Useful healthcare information that is relevant to people living here in New Jersey related to laparoscopic surgery, general surgery and bariatric weight loss programs can be difficult to find and you aren't always sure what you are reading is accurate.
Enjoy and always feel free to contact us if you have a question about what you've read.
October 9, 2015
Years After Bariatric Surgery: Getting the Long-Term Support You Need
By Ayotunde Adeyeri, MD
Once you’ve lost the weight, the battle against obesity isn’t over.
On average, about two years after patients have undergone gastric bypass, the sleeve, gastric banding or revision surgery, most enter the long-awaited “maintenance” phase. At this point, they’ve achieved their target (“dream”) weight and had ample time to adjust to a new diet and exercise lifestyle.
People who have reached this milestone are certainly elated, but that jolt of initial excitement and compliments from friends and family about your changing body have died down.
Let’s face it—everyone is used to the “new you” at this point.
For some, this can be an understandably tough time. Former bad habits can slyly creep back in—nighttime eating, pre-meal snacking, eating for the wrong reasons, finding reasons to miss exercise, or starting to consume “old favorite” (i.e. not healthy) foods again.
Don’t beat yourself up if this happens, but don’t ignore it either.
Here’s how to find your way when your weight loss surgery operation is well behind you:
Get a little help from your friends
Get back in stride with your support group. Without fail, make sure you attend our monthly meeting at the Institute for Weight Loss at Raritan Bay Medical Center, where I serve as medical director, and / or subscribe to online support sites such as ObesityHelp.com or BariatricPal.com.
Study these educational and supportive outlets to share and receive information--a
word, a pat on the back or “I’m in the same place and have the same concerns…”
Beware of the sugar demon
Refined sugar, especially in processed foods, is a major contributor to men and women regaining weight following weight loss surgery. People tend to be very motivated to abstain from the Sugar Devil early on, but that resilience can wane over time.
When it does, the brain is ready-and-willing to reintroduce the sugar craving via the same sources of comfort it did in the past.
Mindfulness creates inner clarity and allows you to refocus on what is important
Begin with a mindful activity like meditation or exercising in silence which allows you to focus solely on your body, mind and spirit.
Spend a few minutes appreciating how much healthier you have become and how your life has improved.
Think about the positive things you do to feel good--—attending religious service or praying, helping others, moving your body, eating real food from the earth, not a box.
Check-in with your bariatric physician
I see patients all the time who had bariatric surgery several years ago. We talk about obstacles, challenges, frustrations and any concerning health issues. Some patients elect to see our bariatric dietitians for a few visits as well.
Bariatric professionals can offer help and guidance even if you had surgery in 2010 or before. Call us if you are having a tough time and come in to talk.
Sterling Surgicare is ready to help
Over the years, you’ve come so far. Don’t isolate yourself, reach out. We’re here to help you--today, tomorrow, always.
If you are a new, current or former patient, call us at 732-217-3897.
September 26, 2015
D Moore127 reviews Ayotunde Adeyeri, MD on ObestyHelp.com
"I had been researching weight loss surgery for 3 years prior to seeing Dr. Adeyeri...I began the process with another Dr. but did not get "good vibes" during my experience with him and with his office.
So I put everything on the back burner and continued to try everything under the sun to lose weight...I would lose 20, gain 20 back and so on. I had developed high blood pressure and sleep apnea...I could be heard snoring throughout the entire house!!
In May of 2014 I was recommended to Dr. Adeyeri and his staff. Dr. Adeyeri and his staff made me feel very comfortable and was "on the ball" guiding me through all of the medical clearances that I needed for the approval of my surgery.
Dr. Adeyeri discussed all of the bariatric surgery options and made sure I understood the procedure. I had no issues or delays in getting everything in order. In early September I learned I was approved for surgery and was given my date of October 30, 2014.
My heaviest weight was 260, I was 249 on the day of my surgery. Surgery went extremely well and I was walking around the hospital by that afternoon.
Tomorrow, April 30th, marks exactly 6 months from my surgery date - I am down 78 pounds and currently weigh 171. I have not taken any blood pressure meds since the surgery. I am no longer snoring as well! I would highly recommend Dr. Adeyeri for bariatric surgery. He and his staff are amazing!
It is great feeling to go to the monthly support group meetings and to see him there often.
My biggest regret is that I didn't find him 3 years ago!
Thank you Dr. Adeyeri and staff!!"
D. Moore on ObesityHelp.com
September 23, 2015
Millennial Keirstyn Uses the Gastric Sleeve To Achieve Her Goal Weight in her 20's
"The left is me prior to my surgery. The right is me at a healthy 159 pounds.
What a difference; thanks to my amazing doctor, Ayotunde Adeyeri, MD, for giving me a chance to live the life I always wanted to have.
My advice to anyone thinking of weight loss surgery here in New Jersey--or anywhere--would be that having the gastric sleeve was one of the best things I could have ever done for myself.
It's a lot of work (and changing the way you see food) in the beginning but in the end all very much worth it.
Today, I feel so much more alive!! Thank you again!!!"
September 16, 2015
Sterling Surgicare's Bariatric Superstar Patients Share Their Success Tips
By Ayotunde Adeyeri, MD, Medical Director, Sterling Surgicare
For several years now, I've performed many bariatric weight loss surgeries—gastric bypass, sleeve gastrectomy, revision, lap-bands, revisions and the duodenal switch.
Because the nature of this surgery necessitates a long-term patient/doctor relationship, we get to know our patients very well during their weight loss journeys.
As we head into a new season (and quickly face the holidays), we thought the time was right to present some of these tried-and-true ideas that might help you too--brought you to straight from our own patients!
Realize that bariatric surgery is only a tool, not a miracle
“WLS is not a magic pill that makes you thin in 6 months, by any means. You have to put in the work, like anything worthwhile in life. What you put in is what you get out of it.”
Discover an exercise you can live with
“I was too heavy to exercise until I lost the first 30 pounds after my sleeve. Then I starting walking 30 minutes a day—rain or shine. I felt better the first week and it helped my ‘fat clothes’ fall off me even faster. Move it—you’ll lose more weight faster.”
Don't rush back into eating solid foods
“I didn’t rush into eating. Four weeks of liquid and two weeks of a pureed diet worked really well, but it was hard mentally as I just wanted to chew something. Listen to the doctors and the nurses. They know what is best for each individual patient.”
Be honest with yourself
“About four years after gastric sleeve surgery, I was feeling exhausted, fat, grumpy and unattractive. I started back to the gym, taking my vitamins, drinking the water and eating right. I’m getting back to the person I want to be.”
Have the right attitude
“I really believe if you have a relentlessly positive frame of mind and come to terms with the fact that this is for LIFE, you can be successful. And it’s so worth it. I feel joy in feeling full again, which was missing prior to surgery.”
Have your water bottle with you 24/7
“I drink 64 ounces a day even though I’m at goal weight. Not soda or coffee or other stuff—water.”
Follow doctor's orders
“I put my life in the hands of the IWL team and finally quit smoking before surgery. Now I eat high protein foods first, drink lots of water and ride my stationary bike 20 minutes a day. I love to see the sweat on my face!”
Don’t miss your bariatric support group meeting
“The biggest key to my success is the Raritan Bay monthly support group. My sister and I started going even before our operations. Even though I am close to goal, I still attend to share my experiences and learn something new every month.”
September 2, 2015
Steven posts a Facebook message to Dr. Adeyeri after his gastric bypass surgery in Holmdel
"Dr. Ayotunde Adeyeri,
You gave me no bull nor left me hanging.
While other doctors were too scared to do so, you took my case on with full force.
I know for a fact if it wasn't for you and the people at the office, I'd be dead and not experiencing life at all.
I can't thank you enough for everything, truly a hero.
August 21, 2015
New Jersey man says goodbye to prescription meds and 117 pounds 6 months after bariatric weight loss surgery
By Andrew Landstrom
Note from Melissa at Sterling Surgicare: While we love to write about our patients' success stories, we think they are even more impactful when they are shared by patients directly. Mr. Landstrom posted this message on Facebook and kindly permitted us to share it.
Dr. Adeyeri says this about Andrew: "I knew from the first few visits with Andrew and his wife that he was destined for success. He understood this wasn't just an operation but a new way of living his life. Judging by his outstanding results so far, I was right."
Roughly a year ago, I embarked on a journey with the goal of saving my life. After years of struggling with my weight and related medical problems, I decided to make a stand.
This journey led me to having gastric bypass surgery six months ago.
Losing 117 pounds in six months after bariatric surgery
In the past year I have lost 142 pounds, and 117 of those have been since the surgery.
Here's what else I lost...
In addition, I no longer need to take any prescription medications.
And, (get ready) I am very active at the gym. In fact, I am probably in the best shape I have been in my entire life!
And I'm only getting started, I assure you.
Giving credit and heartfelt thanks to the love of my life
I could not have done this without the support of my friends and family, but most importantly my incredible wife Jessica, who put up with me through the good and bad days and continues to keep me on the straight and narrow :)
The past six months have been exciting, and I can't wait to see what the next six months bring.
August 11, 2015
Dr. Ayotunde Adeyeri of Sterling Surgicare in Holmdel featured in Greater Media Newspapers
"Standing (Not Sitting) Your Way to Better Health"
Two hours of standing may be a big ask for a lot people. Start off by aiming to walk for two minutes out of every 20, and work your way up toward being on their feet for two hours daily.
It is also important that people know that improving health is not only about sitting less at work, but also about exercising during other times of the day.
Take a big step toward overall health by increasing the amount of movement you do over your whole day.
August 10, 2015
Weight loss isn’t the only reason some people are having bariatric surgery
By Dr. Ayotunde Adeyeri, Medical Director, Sterling Surgicare
Most people assume the primary reason to have weight loss surgery is to lose weight, right?
More and more studies on the benefits of this operation are attracting patients who don’t fit the traditional profile of someone who is very overweight (with a BMI in excess of 40).
Here’s what they’re saying:
“Sure, I’d like to drop the extra weight, but my first priority is to finally get my blood sugar under control so I’m not so tied to insulin injections.”
Who could blame diabetic patients who want to lessen or even eliminate the discomfort, inconvenience and expense of insulin shots along with the 24/7 anxiety that comes with constantly fluctuating blood sugar levels?
Type 2 diabetes and obesity
Here in the U.S., nearly 26 million people have diabetes and two-thirds of them are overweight or obese.
Diabetes is a leading cause of heart disease, strokes, kidney failure, eye problems and other serious chronic health issues.
A plethora of studies is finding that weight-loss surgery can put some patients' diabetes into remission for years and even forever, in some cases. These patients have BMIs as low as 30, in some cases.
“I didn’t fit the minimum BMI to be approved for weight loss surgery, but my increasingly uncontrolled diabetes was the reason my medical insurer approved me,” a recent patient explained. (Keep in mind, every insurer’s coverage stipulations are different.)
How can bariatric surgery help control blood sugar and diabetes?
Ironically, the exact reasons aren’t entirely clear but, simply stated, the surgery changes hormones in the stomach allowing the body to “reset” its normal way of functioning in the gut. Ultimately, this change can lead to blood sugar levels returning to manageable (and even normal) levels.
Keep in mind, diabetics who have weight loss surgery may no longer require the same volume of insulin but may need to continue other diabetic maintenance medications.
I’m diabetic but not extremely overweight. Where do I start?
If you or a loved one is battling diabetes and finding traditional medications are not achieving successful blood sugar management, consult with our Sterling Surgicare team by calling 732-217-3897 to determine if a bariatric weight loss solution can help manage your disease so you can focus on family, work and life—not your diabetes.
Read about Sterling Surgicare patients who minimized or even eliminated all diabetes medications after bariatric surgery.
Image courtesy of freedigitalphotos.net "Gualberto107"
August 7, 2015
Sterling Surgicare's Bariatric Nutrition Corner
By Lori Skurbe, RD, MPH, CDE
Multivitamins: What's the Best Choice for You?
All weight loss surgery patients must be on a daily regimen of vitamin and mineral supplements to prevent deficiencies.
A good quality, high potency multivitamin is an essential part of the weight loss journey. There are many different type of multivitamins on the market, but not all of them are the best choice for weight loss surgery patients.
