Comprehensive Options for Effective Obesity Management

Ragui Sadek, MD, Chief of Bariatric Surgery at RWJBarnabas Health, gives an overview of the Weight Loss and Bariatric Surgery program which has changed the lives of thousands of patients across New Jersey. As one of the best weight loss programs in the nation, the Weight Loss and Bariatric Surgery program at RWJBH uses the most advanced technologies and experienced surgeons to help patients lose weight and gain back their freedom.

Discover Your Bariatric Surgery Options for Sustainable Weight Management

Many people struggle with their weight, but in some cases, lifestyle changes aren't enough to counter adverse health effects of obesity. Today there are more weight loss options than ever before, from nonsurgical weight loss options including Orbera, a gastric balloon that helps you lose weight by enforcing portion control, to prescription medications to bariatric surgery. These options help people lose the weight they need to stabilize their health and transform their lives.

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Bariatric Surgery

Weight loss surgery — or “bariatric surgery” — involves reducing the size of the patient's stomach. This means that they will feel full sooner, eat less, and with the help of other lifestyle changes, reduce their weight.

There are two types of bariatric surgical procedures: restrictive and malabsorptive. Restrictive surgery reduces the size of the stomach. Malabsorptive procedures reduce the body’s ability to absorb nutrients.

For adults and adolescents who have not had success with nonsurgical weight loss options, RWJBarnabas Health provides various surgical procedures that are clinically proven to help people lose the weight they need to stabilize their health and transform their lives.

Our facilities are equipped with state-of-the-art surgical robotic technology for bariatric surgery that offers patients the benefits of a reduced risk of infection, shorter hospital stay and quicker recovery time than with traditional surgery. The introduction of robotic-assisted surgical systems has revolutionized general and bariatric surgery and created an intuitive approach to complex surgery. This technology has enabled our surgeons to perform delicate operations through only a few small incisions with greater surgical precision, increased range of motion, improved dexterity, enhanced visualization and improved access.

If you are interested in weight loss surgery options, our friendly, knowledgeable team is ready to assist you.

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Types of Bariatric Surgery We Offer

Our expert bariatric surgeons specialize in a range of procedures from gastric banding to the innovative Roux-en-Y gastric bypass, ensuring high success rates. Some of the surgical procedures we provide include:

  • Gastric banding. Gastric band surgery works by reducing the size of the stomach, making the patient feel full from less food.
  • Gastric bypass. A small pouch is made in the stomach which can make the patient feel fuller more quickly. The lower end of the small intestine is attached to this pouch, which allows food to bypass most of the small intestine. This prevents the small intestine from absorbing excessive nutrients.
  • Gastric sleeve surgery. A surgeon uses staples to divide the stomach vertically and remove 60 to 80 percent of it. By creating a smaller stomach, the stomach fills more quickly, and the person feels satisfied from eating less food.
  • Roux-en-Y gastric bypass. This is a form of gastric bypass surgery in which the small intestine is redirected to bypass the larger portion of the stomach and a portion of the small intestine so that the body absorbs fewer calories and nutrients. The new structure forms the shape of the letter Y.
  • Loop duodenal switch. A combination of two bariatric procedures combines the restrictive sleeve gastrectomy with a duodenal switch procedure. This procedure reroutes food so that it bypasses a significant portion of the small bowel, preventing the body from absorbing too many calories and nutrients.
  • Revisional surgery. When bariatric surgeries fail to result in adequate weight loss or when there is a complication from an initial bariatric procedure, surgeons may have to do a revisional procedure to improve or correct the outcome.

Nonsurgical Weight Loss

Nonsurgical weight loss should be the beginning of your weight loss journey. Learning about nutrition from a registered dietician and beginning an exercise regimen can be effective for some people. Request an appointment with an RWJBarnabas Health doctor today about your weight loss concerns. We can connect you with experts who can help you along your weight loss journey. Even if you decide to pursue additional weight loss options, managing your diet and building muscle through exercise will still be important components of maintaining a healthy weight — and a healthy lifestyle.

Medical Weight Loss

There are a number of effective medications now available that help people manage their weight. Some, such as Wegovy (semaglutide) and Zepbound (tirzepetide), work by regulating hormones that control appetite. Other, such as Ozempic (which contains semaglutide), and Mounjaro (which contains tirzepetide), which are FDA-approved to treat Type 2 diabetes, work by regulating blood sugar levels, promoting a feeling of fullness and aiding in overall weight management.

People who have not had success losing weight through diet and exercise alone and have a body mass index (BMI) of 30 to 40 may benefit from these medical weight loss options, which are available by prescription only. People with a BMI of 27 or more who also suffer from obesity-related conditions such as hypertension, sleep apnea or diabetes may also qualify for these prescription medications aimed at weight loss management.

