1515 Allen St. Springfield, MA | 245 First St. Cambridge, MA | 30 Central Park S. New York, NY
844-928-2253

Obesity Surgery

A leader in the bariatric field for over 15 years, Matthew R. Brackman, MD, FACS is board certified, and a Fellow of the American College of Surgeons. He has been performing weight loss* surgery for over 15 years.

At WEMA Bariatrics we understand that the road to long lasting weight loss* is difficult.It requires you to take the first step, and let us do the rest.

Our nutrition experts, staff, and surgeon will guide you every step of the way.

*Individual results may vary. Weight loss not guaranteed.

*Individual results may vary. Weight loss not guaranteed.

OUR EFFECTIVE SURGICAL PROCEDURES

sleeveOne of the newest bariatric operations, with the Sleeve Gastrectomy, the stomach is mostly removed, leaving a long, narrow, tube shaped stomach which resembles the sleeve of a shirt.

Sleeve Gastrectomy restricts how much one can eat, leading to weight loss that is usually greater than what can be achieved with adjustable gastric banding (lap band).

The Laparoscopic Sleeve Gastrectomy is the newest bariatric operation.  Since it’s development, we have seen patients have great success.  It has become the most widely performed bariatric operation in the U.S.  Just like with other bariatric operations, you need to choose your surgeon wisely.  We are experienced, have excellent results, and are with you every step of the way.

Most of the stomach is removed.

Weight loss with the Sleeve Gastrectomy averages 65% of excess weight at one year, and 57% at two years.

The Three Keys to a Successful Gastric Sleeve Surgery

1. Choosing wisely

Many patients fall in love with the Sleeve because of its simplicity.  Many surgeons perform the operation because they cannot perform the more difficult Roux Y Gastric Bypass.  That, however, is not the right way to choose the surgery.  The choice should be based on whether you experience reflux, and whether you have diabetes.  In these cases the RYGB would be a better choice when performed by a skilled surgeon.

2. Healthy Eating

Anyone can defeat the Gastric Sleeve by eating high calorie liquids and soft foods.  For a successful experience, one must eat fruits and vegetables, lean protein, and occasional carbohydrates. Our nutritionist is available in person or by INTERNET to keep you on track.

3. Regular Exercise

This doesn’t involve much explanation: 5 days per week, at least 30 minutes each day, activity which gets your heart rate at about 55% of maximal.  Make sure you are healthy enough to engage in this activity by checking with your family physician.


*Future of sleeve

We tell our patients the truth about the Sleeve Surgery.  Since data is only available for 5-8 years (the surgery hasn’t been performed in large enough numbers longer than that) we do not know the long term results.

Some experts suggest that even if the operation eventually fails (very likely), it may be modified more easily to renew weight loss.  Time will tell.

lapbandThe Laparoscopic Adjustable Gastric Band is a silicone device that is placed around the stomach through small incisions made during bariatric surgery.  With Lap Band, there is also a port placed just under the skin, through which saline is added to adjust the size of the balloon on the Lap band.

The more fluid = the less you can eat!

The Laparoscopic Adjustable Gastric Band is a silicone device that is placed around the stomach through small incisions made during bariatric surgery.  With Lap Band, there is also a port placed just under the skin, through which saline is added to adjust the size of the balloon on the Lap band.

Many consider the Adjustable Gastric Band to be the least invasive of the weight loss surgeries.  It does not involve any cutting or rearranging of the intestines.  It is also reversible.  Weight loss can average almost 40% of excess weight, but this still involves significant patient motivation.

The Three Keys to a Successful Lap Band

1. Regular Adjustments

Getting the Gastric Band without getting the adjustments is like putting in a new stereo and never turning it on.  Without regular adjustments, the band will loosen from around the stomach, and weight loss will stop.  You know now that when you lose weight, rings and clothes become loose!  So does the band.  For continued weight loss see your surgeon every 3-6 months. 

2. Healthy Eating

Anyone can defeat the Gastric Band by eating high calorie liquids and soft foods.  For a successful experience, one must eat fruits and vegetables, lean protein, and occasional carbohydrates.  Maladaptive eating occurs when the band is too tight!  Consciously or unconsciously one adjusts to this tight band with a higher calorie liquid diet and the weight comes back.

3. Regular Exercise

This doesn’t involve much explanation: 5 days per week, at least 30 minutes each day, activity which gets your heart rate at about 55% of maximal.  Make sure you are healthy enough to engage in this activity by checking with your family physician.


tubing

*Second Operation

About 35% of patients eventually need the band out due to slippage, erosion, breakage, or lack of success.  When this happens, we are experts at converting to a different operation.  Many times this can be done at one single operation.  For an evaluation as to why you may not have had success, or to remove a band, call us right away.

lapgastricThe longest standing obesity operation is also the most highly successful, the Gastric Bypass.

It involves shrinking the stomach by cutting and sewing.  It also involves “bypassing” a segment of the small intestine to stop the body from absorbing as many of the calories that are eaten.

Gastric Bypass must be performed by an experienced “gastric bypass” surgeon.  If so, this operation has as low a complication rate as lap band or sleeve gastrectomy.

*Individual results may vary. Weight loss not guaranteed.

GET STARTED WITH OUR EFFECTIVE SURGICAL PROCEDURES NOW!