What to Look for in a Multivitamin
According the American Society for Metabolic and Bariatric Surgery’s (ASMBS) "Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient," gastric bypass and gastric sleeve patients should have a high potency multivitamin with 200% Daily Value of at least 2/3 of the nutrients.
Here at Sterling Surgicare, we recommend the following to our bariatric patients :
• Begin with a chewable or liquid formulation the day you go home from the hospital after your bariatric surgery
• You may progress to a tablet or capsule when able – speak to your surgeon or dietitian before switching to a non-chewable multivitamin.
• Avoid time released type supplements
• Choose a multivitamin with at least 18 mg iron, 400 mcg folic acid and contains selenium and zinc in each serving
• Do not take multivitamin containing iron with your calcium supplements – take 2 hours apart
• Check the serving – not all multivitamins are a “one-a-day.” Some formulations require two or more servings daily.
• DO NOT use gummy type vitamins – they are NOT nutritionally adequate for weight loss surgery patients.
• Read the supplement facts labels carefully! Not all multivitamins are the same!
• If you have trouble remembering to take your vitamins – there are apps to help remind you!
If you need help selecting a multivitamin or cannot tolerate the one you are takin, always feel free to call the office for guidance.
Source: ASMBS, Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient, L. Aills, et.al. 2008.
August 4, 2015
Dr. Adeyeri Named 2015 NJ "Top Doc"
Several of Dr. Adeyeri's patients collectively took the time and effort to nominate him for a NJ Top Doc award and we just received confirmation this morning that he has been selected as a winner!
NJ Top Doc awardees must be nominated by patients who reported outstanding quality, service, care and a positive medical outcome. These nominees must have received medical treatment from the recommended doctor within the past 12 months.
It' no surprise to us that Dr. Adeyeri was nominated by his patients for this award.
We know there are many more accolades to come, but as Dr. Adeyeri said when we gave him the news--
"All that really matters to me is that my patients are happy with the care we provided to them and that they are healthy today."
Melissa Tenny, Office Manager, Sterling Surgicare
July 22, 2015
Gastric Sleeve Superstar Cindy Ortiz Tells Her Story
My Bariatric Weight Loss Story
By Cindy Ortiz
Before Bariatric Surgery
At 48 years old, I saw my life quickly starting to crumble. I was overweight and diagnosed with diabetes. Two years prior, my Dad had passed away, from a heart attack from being a serve diabetic. This devastated me and took a long time accept his passing.
In addition, my blood pressure was starting to rise and I found it difficult to complete daily tasks in my everyday life. My energy was low and I found myself tired a lot.
At this point I knew something was wrong, because I wasn’t feeling myself and was unhappy.
Exercise and Diet Pills
I consulted with my medical doctor who recommended seeking personal fitness training and medication. He felt that my current situation was due to my rapid weight gain. Shortly after, I met with a trainer who worked with me for 3 consecutive months and helped me lose a total of 45 lbs.
I was beginning to feel healthy, but due to work and daily life, I was unable to maintain my training. Although I managed to work out, I was unsuccessful in losing additional weight.
Also, the diet pills were short lived and stopped working for me. This began to take toll on my mental health and confidence. I found myself once again at my doctor’s office seeking additional advice.
My doctor suggested contacting Dr. Adeyeri of Sterling Surgicare who runs the Institute for Weight Loss at Raritan Bay Bariatric Center, in Old Bridge, NJ.
After talking with me and reviewing my medical history, he recommended I have the gastric sleeve surgery, which is when a large section of your stomach is removed, leaving you with a sleeve-shaped stomach. The stomach size is permanently reduced through this process.
Dr. Adeyeri reviewed my qualifications and stated I was a good candidate. He reminded me that my body mass index (BMI) was over 65% and I was retaining water in my legs.
Gastric Sleeve Weight Loss Surgery at Raritan Bay Medical Center
After concurring with his analysis, I was scheduled for Jan. 2, 2014 for sleeve surgery.
I was hopeful that this would a life changing decision, to improve my health, social life, energy levels, stress, self-esteem, and my overall appearance.
This gave me Faith!
Surgery Day Surprises
On the morning of my surgery, I was extremely nervous, I knew my life was about to change, forever. I knew the benefits that would come from this type of surgery, but it frightened me that my eating habits were going to change drastically, I didn’t know what to expect.
After the surgery, I woke up in pain, not realizing that Dr. A had discovered several significant health issues unrelated to my bariatric surgery—he removed two significant hernias, my gallbladder (which was dead!), and repaired a hiatal hernia.
This was all done at the same time as my gastric sleeve (thankfully!)
In the weeks following my surgery, I was on a liquid diet--baby food, soup, and shakes. I lost a total of 28 lbs during this time. The weight was pouring off of me the through first 7-10 weeks.
By the 10th week, it was a total of 49lbs.
I also saw:
• An increase in my energy level
• Improvement in my sleep
• My overall mood was up
• I was doing things again that I physically never thought would be possible
• My arms and legs were more defined; my back and stomach were leaning out and I was fitting into my “Skinny” jeans that had been tucked away since before my kids were born!
I haven’t felt this confident in a long time. I was starting to now eat solids and educate myself on clean, healthy eating.
Now, I eat 5-6X a day, but in small heathy servings. I also indulge occasionally but I’m more conscience of my food intake than ever before.
All things in moderation, your body is your temple.
A Personal Thank you to Dr. Adeyeri
I went from a size 18-20 to a size 0-2.
I lost a total of 98 lbs. my body fat went from 65% to 15%.
I am traveling, working harder than ever, enjoying time with family and loving the journey of my life, at Fab 50!
My entire story would not be possible without the direction and guidance of Dr. Adeyeri. Throughout this process, Dr. Adeyeri has allowed me to truly become who I am physically, mentally and emotionally.
Not only Is Dr. Adeyeri my doctor, he is also a friend who knew what I wanted, who I was and where I needed to go. I am truly thankful for everything Dr. Ayotunde Adeyeri has done through this process along with everyone at his office.
If you are having any thoughts or questions on if you should or should not go through this process, let my story be your answer!
Fab 50 Looks Better Than Ever
In the end, this is my story to tell--it's all about turning "Fab 50 and Loving Life!"
July 7, 2015
Dr. Adeyeri's article featured on My Central Jersey's 'Healthwise'
"Healthwise: Standing Your Way to Better Health"
(My Central Jersey)
"People who sit at a desk to do their jobs should stand up for at least two hours during the workday, and should progress toward standing up for four hours daily.
Sitting time has been linked with obesity, high blood pressure, bad cholesterol and too much belly fat. Medical experts have found that sedentary behavior also correlates with an increased risk of Type 2 diabetes, elevated levels of blood sugar and a slow-down in metabolism.
Other studies have also suggested links between too much sitting and heart disease and cancer. In a recent Harvard study, too much sitting was even linked with an increased risk of dying early."
July 6, 2015
How to get the most out of your bariatric nutrition visits
Lori Skurbe, RD, MPH, CDE, is our chief bariatric dietitian here at Sterling Surgicare.
When you are choosing the right NJ bariatric surgeon to meet your needs, you may wish to have a chat with the primary nutritionist who will be working with you.
You are going to build a long (and successful) relationship with this person, so it's important to ensure that you work well together--even before your weight loss surgery operation.
Lori is very experienced and well educated in bariatric nutrition. Perhaps most importantly, she gets rave patient reviews!
She is the author of several published works about bariatric nutrition. Her newest article was published this month by ObesityHelp.com on its national website read worldwide.
She offers some great tips in her article "4 Ways to Prepare for Your Weight Loss Surgery Appointments."
Read Dr. Adeyeri's 100+ Positive Patient Reviews on ObesityHelp.com
July 3, 2014
Happy Fourth of July from Melissa, Lori and Mara at Sterling Surgicare
As you've read here from Dr. Adeyeri's posts, when you become one of our patients, we really get to know you, particularly if you are one of our weight loss surgery clients.
Andrew had bariatric surgery a few years ago and still stops in for check-ups and meetings with our Sterling Surgicare dietitian, Lori Skurbe, New Jersey's best bariatric nutritionist.
He generously brings us food, gifts and holiday items all the time. We had to share this theme, the illustrious red, white and blue!
On behalf of Dr. Adeyeri and all of here at Sterling Surgicare, we would like to wish all our patients and their families a happy and fun Fourth!
June 26, 2015
Sterling Surgicare's Dietitian's Digest
Snacking and Weight Loss Surgery
By Lori Skurbe, RD, MPH, CDE, Sterling Surgicare, Holmdel, NJ
Whether it’s preparing our Sterling patients for upcoming bariatric surgery, guiding them through the weight loss phase or providing them with strategies to maintain their new lower weight, one topic always seems to come up:
“Ummm…so…what can I snack on?”
I advise our patients that “snacking” is never a good idea, pure and simple. It’s just not worth the temporary pleasure you get and certainly doesn’t contribute to losing the most weight in the shortest span of time.
Snacking grazing, nibbling or noshing--whatever you call it--usually adds up to too many extra calories and leads to poor weight loss and often weight regain.
What can you do to avoid snacking?
For some, we snack because we feel hungry. But many times the hunger we feel may be head hunger and not true hunger. “Head hunger” is when you eat out of boredom, habit, or due to emotions (stress, anger, depression etc.) “True hunger,” or belly hunger, is when your stomach is empty and you “need” to refuel your body.
It is important to learn the difference. Head hunger can hit at any time regardless of when you last ate, but belly hunger usually starts a few hours after a protein based meal.
Struggling with snacking?
Try these tips:
• Keep all tempting foods out of the house, car and office.
• Stay well hydrated. Get in at least 48 or more ounces of calorie free, caffeine free fluids daily. Some of us confuse thirst for hunger.
• Be busy – boredom can be a trigger for snacking. Write down at least 10 things you can do when you are bored. Here are some suggestions – Work in your yard, meditate, walk around the block, call or visit a friend, listen to music, brush your teeth, take a hot bath or shower, fold laundry, straighten out a closet or drawer or do something nice for yourself or someone else.
• Don’t just eat when you feel “hungry” – figure out if you are truly hungry or is it head hunger. If it is head hunger – try some of the above tips. If you are truly hungry, have a snack, but keep your snack to one food and no more than 100 calories. Examples of appropriate snacks are: 100 calorie packs of almonds, 100 calorie Greek yogurt, low fat string cheese or a small piece of fruit.
If you are still struggling, call the Sterling office for additional guidance – we are here to help you in any way possible!
June 19, 2015
Maria Girau is one of those people everyone likes. She's positive, happy, funny--and very determined.
In 2012, she sent us this message: "I had a consult with Dr. Adeyeri a few weeks ago. I was nervous, but I have seen the improvement from my co-workers who had weight loss surgery by him. I am ready for my next step and I would like to make plans for him to perform my surgery."
Update: Here's Maria before and after bariatric weight loss surgery:
*Blouses/Tops from a 3X down to a standard Medium/Large
*Pants from a 26 down to a 12/14
How she does it:
"It's just a more simplified way of living. I watch how I eat and exercise pretty regularly. I'm not obsessed with food anymore. It no longer consumers my thoughts.
No, I'm not "perfect" either! I have some kind of treat once or twice a week."
Maria's surgical bariatric solution
Maria had "the sleeve" or sleeve gastrectomy in October 2013. Since then, she's lost more than 80 pounds and 10 clothing sizes.
What we think is especially awesome about Maria is that she is one of only a few patients who kept and offered to share "before" pictures.
"I have no problem showing my "before" pictures. I think in doing so I might be able to inspire other women and men to take the plunge and get healthy before it's too late."
Thank you Maria! Mission accomplished!
June 5, 2015
News from Dr. Adeyeri's Office
I have the best job in the world, most days.
When I open my Facebook page and see a note like this, it makes all the challenges worth it.
My 20-something patient, Alison Manion, surprised me with this message on my Facebook page this morning:
"One year ago today--just about this exact time--I was heading into weight loss surgery...
I can't thank you enough Dr. A !!
A year later--365 days-- I AM DOWN 112 LBS in just 1 year!!
It's crazy in 1 year what can happen!
Thank you again Dr. A.
I'ts a new day and a new life for me.
I am so happy I can't even tell you.
Can't wait to see you all next week!!"