It is important to note that these medications should be managed under the care of qualified medical professionals, and should be considered part of a holistic approach to health and wellness. Maintaining weight loss long-term will still require a focus on maintaining a healthy diet, portion control, and an exercise regimen. We can help guide you on your weight loss journey.

A Multidisciplinary Team of Experts on Your Side

Our weight loss centers offer a comprehensive approach to weight loss and bariatric surgery, and our physicians and counselors can help you identify and establish the lifestyle changes you need to make your weight loss surgery a success. Our multidisciplinary team includes:

  • Bariatric surgeons
  • Gastroenterologists
  • Bariatric coordinator
  • Nutritionists
  • Exercise physiologists
  • Clinical psychologists

At RWJBarnabas Health, we realize that weight loss is a journey, not a destination. We understand that the struggle with obesity is often complex. Obesity can be influenced by family history, physiological, environmental, socioeconomic and psychological factors.

Effective, successful weight loss requires lifelong changes and commitment.

Comprehensive Care

We make a long-term commitment to our patients' health by offering a comprehensive treatment plan. Our comprehensive approach makes RWJBarnabas Health stand out from other programs. If you decide that weight loss surgery might be right for you, you will be guided through pre-surgery consultations, surgery, recovery and post-surgery support programs.

We will be with you every step of the way.

Our free informational seminars offer those considering bariatric surgery an informative, convenient, and understanding environment in which to learn about surgical options.

Our post-surgical care and support result in an ongoing relationship to promote a long-term successful outcome for each person.

Award-Winning and Accredited Weight Loss and Bariatric Surgery Care

As an award-winning hospital system, RWJBarnabas Health has received numerous accreditations and recognitions from state and national organizations. Our Weight Loss and Bariatric Surgery program has been awarded accreditation by The American College of Surgeons. This accreditation program, known as MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) certifies that our program has met standards of the MBSAQIP by providing high-quality and patient-centered care.

RWJBarnabas Health Weight Loss Centers

See below for a list of our weight loss centers located throughout New Jersey:

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Weight Loss Treatments

Delivering Advanced Weight Loss Treatments Right Here in New Jersey

RWJBarnabas health offers comprehensive and leading-edge treatments for obesity, from nutritional consultation to medications to bariatric surgery.

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Patient Stories

  • “My wife, Patty, said it was the best decision she ever heard me make.”

    Walter
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  • “My friends are surprised when they see me, too. I’ve gotten so many compliments!”

    Damaris
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  • My knees don’t hurt, I’m not winded after carrying a bunch of groceries up the stairs. It’s the little things that keep me motivated to maintain my lifestyle.

    Ashley
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Patient Stories

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RWJBarnabas Health Ambulatory Care Center
200 South Orange Avenue
Livingston, NJ 07039
(973) 322-7000
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Cooperman Barnabas Medical Center
94 Old Short Hills Road
Livingston, NJ 07039
(973) 322-5000
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Monmouth Medical Center
300 Second Avenue
Long Branch, NJ 07740
(732) 222-5200
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Clara Maass Medical Center
1 Clara Maass Drive
Belleville, NJ 07109
(973) 450-2000
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Community Medical Center
99 Highway 37 West
Toms River, NJ 08755
(732) 557-8000
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Newark Beth Israel Medical Center
201 Lyons Avenue at Osborne Terrace
Newark, NJ 07112
(973) 926-7000
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Jersey City Medical Center
355 Grand Street
Jersey City, NJ 07302
(201) 915-2000
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The Bristol-Myers Squibb Children's Hospital at RWJUH
200 Somerset Street
New Brunswick, NJ 08901
(732) 828-3000
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RWJ University Hospital Rahway
865 Stone Street
Rahway, NJ 07065
(732) 381-4200
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RWJ University Hospital Somerset
110 Rehill Avenue
Somerville, NJ 08876
(908) 685-2200
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RWJ University Hospital Hamilton
1 Hamilton Health Place
Hamilton, NJ 08690
(609) 586-7900
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Robert Wood Johnson University Hospital
1 Robert Wood Johnson Place
New Brunswick, NJ 08901
(732) 828-3000
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The Center for Bariatrics
530 Lakehurst Road
Suite 207
Toms River, NJ 08755
(732) 557-8966
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Hudson Crossing Surgery Center
2 Executive Drive
Suite 102
Fort Lee, NJ 07024
(201) 470-6977
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Weight Loss and Bariatric Surgery Treatment & Care

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