many bi-monthly support groups as they'd like, before and after surgery. Search for “bariatric support group” in our Calendar.
Revision surgery may be an option for bariatric patients who have already undergone bariatric surgery and may need a repair, have regained weight or have not lost a significant amount of weight. While some practices do not offer bariatric revision surgery, our team of board-certified surgeons has extensive experience in revisional procedures.
Here are some guidelines to determine if you may be a candidate for revision surgery:
- You haven’t lost or you’ve regained 50 percent of the excess weight you were carrying at the time of the first procedure.
- You’ve regained enough weight to prompt the return of medical conditions related to your excess weight such as high blood pressure, diabetes or issues with your joints.
- You experience medical complications such as gastrointestinal disorders, leaking or ulcers.
- Your BMI is 40 or above.
For more information about bariatric revision surgery, call 203-863-3646.
Programs & Support Groups
Attend a surgeon-led seminar to find out if you are a candidate for weight-loss surgery. Search the website Calendar for “bariatric” to choose the right monthly program for you. Contact the program coordinator at 203-863-3646.