May 28, 2015
Barbara from central New Jersey celebrates her one year bariatric "surgiversary"
Barbara Hargadon of central New Jersey posted this great collage on Facebook recently to commemorate her bariatric success and kindly allowed us to share it here.
While your weight is coming off after your procedure-- gastric bypass, gastric sleeve or lap-band, take time to try on clothing you wore just before your operation or look back and photos of you "then" and "now."
Even if you haven't reached your goal weight yet, take some time to recognize how far you have come!
May 14, 2015
You gained some weight ...Get back on track with these four tools
By Dr. Ayotunde Adeyeri, Medical Director, Sterling Surgicare, Holmdel and Old Bridge
People who have undergone bariatric surgery know the weight loss battle does not end in the operating room. Months and even years after surgery, some weight can slowly creep back on. This setback can be both frustrating and discouraging to people who thought their weight loss issues were a thing of the past.
Truthfully, it happens to most of us.
If you are dealing with weight gain, I’ve listed a few essential steps to help get you back on track:
• Go back to the beginning
Post-surgery, you probably followed your healthcare team’s advice to the letter. But as time passed, and you looked and felt healthier, you may have started to deviate from those dietary and exercise guidelines. Pull out your notes and review the program guidelines that brought you this far. Get back on the scale once a week and fire up your food journal again.
• Get thyself to the nearest support group ─ STAT
Weight loss is a personal journey, but it doesn’t have to be a lonely one. Combine online support groups−such as ObesityHelp.com or BariatricPal.com are great secondary resources to your live group here at the Institute for Weight Loss. Groups such as the “back on track together group” on obesityhelp.com. There is support all-around you, reach out and take it.
• Work it out
Are you using the ‘too tired’ reason for missing a trip to the gym or 30 minute fast walk around the neighborhood? If you need energy, you know how to get it—get up, get out and get moving. “Too busy,” you say? Remember, only you can prioritize your health and wellness. You matter—make time for your health every single day.
• Come to terms with the weight gain
This doesn’t mean blaming yourself. Rather, be forthright about how and why it happened and pat yourself on the back that you’ve recognized it now—not later.
There’s no need to beat yourself up. You have already done the hard part by recognizing some weight has crept back on. That in itself shows you are going to battle back. If you need a pep talk or have some challenges you help with overcoming—call us and let’s talk.
There are many people supporting you 24/7 in this effort. We are armed with the ammunition to get the scale moving downward again.
Life is filled with occasional side-steps and set-backs. It is part of making us who we are. Make a plan, regroup, recommit.
You can do this.
May 5, 2015
Gail says goodbye to 90+ pounds later in life and feels younger than ever
Meet our "New Jersey Bariatric Weight Loss Star of the Week" Gail Thomas!
She had gastric bypass surgery and achieved an awe-inspiring 90+pound weight loss since her operation.
Best of all, we are the lucky recipients of Gail's healthy (homemade!) soups, which are...DELICIOUS!
Gail is one of those people who gets invited to all the parties and everyone wants to be around.
She's smart, funny and always has something positive to say when she stops in our office here at Sterling Surgicare now and then just to say hello.
Gail has a great life--great husband (who is more than thrilled with his wife's even more energetic life) and a wonderful family.
One of the best parts of our jobs is getting to meet so many great people like her.
Mara and Melissa, Sterling Surgicare Administrative Team
April 27, 2015
Sterling Surgicare's Dietitian's Digest
By Lori Skurbe, MPH, CDE, Sterling Surgicare Dietitian
Get Motivated to Exercise!
Of course we know that exercise does countless good things for us—including speeding up weight loss. But, still, some of us might be falling short on this lifestyle change.
We all have excuses for not getting in our physical activity, but unfortunately making excuses does not burn up those calories! Instead of making excuses, make a plan!
Here are my favorite tips that I share with our Sterling Surgicare patients (and myself)!
1. Set a goal
People who have clear goals are usually more successful at staying on track with their physical activity. Your goals should be clear, attainable and realistic for you. An example of a goal would be: I am going to walk 30 minutes 5 times per week. Remember: if you have not exercised in a while or have other limitations – start slowly and gradually increase the time and frequency you are active.
2. Write your goal down
Writing down your goal can make it real. Also, keep track of all the physical activity you are doing. Documenting your physical activity each day allows to you see your progress. Journal, journal, journal about your weight loss experience and your exercise plans and accomplishments! It "sets in stone" where you have been and where you are going!
3. Share your goals with friends - talk about it!
You may find an exercise buddy! People who exercise with others tend to
stick to their goals.
4. Have Fun!
Exercise does not have to be boring or tedious! Find an activity you enjoy and you’ll be more likely to stay with it!
5. Have a Plan B
Going for a walk outside is great way to get in your physical activity and enjoy the outdoors. However, if it is raining or cold outside, most people stop walking. Make sure you have another way of getting in your physical activity if your first choice is not an option.
6. Be flexible!
Do not get locked into an exercise routine that is too rigid. You may have changes in your schedule, medical conditions or other issues that may throw off your regular exercise routine. For many people, this can stop or slow down their progress. If you are more flexible – you are more likely to weather these changes and come up with alternative ways of reaching your exercise goal.
7. Reward yourself!
If you reach your exercise goal – give yourself a non-food reward. Examples of non-food rewards are: a new pair of athletic shoes, a massage, sneak off to the library for a few hours, get a haircut, just enjoy being by yourself!
Tell us what you do to stay motivated and moving forward!
We'd love to add your tips and tricks to this list! Email us at email@example.com and we'll add your idea and credit you with the tip!
Source: Fitness: Tips for Staying Motivated. Mayo Clinic website accessed 3/30/15.
Sports and exercise images courtesy of "imagerymagestic" at FreeDigitialPhotos.net.
April 17, 2015
Governor Christie tells Matt Lauer he wishes he had undergone lap-band surgery "years ago"
In early 2013, New Jersey Governor Christie underwent lap-band weight loss surgery. In 2015, he is markedly trimmer.
From New Hampshire yesterday, he was unusually candid about his personal health and shared with Matt Lauer that, in fact, he wished he had undergone the surgery sooner.
"It's the best thing that I've ever done for my health. And I look back on it now and wish I'd done it years ago," governor Christie remarked.
To see his comments about the bariatric procedure and what his cardiologist had to say about his progress, click here and skip to 2:10 for the discussion specifically about his weight loss.
While Governor Christie has never explained why he chose the lap-band over gastric bypass or the sleeve, it is presumed to be because this procedure is the least invasive weight loss surgery requiring minimal "down time."
April 15, 2015
Weight issues (obesity) can take a serious toll on your teeth
By Dr. Ayotunde Adeyeri, Medical Director, Sterling Surgicare
Studies have shown that obesity can result in a higher risk for dental problems. Issues with your teeth can affect your overall health and even open the door to serious chronic medical conditions including diabetes, heart disease and osteoporosis.
Specifically, overweight people have higher tooth decay levels, more missing teeth and fewer required dental fillings. They also visit a dentist less frequently, have more difficulty accessing dental care on a regular basis and are likely to visit a dentist only when they have a problem.
Dental issues after bariatric surgery
Keep in mind, dental issues can continue even after obesity is defeated. Once bariatric weight-loss surgery has been completed and the weight begins to fall off, there are nutrition guidelines that patients need to follow. If this protocol is not adhered to, resulting gastrointestinal issues can cause damage to the teeth and mouth.
Overeating causes stomach distension which frequently leads to regurgitation and reflux exposing the teeth to caustic gastric juices at pH levels high enough to dissolve tooth structure. This can lead to cavities, root degeneration and gum disease.
Tooth erosion is a common condition that includes hypersensitivity to eating or drinking cold or hot items. This can be compounded by sugar ingestion which produces even more acid in the mouth. The combined acid attacks invites uncontrolled enamel demineralization that defeats daily oral hygiene efforts even in someone who has never experienced dental decay issues.
Six ways to get back on the dental health track
Proactive dental hygiene and early diagnosis of any problems will contribute to your overall health and wellness strategy. Here are steps to take to get rolling in the right direction:
• Have a thorough dental cleaning and examination and take care of any problems before they become more serious.
• Rinse with mouthwash for one minute twice a day prior to brushing and flossing.
• Use one of the new toothpastes that helps to preserve and protect tooth enamel.
• Add baking soda to your toothpaste to help neutralize acid levels in the mouth.
• Drink water throughout the day to help offset the negative effects of dry mouth.
• Eat more seeds, nuts, soy, seafood and spinach—this starves decay-producing bacteria and reduces acid levels in the mouth.
The bariatric weight loss process is a way of regaining control over your health. During the journey, it is important to take care of your teeth, gums and mouth. Not only will your mouth be fresher and healthier, white teeth will serve as a terrific accessary to your new outlook and your new body.
Find out if you have obesity, a chronic disease
Would you like to find out if you are overweight according to your Body Mass Index (BMI)? We have a quick and easy calculator here http://www.sterlingsurgicare.com/nj-surgery-specialties/metabolic-bariatric-surgery/bmi-caculator/
If your BMI is 35 or above, you could be a candidate for a surgical weight loss solution. This process is not a miracle cure for serious obesity. Rather, it is a tool to help regain health and fitness and extend your life span.
Find out how the process works by looking at our exclusive Sterling Surgicare Bariatric Process Chart which explains the steps you need to take before and after your weight loss surgery operation.
Ready to learn more? Great! You can meet Dr. Adeyeri personally at one of his upcoming New Patient Information Seminars.
As always, feel free to call us at (732) 217-3897 to talk about your weight loss goals.
(Photo courtesy of FreeDigitalPhoto.net)
April 7, 2015
A severe case of diverticulitis and peritonitis sends a central New Jersey woman to the ICU
Debra McKavanaugh is a busy wife, mother of two grown children and an elementary school teacher’s aide here in Monmouth County. Through medication and lifestyle changes, she had her diverticulitis under control, for the most part. But eventually, an increasingly serious bout of stomach pain sent her to the ER at Bayshore Community Hospital in Holmdel. The diagnosis was far more serious than she anticipated.
“I’ve always had a high threshold for pain but this was something on a completely different level,” Debra remembers. After a CAT scan and subsequent lab tests, Debra found out she had a perforated divertulum requiring emergency surgery. Dr Ayotunde Adeyeri, a board certified laparoscopic and general surgeon with more than 10 years of advanced surgical expertise, was called in to take over her care.
Diverticulitis is a condition that develops when small, bulging pouches form in the lining of your digestive system, usually in the lower part of the large intestine (colon).
In Debra's case, these pouches became infected and eventually perforated the intestine. A person with a perforation needs surgery to remove the diseased intestine and remove the toxins which have entered the abdominal cavity. After this kind of surgery, a colostomy bag may be required until the intestine has healed and is ready to be reconnected.
Debra was suffering from a severe case of peritonitis exhibited by her physical symptoms which included nausea, vomiting, fever, and severe abdominal tenderness. This condition requires immediate surgery. Without prompt treatment, peritonitis can be fatal.
Once the tissue is healed and antibiotics have eliminated the infection, a general or laparoscopic colon resection is surgically performed and the colostomy bag is removed.
Dr. Adeyeri shares his perspective on a serious case
“Debra’s case was an emergency as the intestinal tear has released toxins throughout her stomach region, which can quickly infect the entire body,” Dr. Adeyeri explains. Laparoscopically, using only four tiny incisions, Dr. Adeyeri surgically repaired the tear, supported by the Bayshore hospital surgical team.
Debra spent the next week in the Intensive Care Unit (ICU), including five days supported by a ventilator. When she was cleared to leave the ICU, she remained hospitalized for another few weeks.
“I was in very serious condition due to the severity of my case,” Debra says. “They anticipated that my operation would be as long as three hours but it turned into a very complicated six-hour surgery.”
Due to the extensive damage to her bowel and intestines, Debra needed a colostomy bag while her internal organs recovered from the infection and subsequent surgery.
Due to the severity of her condition, she was also forced to take a year’s leave of absence from her job in order to rest and fully recuperate.
Time heals all wounds
By mid-2014, Debra had made a faster-than-expected recovery and contacted Dr. Adeyeri to perform a second operation to remove the colostomy bag and reconnect her large intestine. (This operation is called a laparoscopic colon resection or laparoscopic colostomy reversal).
“Dr. Adeyeri had saved my life and did so laparoscopically ─ which is amazing,” Debra says. “I felt so comfortable knowing he was going to do the second surgery which would finally get my health back 100 percent.”
Debra says that friends and family have asked her about her advanced larparoscopic surgeon who performed her two complex colon surgeries.
“I am more than happy to recommend Dr. Adeyeri. He’s always got a smile on his face and he’s truly is an expert at his job. I was in very bad shape but he was never concerned and never doubted I would fully recover. That meant the world to me and my family during this difficult and scary time.”
After a four-day hospitalization after this second surgery, Debra went home to resume her “old life."
Today, she has returned to her full-time job and now looks at life a little differently. “After all that I have been through, I no longer let the little things in life bother me and every day truly feels like a gift that I will never take for granted.”
About Dr. Ayotunde Adeyeri
Dr. Adeyeri is a board certified and University of Rochester fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is on staff at Bayshore Community Hospital, Raritan Bay Medical Center and CentraState Medical Center.
To schedule a surgical consultation at his office in Holmdel, Old Bridge or Freehold, please call (732) 217 – 3897.
Photo Credit: freedigitalphoto.net - Ohmega1982
March 11, 2015
Cynthia eliminates her chronic pain and expensive medications after weight loss surgery
"I am very pleased with my weight loss and health due to Dr. Adeyeri and his health team. I had my weight loss surgery in Oct. 2014 and so far lost over 30 pounds!
Before the surgery, I had health problems related to my weight:
*My BMI was very high
*My cholesterol was high ( I had a heart attack in 2011)
*Blood pressure was rising
*I have osteopenia in my right hip (The extra weight put pressure on my hips and although I did exercise and walking, it was at a minimum.)
Since the surgery I'm off my medications, have no problems walking or exercising :) but most of all--
I feel GREAT!!
Dr. Adeyeri and his team treated me with excellence and with efficient care. They are very kind and had the utmost respect for me.
Thank you Dr. Adeyeri!"
ObesityHelp.com - Patient Reviews - March 8, 2015
March 2, 2015
Dr. Adeyeri's article on weight loss surgery and the potential to boost fertility is published by My Central Jersey newspapers
"Studies show bariatric weight loss can help fertility"
Gannett Newspapers - My Central Jersey
March 1, 2015
Determined Jersey Girl battles her way back to health with gastric bypass
Two years ago, Elaine came to us with a significant battle ahead of her, weighing more than 500 pounds.
Just to be clear on this young woman's determination, she lost well over 300 pounds in the first year alone after her gastric bypass operation.
Based upon her weight and health conditions, Dr. Adeyeri advised her this was the best procedure for her best chance for weight loss victory.
(Don't let anyone tell you Jersey girls aren't tough and determined!)
We were delighted to see this collage which Elaine shared with us on Facebook on her second year anniversary a few weeks ago.
Her post reads, "On March 13 is my 2 year weight loss surgery anniversary.
I have lost an amazing amount of weight. I still have a lot of work ahead of me.
But thanks to Dr. Ayotunde Adeyeri he made the process so much easier and with trust goes a long way.
Thank you, and yes I will see you soon Doc!"
February 26, 2015
Sterling Surgicare's Dietitian's Digest
By Lori Skurbe, MPH, CDE, Sterling Surgicare Dietitian
Sterling Surgicare's bariatric weight loss surgery program here in central New Jersey includes a wealth of support to patients, including working one-on-one with a dietitian who specializes in bariatric health.
Sterling Surgicare's chief dietitian, Lori Skurbe, offers a plethora of helpful advice and useful information for pre- and post-op patients. She also meets, on an as-needed basis, with our patients who have achieved their goal weight.
Each month, Lori shares up-to-the-minute news and advise to help you keep losing or maintaining your weight.
The new world of food portion sizing after weight loss surgery
You might have heard the term "portion distortion." It implies that most of us think over-sized portions are "normal" because we are constantly exposed to them. This is one of the key reasons we are becoming a nation of overweight people.
When our favorite restaurant brings our meal on a platter, this should be a wake-up call that something is not right. But if you are a value-focused consumer, you will certainly return to enjoy another super-sized meal to get the most for your hard-earned money--even if your dinner actually portioned for a family of four...
Now let's to back to reality and do some measuring.
The images below illustrate the over-sized portion, the healthy serving (for non-bariatric patients) and post- bariatric portion.
After weight loss surgery you can literally fit a meal in the palm of your hand:
What are the benefits of reducing your portion sizes? Clearly, you are going to save money at the grocery store. Often you can request a child's portion meal or share with a friend when dining out.
Best of all, after you've finished eating, you will get up from the table feeling full, but not stuffed. You have given your body fuel to keep working--not hold it back.
February 20, 2015
New Jersey bariatric surgeon Dr. Adeyeri is one of the few bariatric surgeons who specializes in duodenal switch weight loss surgery
When you are looking for a doctor to perform weight loss surgery, regardless of the procedure you choose, you want to know that doctor is highly skilled in the traditional operations -- gastric sleeve, gastric bypass and gastric banding (Lap-Band) -- but can also offer more advanced procedures which may be more successful for some patients in the long run.
Duodenal switch surgery is a combination of a gastric sleeve and gastric bypass surgery.
It is considered one of the more specialized weight loss surgery procedures and is only performed by bariatric surgeons who have successfully undergone procedure-specific training to perform it.
Dr. Ayotunde Adeyeri, with offices in Holmdel, Old Bridge and Freehold, is one of the few bariatric surgeons in the state of New Jersey who specializes in performing this newer operation to achieve a high volume of weight loss.
WHO IS APPROPRIATE FOR DUODENAL SWITCH SURGERY?
Duodenal switch revisional bariatric surgery is sometimes performed as a secondary procedure after a gastric band or sleeve gastrectomy surgery did not achieve the desired overall weight loss the patient hoped to achieve.
This lesser know procedure actually offers the patient the highest opportunity to lose the highest volume of weight loss.
DUODENAL SWITCH KEY FACTS:
*It may reduce hunger significantly.
*You may have nutritional deficiencies and must take multi-vitamins daily
*You will not experience dumping syndrome if you consume sugar.
*You will carefully monitor your diet to ensure you are consuming enough healthy foods.
Duodenal Switches involve stapling about 70 percent of the stomach off and leaving the rest of the stomach connected to the first part of the intestine (the duodenum) which is then re-attached at a lower area of the intestine.
This procedure prevents bile and digestive juices from processing food further down the intestine which results in less caloric absorption. Because of this longer period between eating and digestion of food, the food passes to the colon faster, and the patient doesn't process the full amount of calories he or she normally would have.
Duodenal Switch produces excellent long term weight loss based on clinical reporting up to 70 to 80 percent excess weight loss with long term patient follow-up. Successful bariatric surgery is defined as a procedure that produces more than a 50 percent excess weight loss. Most studies report over 80 percent success rates for duodenal switch patients.
HOW TO FIND OUT MORE
If you are not satisfied with your original bariatric weight loss surgery outcome, or if you are experiencing bariatric surgery complications, reach out to Dr. Adeyeri and his Sterling Surgicare team for an appointment by calling 732-217-3898 or email us at firstname.lastname@example.org.
February 13, 2015
Sugar is bad for your waistline and even worse for your heart
By Dr. Ayotunde Adeyeri, New Jersey-based bariatric surgeon
As the lone male in a household of four other family members, Valentine's Day is, needless to say, a very big deal. But the holiday also reminds me about February being Heart Health month. Since I'm not a cardiologist, most of you might not think I would focus an article on heart health, but I think after you read this information below, you'll see why the best thing you can do for those you love is to forego the sugar.
I see many people struggling with serious obesity issues, unattractively referred to as ‘morbid obesity’ and ‘metabolic syndrome’. I treat patients who are overweight and battling obesity-related health conditions ─ type 2 diabetes, sleep apnea, chronic joint pain and heart disease. Much of the time, these patients tell me their weight issues are due to an addiction to sugar.
Let’s face it ─ sugar tastes great. And the more you partake, the more you want it. Worst of all, when sugar-laden foods are in competition against vegetables, whole grains and healthy protein, sugar is going to win, hands down.
Sugar contributes to heart disease
Pure white cane sugar has also been proven to play a leading role in heart disease. New studies are showing that sugar cause inflammation that damages the artery walls and leads to plaque ruptures and potentially cardiac arrest, or heart attack.
For more in depth information, watch the “60 Minutes” segment called “Is Sugar Toxic?” online. It features Dr. Sanjay Gupta and Dr. Robert Lustig talking about the fact that pure sugar and high fructose corn syrup is literally killing us by contributing to widespread heart disease and other life-threatening diseases.
So what can we do about it?
Recommended daily intake
If you are preparing for, or have undergone weight loss surgery, eating sugar-laden foods isn’t part of your program. But if you have reached your goal weight and are maintaining a healthy weight, The American Heart Association recommends added sugar be limited to no more than 6-7 percent of your total calories. (This does not include naturally occurring sugars found in fruits and dairy products).
Read your foods ingredients list.
Learn to identify terms that mean added sugars: brown sugar, confectioner’s sugar, corn syrup, dextrin, honey, invert sugar, maple syrup, raw sugar, beet sugar, cane sugar, corn sweeteners, evaporated cane juice, high fructose corn syrup, malt, molasses, and turbinado sugar, to name a few.
You can overcome a sugar addiction in less than a week
The good thing about ‘sugar addiction’ is that is can be cured within about 4-5 days after reducing overall sugar intake to below 10 percent a day. After that, you’ll be surprised at the healthier foods you begin to crave instead and your waistline and your heart will thank you!
February 2, 2015
By Lori Skurbe, MPH, CDE
Sterling Surgicare Dietician
(Editorial Note: Sterling Surgicare's bariatric weight loss surgery program here in central New Jersey includes a wealth of support to patients, including working one-on-one with a dietitian who specializes in bariatric health.
Sterling Surgicare's dietician, Lori Skurbe, offers a plethora of helpful advice and useful information for pre- and post-op patients. She also meets, on an as-needed basis, with our patients who have achieved their goal weight.
Beginning this month, Lori will be sharing up-to-the-minute news and advise to help you keep losing or maintaining your weight. We know you'll enjoy her inaugural article below):
It's not just you--it's challenging for all of us to break bad habits
I'm pleased and honored to have the opportunity to share some insight with Sterling Surgicare's readers. I meet with many patients every week who are fighting the battle with obesity. Over the years, I've seen many key indicators that most people have to overcome. One of those first battles can be the most difficult to defeat--getting rid of bad habits.
Clearly, most of the bad habits we all have developed over a matter of years, not weeks or months. Therefore, they are not going to disappear in a week.
In fact, even when we think we have finally overcome them, they can still rear their ugly heads when we least expect them to so do.
Recently, the New York Times Money feature provided an intriguing discussion on breaking bad habits and I felt the key points outlined in this article also related to millions of people trying to lose weight.
You can read the article here and I think it offers some great points to keep in mind while anyone tries to break a bad habit.
I hope it offers some sage advice that is helpful to you.
January 28, 2015
Sterling Surgicare "Bariatric Superstars" featured in Raritan Bay Medical Center calendar
The Sterling Surgicare team spied several of our Institute for Weight Loss bariatric SUPERSTARS featured in the new 2015 Raritan Bay Medical Center calendar including:
Debbie Kopcho-Borden Brian Borden (above);
Shavon Price (below):
and Maryellen Pearson:
January 26, 2015
Office Hours Amended Due to Impending Snow Storm in New Jersey
I will be cancelling office hours for tomorrow, Tues., January 27, 2015, due to safety concerns from this storm which is on the way.
Patients scheduled for tomorrow will be rescheduled to next available date which is Friday in either the Freehold office (a.m. appointments) or Old Bridge office (p.m.).
The Sterling office number will still be open for emergencies and inquiries.
Call us today at 217.3897 if you need to change an appointment and, most importantly, stay safe and use caution if you will be shoveling:
*Make shoveling a team effort
*Bend your knees
*Don't pick up too much snow at one time
*Shovel just one side of the driveway, if you can, and deal with the other side later.
Stay safe and sound everyone!
January 8, 2015
It’s time to place yourself at the top of your priority list
By Ayotunde Adeyeri, MD
The new year is a perfect time for a new mindset, especially one that is focused on improving your own quality of life.
How many times have you told yourself ‘there’s no time to take care of me ─ I’m too busy caring for….’ or ‘there are too many other things to get done first’. While this is a doctrine many of us follow, at some point, it catches up to us when your faced with:
• Medical problems because you neglected your health.
• Living by ‘life = work’ so there is nothing left at the end of the day.
• Significant obesity that has led to chronic health issues.
• Focusing only on everyone else you’re just too exhausted to enjoy life.
Loved ones and even your professional life are bolstered when you feel healthy, inspired and motivated. The world is your oyster and anything can happen.
How do you find your way to this better quality of life?
• Set aside time every single day to take care of yourself mentally and physically.
• Put yourself at the top of your ‘to-do’ list.
• Relax, exercise, plan healthy meals, just take a deep breath and close your eyes for a few minutes.
• Time for a life change? Devise a plan and follow through with it.
This may mean that you have to say "no" when asked to take on a new task or that you need to ask a friend or a family member to help. That’s ok!
If you’re preparing for, engaged in or maintaining weight-loss, it should be at the top of your priority list as well.
‘You’ are an important responsibility that needs care and nurturing so you can accomplish all the goals you’ve set.
December 29, 2014
Looking back on 2014 to see how far we’ve come
By Ayotunde Adeyeri, MD
I’m sure most of you share my utter shock that 2014 is almost a memory. At the same time, these final days of the year are an ideal time to commemorate the efforts you made to be as healthy as you can be since January.
For some, this may mean just gathering information about all the weight-loss options.
Others may have implemented steps to lose weight in an effort to defeat obesity-related chronic health conditions such as type 2 diabetes, hypertension, high blood pressure, sleep apnea and chronic joint pain.
Regardless, it’s time to congratulate yourself -- on the smallest to the biggest steps you made -- to regain health and lengthen your longevity. Do you keep a journal? Read back to January, February or March to see how far you’ve come.
I recently had a patient come to me in tears about how much weight he had gained over the years. We discussed that the purpose of the office visit was not to look back but to celebrate moving forward─in the right direction.
We all face roadblocks throughout life and often it’s the same old obstacle staring us in the face. That’s ok, it’s part of being human. What is important is how you react to that challenge.
When it comes to obesity, it’s a team sport, in my eyes. While the person losing weight is the quarterback calling the plays, the rest of the team ─ family, friends and people in the healthcare community ─also need to be right there to help you win the game of good health.
So let’s go, grab that goal, lose the weight and get healthy.
Meanwhile, just because it's still December and we're faced with many unusual food situations, stick to your guns and make the right choices.
It's not about the food any more. It's about you.
Susie W checks in just one week after gastric bypass performed by Dr. Adeyeri
(Original unedited public quote)
"I am very happy with Dr. Adeyeri and his staff. I had my Gastric Bypass
with him one week ago and everything has gone great. I first met with him in August 2014 and with his guidance and the girls at his office
I had my surgery completed on December 11, 2014. Everyone was very helpful and detailed.Dr. Adeyeri
explains everything clearly and takes his work seriously. I feel totally comfortable with him and he listens to what you have to say or concerns. Again, I am super-happy and feel blessed that Dr. Adeyeri is my surgeon. I had never had surgery before and following his rules everything turned out like he said it would.
I would recommend him to anyone I know who needs this type of surgery."
Via ObesityHelp.com - Doctor Reviews
December 23, 2014
Dr. Adeyeri, Mara, Melissa and Lori at Sterling Surgicare
No one means more to us than our patients (who often become our friends!)
We would like to wish all our friends, colleagues and hospital affiliates a wonderful Christmas!
Enjoy these special times and making new memories to remember forever.
A warm 'thank you' to one of our NJ bariatric patients who presented our whole staff with Christmas sweaters which were used to create this lighthearted holiday greeting to share.
November 26, 2014
The best Thanksgiving gift a bariatric surgeon could ask for
(Jorge Torres shared this message with us on Facebook and generously permitted me to share it here. Jorge has lost 220 pounds to date):
"Wow. I was just reminiscing and am so happy I've changed my life...
The top pic is from Thanksgiving two years ago and the bottom from just a month ago.
The journey is not anywhere near over but I'm headed in the right direction.
THANKS to Dr. Ayotunde Adeyeri and Central Jersey Bariatrics for helping me change my life.
November 13, 2014
Keeping your eye focused on the weight-loss prize this holiday season
By Ayotunde Adeyeri, MD
I truly love the holiday season. I finally have a chance to see other very busy friends and even attend a party or two. There’s also more time to enjoy my family and just be together.
But for those who have undergone bariatric surgery in the past year, the impending holidays can feel like one big Temptation Island. More than a few of our patients have expressed anxiety about it, and rightfully so.
So I’d like to share a few words of encouragement─
- Assuming you are post-op, this is the first holiday season of your healthier lifestyle. Perhaps for the first time in years, the focus of holiday celebrations will be on family, fun and good tidings, instead of food and drinks. By shifting attention away from food and toward more meaningful things, you may see the season in a brand new light.
In fact, why not shake things up this year? Instead of cooking all those empty calorie recipes, volunteer for an organization that needs your help. After you have donated your time and talent, you’ll feel so much better than if you overindulged on the wrong things and pushed the scale up a few pounds.
Whether you are already our patient here at Sterling Surgicare or just need someone to bounce ideas off, don't wait until you are stressed and begin to do things which offsets your weight-loss mission.
We’re all in this life-changing journey together, even during the holidays.
(Photo Credit: http://blog.myhealtheme.com/ )
November 1, 2014
Dr. Adeyeri was a bariatric surgeon expert interviewed on AM Radio 970
Dr. Adeyeri shares his expertise answering the questions you need to know if you are interested in weight loss surgery.
He shares practical tips for people considering weight loss surgery and explains how many bariatric patients who originally had the Lap-Band are choosing to change the gastric sleeve or bypass.
If you are very overweight, particularly if you are also suffering from diabetes, high blood pressure, chronic joint or sleep apnea, we hope you'll listen and learn more.
Listen to the podcast here:
If you would like to learn more, call the team at Sterling Surgicare at (732) 217-3897 to schedule a consultation.
October 20, 2014
STERLING SURGICARE listed as one of four recommended weight-loss surgery centers in NJ by the Asbury Park Press
If you are interested in a surgical weight-loss surgery solution here in central New Jersey, where do you start?
The Asbury Park Press has begun devoting much much focus to health and wellness topics, which we certainly commend them for doing. From acute and chronic medical conditions to surgery and new innovations in medicine, they are covering it all, it seems.
One of their newest in-depth articles, "Small Talk: Weight-loss procedures a matter of motivation" by reporter Gina Columbus featured an overview of the "Big Three" bariatric surgeries.
And we are pleased to report that Sterling Surgicare was featured as one of just four recommended surgical weight-loss centers in New Jersey!
Click on the link above to read the complete article.
October 14, 2014
How to keep your immune system strong after weight loss surgery
By Ayotunde Adeyeri, MD
Holmdel, New Jersey
Losing weight after bariatric surgery demands a lot from your body and mind. You are engaged in a completely new way of eating and daily living ─ it’s a big change. During this transformation, the last thing you want is to face a setback due to an acute illness such as flu, cold or other viral infection.
Being ‘under the weather’ can also derail whatever exercise program you are engaged in ─ and that’s not good either.
Those of us who work in hospitals know several tips and tricks to keep from getting sick by boosting our immune systems. I’d like to pass these ‘insider’ tools on to you:
• Find ways to help lessen stress and do them every day.
• Stay hydrated; aim to drink 5 water bottles daily.
• Sweat it out. Keep moving and sweating at least 30 minutes daily.
• Wash your hands for a full minute, all the time.
• Eat foods rich in zinc, such as grass-fed beef, pumpkin seeds and spinach.
• Zinc stimulates your body to produce immune-boosting antibodies and overcome cold viruses.
• Add vitamin C-rich foods (I favor oranges and bell peppers) to your diet.
• Vitamin C stimulates the production of antibodies to fight infections (and lessen cold symptoms).
• Super-charge your gut with healthy bacteria just by eating Greek yogurt.
• Go ahead and eat the garlic ─ it’s a potent antiviral, antifungal and antibacterial weapon.
Germs and sicknesses, in varying degrees, are out there right now ─ but that doesn’t mean you have to fall victim to them. Living a healthy lifestyle every day makes serious chronic diseases and common seasonal bugs less likely to take hold of you.
Just like overcoming obesity, it’s another way to boost your quality of life, every single day.
October 10, 2014
Gastric sleeve weight loss surgery opens the door to a new life for busy NJ restaurant chain owner
For 47-year-old Scott Lentini, the decision to undergo weight loss surgery was an easy one. Like many of us, he struggled with weight issues most of his life. Over the years, Scott tried a variety of diets and weight loss plans without lasting success.
He adopted a demanding exercise regime but his low energy level made most physical activity very difficult for him.
Equally challenging, his livelihood revolves around fast food. After seeing the fantastic results achieved by his best friend who had undergone surgery a year earlier, Scott knew that bariatric surgery was the right choice for him.
Like many people struggling with obesity, Scott was dealing with a host of serious and chronic obesity-related illnesses at 250 pounds ─diabetes, high blood pressure, high cholesterol and sleep apnea.
While he set a personal goal to lose 75 pounds, his main objective was to finally overcome his health problems, get rid of the medications and just feel healthy.
On the road to recovery
To get started, Scott attended a new patient information seminars at Raritan Bay Medical Center in Old Bridge. He then made an appointment for a private consultation with Dr. Ayotunde Adeyeri, MD, medical director of the Institute for Weight Loss at the hospital. Scott was impressed with the doctor’s bariatric expertise, professionalism and sincere compassion.
“Dr. Adeyeri was awesome,” says Scott. “He took a lot of time to explain all my options and supported me through the whole process.” Scott received medical clearance to undergo the sleeve gastrectomy (gastric sleeve), a weight loss procedure that reduces the size of the stomach to limit food intake and lessen the sensation of hunger.
Goodbye bottles of medicines, hello new life
Just six months after surgery, Scott had lost the 75 pounds he originally aimed to lose. Just over a year later, he had lost 115 pounds and was actually below the BMI for his height. He no longer needs medication for diabetes, high blood press or high cholesterol and the sleep apnea is a distant (bad) memory.
Scott said since his weight loss surgery in 2012, his father, brother, two friends, a colleague at work and a friend’s daughter have chosen to undergo bariatric surgery.
“I know I’ll never go back to obesity,” says Scott. To help him stay on track he attends a support group meeting monthly at Raritan Bay. “My life is totally different now,” Scott says with a smile. “I have more energy, I sleep through the night and all of my previous health issues are gone. I am a new person. Life is so good.”
October 6, 2014
Kelly posts her 9-month post-bariatric surgery update
"Met with my amazing surgeon Dr. Ayotunde Adeyeri today.
Down 86 pounds since surgery on 12/26/13 -- that's 43% body fat!!
So thankful for all his kind words and wonderful support."
Kelly Reilly on Facebook
September 24, 2014
A surgery patient surprises me with the ultimate gift
One of my patients, Alex, came by the office to thank me for his healthy recovery after I performed gallbladder surgery and a hiatal hernia repair.
As many of my patients know, I love Texas and have always dreamed of owning my very own Stetson.
Now the proud owner of one, I'm inspired to get some good boots to wear with it.
Thank you, Alex, for surprising me with the most perfect gift anyone could ask for!
Very pleased to hear, also, that you continue to feel great!
September 16, 2014
The Jessica Smith craze for a fun and free work-out
I have a post-op bariatric patient who is using this program as a successful work-out "partner".
She works from home and saves time and money not needing to rush to make a class at her gym.
"I can do Jessica's workout when it fits my schedule, which can be crazy. She started with about 10 followers and now has about 90,000 followers..."
Jessica Smith is airing her fitness training videos online.
Could this work for you?
Here's a little more background about her: http://www.chicagotribune.com/lifestyles/health/sc-health-0910-diy-fitness-20140910-story.html#page=1
September 1, 2014
How am I doing? My surgery patients will tell you...
As you know, I'm a big fan of the Internet and using social media to talk about medical issues, metabolic disease, obesity and life here in central New Jersey.
My patients are incredibly generous, particularly my bariatric patients, in sharing their weight loss surgery stories and experiences here on this website and on other social media vehicles, such as ObesityHelp.com, a terrific site that helps people battling obesity to find healthcare resources and support during their weight loss journeys.
And patients use this resource to share their personal experiences with their bariatric surgeons -- here in NJ and across the county.
I am proud to share that I have 98 patient reviews on this website. Each of these reviews is studied by me and my entire staff--from my admin team to Lori, my registered dietitian. We care what patients think and feel about our medical care and pre- and post-surgical support.
Patient care is #1 for us--whether you come to Sterling Surgicare for gastric bypass, a gallbladder operation, an appendectomy or even the most complex surgical challenges (which is my specialty).
Thank you for your support and your time posting reviews like these. They truly mean the world to us.
August 26, 2014
Gannet Newspapers features Dr. Adeyeri's article about the benefits of weight loss surgery for the younger patient
MyCentralJersey.com, a subsidiary that produces several daily newspaper throughout NJ including the Asbury Park Press, featured Dr. Adeyeri's article, "Bariatrics for the younger patient" in partnership with the Institute for Weight Loss at Raritan Bay Medical Center, where he serves as medical director.
August 25, 2014
My day in the spotlight at Raritan Bay Medical Center in Old Bridge
As you know, I am very proud to serve as the medical director of central New Jersey's RBMC's Institute for Weight Loss. My role encompasses both performing various weight loss surgery operations (gastric bypass, gastric sleeve, lap-band procedures and revisional bariatric surgery ) here as well as helping to grow and expand the breadth of the program that is attracting patients from all over NJ.
As I hope you have seen in the past few years, our advertising program, combined with solid word-of-mouth referrals from our satisfied patients, has helped the IWL become one of the biggest and most sought-out weight loss programs in central NJ.
This morning, I was filmed talking about our successes with the assistance of one of my star patients, Shavon Price, a young woman who is a full-time student and professional who took it upon herself to lose 130 pounds and reach her goal weight.
The RBMC Foundation is celebrating its 112th year as a hospital serving patients from Middlesex, Monmouth, Somerset and Ocean Counties. Our IWL team is honored to be featured for our accomplishments!
August 6, 2014
This Jersey girl takes control of her weight issues with bariatric weight loss surgery and comes out smiling
We never tire of sharing success stories of Sterling Surgicare patients from all over New Jersey -- determined people from Bergen County, Monmouth County down to Hunterdon County -- who have come here to Holmdel to tackle their obesity issues once and for all.
And we never tire of enjoying their 'before and after' shots!
Our very successful bariatric weight loss surgery patient, Adrienne, was kind enough to share this terrific before and after image with us on our Facebook page this morning.
She's a young and full-of-life young woman who decided that she didn't want to her weight to hold her back from the best life has to offer.
She's added a few important words to her post:
"Feeling fabulous. Thank you!"
July 29, 2014
An unexpected thank you message from a NJ bariatric patient on Facebook
"Today I celebrate my one year anniversary since gastric sleeve surgery.
Thank you Dr. Ayotunde Adeyeri and your wonderful 'dream team' . I am still a work in progress. I'm so happy and blessed to have been given a new beginning.
Thank you to an awesome group of "losers" for sharing support and encouragement to push each of us through some not so good days and, for celebrating even the smallest achievements."
L. Sutera, Facebook
July 23, 2014
Get by during your weight loss journey with a little help from your (NJ bariatric support group) friends
Like any of life's challenges, it helps to have people alongside you who understand what you are going through and encourage success and offer some tips and tricks to help you along the way.
That's exactly the purpose of our monthly Bariatric Support Group Meetings held at 6 pm on the third Wednesday of each month at the Institute for Weight Loss at Raritan Bay Medical Center. Pre-and post-op bariatric patients convene with me and our staff dietitians to vent, laugh share, get information and trouble-shoot.
Even if you are just considering lap-band surgery, gastric sleeve or gastric bypass, come by and just listen; ask a question or two.
Immediately after the meeting at 7:30, I host a New Patient Seminar just for people who want to learn more about the process and the difference between the different weight loss surgery operations.
Call the office at 732-217-3897 so we know you'll be coming and I look forward to seeing old friends and new!
Raritan Bay Medical Center
3 Hospital Plaza
Medical Arts Building, Suite 404
Old Bridge 08857
July 16, 2014
This bariatric patient doctor review made my day!
"I am five days into my bariatric gastric bypass surgery and thank the Lord I feel great.
Dr. Ayotunde Adeyeri is my surgeon and I could not have chosen a more competent surgeon if I scoured the world.
He was right here in my 'own back yard'. My very first meeting with the Dr., I was treated as though I were his only patient, he listened to my questions and concerns and took every bit of the time I needed to have those answers. He never 'sugar coated' anything, and that is exactly what I wanted to hear; what I wished to hear. He went over all of the pros and cons of each different type of surgery and all of the risks in a clear cut, but extremely understandable explanations. His demeanor during further pre-op visits never change, always caring, calming, but always 'on point', again no sugar coating, I was so grateful for that and always left his office sure I was doing the right thing and more importantly, had the right surgeon!
If I could sit for a year and think about anything I may have found negative about MY Dr., it would be a year wasted. He is exactly the kind of Dr. you want to encounter when you finally make a life decision such as bariatric surgery. Plain and simple, the best. I cannot say enough about his office staff, Maya and Melissa are pure angels, always willing to answer a question at each phone call and can be reached any time of the day.
If there is such a thing as being overly helpful, these women are just that, to them, there was never a dumb question and they let you know that.
If you have made the Bariatric decision for yourself, please think about choosing Dr. Ayotunde Adeyeri, I promise you, throughout your journey, you will never be disappointed with your choice. He emphasizes a very structured aftercare program, but, it is one that is so easy to fit into you 'new life' lifestyle.
When I first heard it, I thought to myself, "boy, am I going to be able to adhere to this" and when I finally got to the point of having the surgery done, the aftercare was a no-brainer, totally fit into my mindset and my new lifestyle. Dr. Ayotunde Adeyeri is the General amongst the army of bariatric surgeons out there, in my opinion the best you can ever hope to find helping you.
Believe me, I am a total research freak, everything I've read about this man came true in my encounters with him, even from the very first!
His competency is far above the normal expectation you want and need in a surgeon, I would recommend him without batting an eye, he truly is, the best!
God bless you Dr. Adeyeri, and thank you for giving me a better quality of life!"
Dr. Adeyeri's 94th Patient Review on ObesityHelp.com
July 11, 2014
Dr. Adeyeri's tips for a safe and speedy recovery after weight loss surgery
Once your bariatric surgery procedure is over, you need to focus on recovering from the operation successfully.
I recommend that my patients follow these basic tips to recover as quickly and safely as possible. Regardless of whether you had the gastric sleeve, bypass or Lap-Band, these tips, along with staying in touch with your medical team, will have you back up and running in no time:
• Plan your recovery
Make sure you have discussed an action plan with your bariatric nurse after you are discharged from the hospital. Find out when you will need to make follow-up office visits and what to do in case of any post-operative issues. Discuss any special equipment, over-the-counter medications, prescriptions or other items you will need to have on hand at home.
• Follow the doctor’s orders
Sometimes, the doctor’s orders might seem overly cautious. However, their only goal is to see you recover quickly. Warnings to stay out of water, avoid lifting heavy objects, abstain from driving or not to eat certain foods can protect you from unnecessary pain and complications.
• Know warning signs of any post-op complications
Before you head home, ask your doctor and medical team about warning signs you should be aware of that could indicate a problem. While these issues are very rare with weight loss surgery operations, you and your family members need to be aware of signs and symptoms.
• Stay hydrated
Drink plenty of water throughout the day. Aim for about eight glasses. Staying hydrated will aid in the healing process and help return the body to full operating capacity.
• Enjoy a little R & R
Surgery is stressful, so take time to relax and unwind. Is there a movie you’ve been meaning to watch on cable or a book you’ve wanted to read? Now is the time. Call an old friend and catch up. Even treat yourself to an afternoon nap and turn in an hour early.
More often than not, people who have undergone weight loss surgery start to feel better about 4-6 days after the operation, some even sooner. Your healthcare team here at Sterling Surgicare is always here to answer questions or help you in any way. Just call us anytime at (732) 217-3897 or email us your questions at email@example.com.
July 1, 2014
Can weight-loss surgery help people with Type 1 Diabetes?
By Ayotunde Adeyeri, MD
Obesity is common in type 2 diabetes but far less common in type 1 diabetes. We already know that people living with type 2 diabetes can lessen or even overcome the disease entirely after having weight-loss surgery. As a bariatric surgeon, we knew this to be true long before the eventual clinical studies confirmed this fact.
But what about people with autoimmune type 1 diabetes?
A recent study, although small in scope, found that bariatric surgery can also improve blood glucose control and heart health for these patients as well. Researchers analyzed data from several weight-loss surgery recipients with type 1 who had a pre-surgical average body mass index (BMI) of 46 (i.e. a person who is 5-foot-8 inches tall and weighs 300 pounds).
Three years after surgery, these study participants had lost 60 percent or more of excess body weight, improved cholesterol and blood pressure, lowered their A1Cs from 10 to 8.9 percent on average, and cut their insulin use by 50 percent.
The American Diabetes Association reported in their own small study that “gastric bypass surgery not only leads to a significant and maintained weight-loss in type 1 diabetic patients, but also results in remarkable improvement in metabolic control (absolute reduction in HbA1c of 3–4%) and concomitant disorders.”
If you or a loved one is living with diabetes and is significantly overweight, I encourage you to share this information, as appropriate.
June 24, 2014
Weight loss Surgery: Join me for an informative seminar to explore your options
I'm really looking forward to tomorrow evening's seminar at Raritan Bay Medical Center in Old Bridge.
After our exclusive Bariatric Support Group Meeting starting at 6 pm (all are welcome!), I'll be talking with pre-op patients and other people who just want to learn more about the different bariatric procedures: gastric sleeve, gastric bypass, lap-band and revision surgery.
It's also a terrific opportunity to ask me questions directly about the process and why it could finally be the weight loss solution you have been looking for. Bring along your support team!
We warmly welcome you, supportive friends and family members:
Wednesday, June 25, 2014
Support Group Meeting: 6 - 7 pm
New Patient Information Seminar: 7-8 pm
Raritan Bay Medical Center
3 Hospital Plaza (Off Ferry Road)
Medical Arts Building, Suite 404,
Old Bridge, Middlesex County 08857
Pre-register by calling (732) 217-3897.
Hope to meet you Wednesday night and bring your questions!
June 1, 2014
Jackie says 'thank you' to Dr. Adeyeri 200+ pounds later
Here's why I love my job: I stopped by my Facebook page to discover this message from Jackie Cobilla, my bariatric patient since 2012:
"Hi Dr. Adeyeri,
Just wanted you to know you will always be a hero in my eyes. You gave me back my life. I have lost over 200 lbs since my surgery on May 23,2012. I feel 95 percent better then when I first went to see you. I feel so much energy now I can enjoy my grandkids.
I have just been blessed with my 13th grandbaby on May 8th and have moved on with my life living in Florida soaking up all the sun. If any one asks me about weight loss surgery I know that I would highly recommend it. It took me over 20 yrs of being sick and always tired, not being able to play with my grand babies to finally get up enough courage to walk through your doors.
You made me feel so comfortable and understood what I felt. You are my guardian angel in my eyes. Thank you once again for giving me my life back."
May 19, 2014
Ten tips to help 'Bariatric Warriors' win the war against obesity
By Ayotunde Adeyeri, MD
Once you have undergone weight-loss surgery and slowly added regular food back into your diet, you will find that between support group meetings and office visits, you are increasingly “on your own”.
During this time, I’d like to offer some important tools and tips to keep you on track when it’s just you, your weight-loss plan…and your kitchen.
Post these tips on your refrigerator, on the bathroom mirror or on your mobile device of choice. Review it every morning and night and when you are waiting in line.
As a Bariatric Warrior, I will :
1. Eat a protein-rich breakfast every day.
2. Be on guard for hidden starches (carbohydrates).
3. NOT SNACK unless it is time for a mid-morning or afternoon snack.
4. For the first six months after surgery, go easy on dining out.
5. Make exercise your new best friend. Find something you like and move at least 30 minutes daily.
6. Plan out your meal and exercise strategy in advance every day.
7. Log your food and exercise.
8. Get your vitamin routine set so you never forget a day.
9. Reach out for ongoing support from friends, family, co-workers and other “bariatric warriors”.
10. Give yourself a daily pat on the back for your hard work, courage and strength.
Finally, remember that no one is perfect and that we all make mistakes, mess up, get off track.
As a warrior engaged in fighting a battle against obesity, you know the secret to winning the war is to regroup and get back in the fight.
This is a war you are going to win, once and for all.
Need some extra inspiration from other who have fought the same battle? Read our Patient Experiences.
May 13, 2014
It really means so much to me when I visit my Facebook page and see a message like this from one of my weight loss surgery patients:
"I went to see my favorite Dr. Ayotunde Adeyeri, he is so happy with my progress almost as much as I am!!
I do need to take more vitamins and eat more protein my vitamin levels are rather low.
As always it was a pleasure seeing my favorite Dr. and the girls in the office....Just Love Them :) :)"
Bariatric Warrior Kathy Pannucci
May 7, 2014
Bariatric patient Katie Fletcher talks about weight-loss surgery after age 60
We had a nice surprise when we stopped by our Facebook page this morning.
Our gastric bypass patient from 2011 posted this message:
"Went to see Dr. Ayotunde Adeyeri
today. Two and half years earlier, I weighed 240 lbs and was taking nine medications.
Today, I am at 166 lbs. and in great health -- no
I am in my 60s and looking forward to 60+ more years!
Thank you Dr. A!"
(Katie tells her gastric bypass story on video here)
April 28, 2014
I'm honored to have one of my articles featured today in ObesityHelp.com!
I am so inspired by the onset of Spring after this long, cold winter. I wrote an article about using the longer and warmer days to try something new, switch up the old routine and find new ways to live a healthy life (but enjoy yourself at the same time!).
Many of my patients recommend this site for objective content about bariatrics and love their patient support forums as well.
Nice way to welcome a beautiful new week!
April 22, 2014
Our patient care associate/tech is also a bariatric surgery star!
When you visit our Holmdel office, you'll surely meet Melissa Reddy, our Sterling Patient Care Associate / Tech, who has been part of our team for the past two years.
Melissa says she loves her career at Sterling Surgicare and particularly enjoys watching patients prepare, undergo and reap the rewards of bariatric surgery.
Melissa should know─ she underwent gastric bypass in November 2008. At the time, she weighed 299 pounds but today maintains a steady weight of 137 pounds. She lost 162 pounds and, most importantly, has kept the weight off and continues to lose! "Besides agreeing to marry my fiance, weight loss surgery was the best decision I ever made," Melissa says.
Melissa's boss to the rescue
During the summer of 2013, Melissa experienced a healthcare emergency when she was diagnosed with a painful bowel obstruction/internal hernia requiring immediate surgery.
Who did she choose to perform her surgery? Her boss, Dr. Ayotunde Adeyeri, of course. Melissa’s surgery was a complete success and her doctor follow-up visits could not have been more convenient...
"Melissa's condition was an emergency and I was honored she reached out to me to help her," Dr. Adeyeri says. "She is a very important part of my team and a great person to work with every day."
Melissa is the mother of three children, two teenagers and a 21-year-old daughter attending college in Florida.
April 17, 2014
Shavon chronicles her weight-loss surgery journey on YouTube
My patient, Shavon Price, has been keeping a video journal of her bariatric journey on YouTube. I think this is a brilliant idea that reminds her every day how far she has come (4-months post-op) and also allows her to inspire so many others with weight issues.
Well done, Shavon, and thanks for allowing me to share your link/story:
April 8, 2014
It’s spring! Time for add something shiny and new to your life
Spring is here at last and the season is throwing open all the doors which have been slammed shut during this long cold winter. Many of my bariatric patients, regardless of their tenure, have already started the year off with a bang by committing to lose weight, continuing to lose, keeping it off or just attending our Support Group meetings to encourage and support others.
Here are my five favorite springtime tips to continue your momentum and revel in the glory of the season:
1) Eat “real” food as often as you can.
By now, you’ve found out what “clean eating” is and how delicious it can be. Take advantage of our plentiful New Jersey farmers’ markets which are opening again and stock up.
2) You are in control of your food intake, your health ─ and your surroundings.
Make your home clean and clutter-free. Pick a room, a closet or a piece of furniture and get rid of what is not needed, used or appreciated. Your goal is to create a tidy, relaxing environment. Start with the room where you spend the most time.
3) Change up the exercise regime. Stuck in the gym all winter? Get a bike and start riding. Jog in the park instead of the treadmill. Try exercising with a friend. Consider finding a personal trainer who understands where you are on the weight-loss journey and is ready to help you boost your metabolism.
4) Swap recipes.
Regardless of your food program, reach out to others and share what you love. They will be happy to reciprocate. You can get some great tips from people in the same boat. Not 100% sure the food, beverage or vitamin is right for you? Just call or email your nutritionist for guidance.
5) Try something new.
Haven’t seen the beach in five years? Then head over and perform your exercise of choice in the sand while you listen to the waves. Been meaning to try water aerobics? Find a course that fits your schedule and ask if you can sample a class at no charge.
It’s a new day and a new season just waiting for you to grab it and make it GREAT!
(Photo Credit: http://www.littleviews.com/home/newyork/springlake.cfm )
March 31, 2014
Bariatric patient says choosing the right surgeon makes all the difference
Dana Strazzeri shared her personal insight:
ObesityHelp.com Patient Review of Dr. Adeyeri:
"I went to my first bariatric surgery appointment with Dr. Adeyeri with little knowledge of the types of surgeries available to me and what the possible outcomes may be. From my first meeting Dr. Adeyeri made me feel comfortable and that I had made the best choice for me. After that initial appointment he asked me to go home and do research on each of the 3 types of surgeries and decide which one was best.
I attended Dr. Adeyeri's seminar as well as a support group that he suggested I attend to talk to people who have gone through all 3 types of surgeries.
The surgery itself went seamless. I was in moderate pain the first 2 days while in the hospital and then the pain subsided drastically. Dr. Adeyeri checked on me the afternoon after the surgery and the day after to make sure I was feeling ok as well as getting up and walking.
It has been 2 weeks since my surgery and I know that I made the best choice for myself, not only with the choice of the sleeve, but with my choice of surgeons as well.
I don't think I would have been as well prepared for this surgery, both physically and mentally, if I had chosen a different surgeon."
March 26, 2014
Is it time for you to learn more about weight-loss surgery?
Maybe you have a friend of family member who is seriously overweight and who has tried every diet out there, only to end up more frustrated.
Weight-loss surgery is for people who have tried traditional weight-loss methods but did not achieve the level of success they were expecting. It's not just an operation -- it's a whole new way to live your life. It's getting back to good health by eating foods that fuel your body and support your new exercise plan.
As my patients tell me time and again, bariatric surgery is a "life-changer".
Each month. I invite anyone who would like a more personal introduction to weight-loss surgery to join my bariatric nurse navigator and me for a one-hour information session where I talk about the different kinds of procedures and who might qualify for the procedure. Our nutritionist talks about her role in helping patients incorporate a whole new way of living a healthy life.
Best of all, if you wish, you can ask me questions during my presentation or privately afterward.
I'm speaking tonight at Raritan Bay Medical Center in Old Bridge at 7:30 p.m. At 6:30, there is an open Bariatric Support Group Meeting that I encourage you to attend as well. This meeting offers a range of patients sharing their own personal challenges and progress before and after surgery. And, yes, best of all, you can talk with people who have lost (literally) hundreds of pounds.
Here's the link to my upcoming seminar schedule. If you would like to attend any of these sessions, please just let us know by calling 732-217-3897.
I look forward to meeting you soon!
(Photo: I'm shown here with a terrific young man, local firefighter Brian Borden of Marlboro, who underwent revisional bariatric surgery and achieved his goal weight.)
March 5, 2014
What obesity can cost you in dollars and cents
By Ayotunde Adeyeri, MD
The key benefits of weight-loss surgery
─ alleviating serious chronic disease such as diabetes, heart disease, sleep apnea; improving mental and physical health; expanding longevity ─ have been discussed extensively. But what about the financial implications of being significantly overweight?
The subject has been on my mind as we recently celebrated one of our post-op patients winning a significant promotion at work. He has a physically demanding healthcare job and his weight-loss ─ down from 405 to about 235 pounds today ─ certainly did not hurt his chances for earning a well-deserved recognition.
Comparing healthcare expenses for the obese vs. healthy BMI
The Centers for Disease Control and Prevention (CDC) recently reported being seriously overweight elevates your risk of coronary heart disease, diabetes, stroke, and cancer. As a result of these and other obesity-related ailments, overweight people spend a whopping 77% more on medications; 48% more time in the hospital; and 42% more on overall medical care than people who are not overweight.
Obesity and your checkbook
There's no question that serious obesity helps to drain your checkbook by these added healthcare expenses, the need for special-sized clothing and orthopedic shoes, not to mention the weekly food budget.
In our support group, where pre-and post-op patients gather to swap advice, offer encouragement, and ask questions, money is a constant theme ─ both money spent and, joyously, money no longer needed for prescriptions and co-pays, fast food, late night grocery runs, and plus-size pants.
Finally, let’s not forget the confidence that losing weight can offer. This actualization that you can, in fact, overcome a huge life hurdle (metabolic syndrome) can open the door to finding a better job, finishing your education, or even finding a life partner with whom to share a life ─ and the bills.
Is there a cost to a bariatric weight-loss solution? Most certainly. But is it a well-spent expenditure in the long run?
Photo Credit: www.checkadvantage.com
February 14, 2014
Bariatric surgery success story Fred Goldsmith stars in new Sterling Surgicare commerical
We are pleased to announce our new television commercial is up and running! It features Fred Goldsmith one of our weight-loss surgery success stories. We all felt that Fred expressed the challenges and successes of losing weight successfully in h is video that he was a perfect choice to star in Dr. Adeyeri's commercial.
We had a wonderful time shooting the ad (certainly took us out of our normal day-to day!) and hope it inspires people to reach out for help if they are very overweight.
Let us know what you think! Here's the commercial! http://www.youtube.com/watch?v=TCOvyx3Yafg
February 5, 2014
How to successfully navigate the buffet dining experience without going overboard
By Ayotunde Adeyeri, MD
Bariatric, Laparoscopic and General Surgeon
Losing and maintaining a healthy weight is a 24/7 job, make no mistake. And along the way, you will be forced out of your comfort zone. One of the biggest challenges my patients face is the buffet dining experience. Whether you are attending a special occasion, visiting a restaurant or enjoying a long-awaited cruise, the buffet can be a friend ─ or foe. I’d like to share some of my tips to help you deliciously and healthfully navigate…the buffet:
Stick to Proportions
Divide your plate into three sections—fill ½ with veggies, ¼ with lean protein, and ¼ with carbs. Stick to these proportions and you’ll feel satisfied, full and enjoy a variety of foods in moderation.
Take a Tour
Insider tip: The most expensive and popular dishes are “hidden” at the end of the buffet line and the least expensive are usually at the beginning. Therefore, stroll around the buffet before making your selections. Forego the typical foods you eat regularly (green salad, common cooked vegetables) and sample some new items or those that you might not normally eat. Dining should be fun and interesting. The game is to also make it healthy.
Let Others Go First
If you’re first in line for the buffet, you’ll also be the first one eating. By the time everyone has served themselves, you’ll be staring at an empty dinner plate, possibly considering a second trip to the buffet. Try to time your meal so you are choosing your foods about midway through the meal. At that point, there will be ample servings of your favorite foods and you’ll finish eating with the other guests.
Keep it Simple
Chicken, fish and high quality, lean cuts of beef (steak) are both excellent sources of lean protein ─ but not when they’re drenched in creamy sauces, wrapped in bacon, or hidden under layers of cheese. Stick to foods simply seasoned with herbs and spices or lightly tossed in olive oil.
With a strong emphasis on healthier eating, the buffet is no longer the enemy. It’s actually a rather fun game to fill your plate with delicious and nutritious food. You’ll be surprised how easy it is to make a delicious plate without feeling like you’re missing out!
About Dr. Adeyeri
Dr. A. Adeyeri is a board-certified, University of Rochester fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare; medical director of the Institute for Weight Loss, Raritan Bay Medical Center; and co-medical director at Central Jersey Bariatrics. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital.
To schedule a surgical consultation at his offices in Holmdel, Old Bridge or Freehold, call (732) 217 – 3897 or visit sterlingsurgicare.com.
January 22, 2014
PATIENT SPOTLIGHT: Wayne Hagman
Sayreville father loses more than 150 pounds in less than a year and discovers the good life
Wayne Hagman, a 42-year-old heavy machinery operator from Sayreville, has been heavy for most of his life. Like many of us, he continued to gain weight as the years passed. By age 40, he weighed
nearly 400 pounds. Although he was unusually fortunate not to have any obesity-related health problems other than ongoing knee pain, this father of two young children knew the time had come to take action.
Wayne’s wife was considering weight loss surgery and had consulted with Dr. Adeyeri. In January of 2013, he accompanied her to an office visit. “After meeting the staff and speaking with Dr. Adeyeri, the idea of me having weight loss surgery became plausible,” says Wayne. “After careful thought, I was 100 percent ready to go for it ─ with Dr. Adeyeri’s help.” In June 2013, Wayne took the plunge and underwent the sleeve gastrectomy weight-loss surgery operation.
December 2013: It’s been just over six months since Wayne’s surgery and he’s already lost over 140 pounds and is enjoying some huge improvements in his quality of life. “I’m doing stuff now that 15 years ago, I couldn’t do,” says Wayne. This past summer, Wayne was able to ride coasters for the
first time since he was a teenager. A longtime fan of the New Jersey Devils, he can now sit comfortably in a stadium seat. He’s also much more comfortable sitting in booths at restaurants or those tight seats on airplanes.
Enjoying and learning new sports at age 42
Weight-loss surgery also has allowed Wayne to become more physically active and spend more time with his sons. They play sports and, like many parents,
Wayne loved to see their games. But, he was on the sideline in more ways than one. Just walking up the hockey arena stairs left him gasping for breath. “Now, I run up the flight of steps. And, I breathe normally when I get to the top!” says Wayne.
His boys have inspired him to be more active which has brought his family closer together. Wayne is taking Taekwondo and his youngest son has inspired him to play ice hockey this winter. (He’s never played before, so he’s been practicing ice skating and brushing up on his technique to get ready for the season!)
Living life instead of existing
The biggest change in Wayne’s life, however, hasn’t been physical. “This surgery has given me the confidence and energy I need to live my life ─ not just exist ─ but truly live it.
Since having the gastric sleeve, I’m enjoying living my life, each and every day.”
January 20, 2014
Monmouth County Sheriff's Office names Dr. Adeyeri "Surgeon of the Year"
Sargent Paul Labella, president, Fraternal
of Police, presented Dr. Adeyeri with a plaque awarding him "Surgeon of the Year".
He was nominated after performing laparoscopic and bariatric surgery on several law enforcement employees in 2013.
"I have infinite respect for my patients who work in law enforcement and I am incredibly honored to be bestowed with this award," says Dr. Adeyeri.
January 15, 2014
It's nice to pop into the public Doctor Review website forums and read positive patient comments...
"So as of today I am 7 days Post-Op. 23 lbs down. Woohoo!
Dr. Adeyeri and his whole staff are incredible. They are all super nice,very professional and actually care. That's hard to find with many in this world. I have already recommended one friend to him and I was recommended by 3 of his previous patients.
He tells you like it is. He knows his business."
January 2, 2014
Courtney finds her own bariatric happy ending after changing from gastric banding to the sleeve gastrectomy weight-loss surgery
Revisional bariatric surgery can reignite weight-loss
in the event the original surgery did not offer optimal patient results
"Dr. Adeyeri is an amazing surgeon. He is very easy to talk to, and ensures that you have an understanding of all three procedures, so you can make the best choice for you. He cares about his patients and will do everything in his power to help you to succeed. There was never a time when consulting with him that he made me feel insecure or ashamed of being overweight.
I came into his care with a faulty lapband that another surgeon had put in. He performed an emergency lapband removal for me and fixed me up! Dr. Adeyeri than performed my revision surgery which has already began to change my life for the better : )
My surgery was smooth sailing. I had no complications. I am several weeks out and have absolutely no regrets. I have and would recommend Dr. Adeyeri to anyone who is considering weight loss surgery. His attention to detail and support is greatly appreciated and admired! If you want someone who will be straightforward, frank, and honest, Dr. Adeyeri is your guy!
Also, his staff is magnificent. Mara and Melissa are fantastic!!!! – They are both so warm and friendly. Mara, Melissa, and Dr. Adeyeri have gone so far above and beyond especially to advocate with insurances and make sure the surgery went off without a hitch.
Dr. Adeyeri’s office staff works very hard, and the dietician Julie, is excellent. There is a monthly support group which is an extremely valuable part of learning how to use your new tool to lose weight. Dr. Adeyeri attends the support group - which is such a perk to see a doctor that is so invested with his patients. If you stick with Dr. Adeyeri, you will be in good hands!"
December 23, 2013
Holiday Office Hours
I've taken a few days off to spend some time with my family and enjoy a little R and R. But I am returning soon and will have some open office hours available immediately after Christmas. My office staff let me know that some of you would like to come in.
Please call Mara or Melissa at 732-217-3897 on the 26th to confirm an appointment.
Finally, on behalf of Mara, Julie, Melissa and the rest of my Sterling team, we would like to wish you a very Merry Christmas. Enjoy the day with your family, friends and loved ones.
December 11, 2013
Healthy Swaps for Cream and Butter in Your Holiday Cooking
By Dr. Ayotunde Adeyeri, Medical Director, Sterling Surgicare
For most of us, the holidays mean an onslaught of rich, decadent and delicious foods. If you’re working toward your weight-loss goal, or trying to keep your weight in check, you don’t have to miss the enjoyment of eating your holiday favorites. Many recipes include cream and butter, so I have listed some healthier “swaps” to substitute these high fat and calorie ingredients below:
Heavy cream has about 825 calories and nearly 90 whopping grams of fat per cup. If you’re preparing a sauce or baked good, replace the heavy cream ingredient with equal parts evaporated skim milk, which only has 100 calories and less than one gram of fat per cup.
Sour cream is another popular ingredient with 60 calories and nearly six grams of fat in one small ounce. In sauces and baked goods, swap sour cream for plain nonfat Greek yogurt. It has the same consistency and similar flavor, but only 17 calories per ounce and no fat. If you’re preparing a recipe that relies heavily on sour cream, such as a dip or salad dressing, substitute a 50/50 mixture of low fat cottage cheese and plain nonfat Greek yogurt. Puree the mixture before adding it to your recipe for the same rich flavor and consistency. I promise you ─ no one will know!
Butter is a holiday staple, but just one tablespoon packs over 100 calories and nearly 12 grams of fat. Today, there are many things you can substitute. For frosting, use marshmallow cream instead of butter as the main ingredient. It’s fat free with a thicker consistency and significantly sweeter than butter. Therefore, so you probably won’t need to use as much.
For cakes, substitute a 50/50 mixture of buttermilk and unsweetened applesauce for a fraction of the calories and fat. In other sweet quick breads, like pancakes or muffins, use one cup of mashed banana for every cup of butter or oil. You’ll still enjoy the rich taste and even better flavor.
If you can’t find a way to prepare your favorite holiday specialties using healthier ingredients, just enjoy a small portion size (think ‘tasting’ size or the size of a small appetizer).
The holidays are a time for celebration, so don’t beat yourself up if you indulge a bit. Just get back on track the next day and keep your eye focused on your goal—no matter what time of year it is.
In closing, I would like to wish you and your family a joyous and happy holiday season.
November 19, 2013
FDA Finally Issues Ruling to Remove Trans Fats from Our Foods!
In the world of health and the war on obesity, we healthcare practioners were elated to finally see this ruling carried out. Raritan Bay Medical Center interviewed me about my point of view on the topic, which they then shared with the media.
You can read more about this important topic in MyCentralJersey.com
October 29, 2013
Tips for safe and effective outside exercising in winter weather
Now that we New Jerseyans are in the throes of late autumn and early winter, it is important to adapt your outdoor exercise program accordingly in order to avoid injury and optimize the effects of working out in cold weather. Many of my bariatric patients actually love exercising in the winter—it is truly exhilarating and many feel less tired (and sweaty) afterwards. But additional preparation is necessary in order to safely get the body ready to burn fat and calories.
*Photo Credit: FitSugar.com
I’ve outlined some tips below for anyone preparing to walk, run, bike, ice skate or engage in snow-related sports once temperatures have dipped down in the 40’s and below:
1) Make sure your footwear is appropriate for potentially slippery conditions. Use caution when choosing the surface you will work out on and try not to exercise outside after dark. (This time of year a gym membership can come in handy. In our area, monthly memberships can be as low as $20.00 per month).
2) Warm-ups are essential. Regardless of your age or physical condition, cold muscles and joints are vulnerable to injury because they’re stiff. To prevent strains, do a few warm-up exercises that will slowly start to boost your heart rate such as jogging in place; stretching from the waist and hips; arm and shoulder circles. Pay special attention to stretching out the leg muscles, particularly quads (back of thighs) and Achilles tendons (starting at the back of ankles).
3) Don’t skip the cool-down stretching, even if your exercise is walking. After a workout, it helps minimize subsequent soreness and allows muscles to gradually return to normal temperature.
4) Make time for strength training. Muscles are the body’s foundation, so give them the attention they need. Strong muscles are less susceptible to everyday aches and provide surrounding joints more support. Also, your body requires more energy (calories) to maintain muscle, so increasing your muscle mass helps burn more fat!
5) Don’t let sore muscles discourage you. They’re actually a sign that your body is responding to your workouts and getting stronger. Instead of resting sore muscles, try a low-impact, low-intensity workout that will get your heart rate up. This will help alleviate some soreness and keep you on track.
Winter is no reason to hunker down inside; it’s a great time to rev up your metabolism and keep fit during these long, dark months. It’s beneficial for both mind and body. Best of all, when the snow melts and the trees bloom again, you’ll be looking and feeling fantastic!
Dr. Adeyeri is a board certified, University of Rochester fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare; medical director of the Institute for Weight Loss at Raritan Bay Medical Center; and co-medical director at Central Jersey Bariatrics. Dr. Adeyeri is also on staff at CentraState Medical Center and Bayshore Community Hospital. He can be reached by calling (732) 217 – 3897 or by visiting sterlingsurgicare.com.
October 20, 2013
Dr. Adeyeri is a featured guest expert on Health Navigator
Click here to listen to Dr. Adeyeri on WOR710 AM radio's Health Navigator program hosted by Abe Kasbo.
Dr. Adeyeri talks about bariatric weight loss surgery, diabetes and the battle against obesity on this popular radio program focused on popular health and wellness topics.
October 7, 2013
Take time for a little support ─ you deserve it!
As a practicing bariatric surgeon for several years, there are a few consistent tools that patients, time and again, attribute to their weight loss success. Bariatric patients are a very diverse group of people─younger, older, professionals, and stay-at-home parents. Regardless, the majority will agree that participating in a bariatric support group has played a key role in their weight reduction and maintenance over the years.
I attend support group meetings every month at Raritan Bay Medica Center's Institute for Weight Loss. Our group meets here at the hospital every fourth Wednesday of the month from 6:00 to 7:00 p.m. I will be honest─it’s one of the high points of my month. Our bariatric nurse navigator, Maureen Ali, R.N., and nutritionist, Kristin Carlino, facilitate the group that often nears 40 attendees, and I’ll often offer some insight as well. This group is comprised of people preparing for weight loss surgery, recent post-ops and those who are six-months, a year, even five years down the line.
Keep in mind, you don’t have to say a word at these meeting if you don’t wish to ─but it offers a great forum to share, ask questions, offer tips or just take it all in. How can a bariatric support group help you?
• Learn from others how to overcome common obstacles and achieve success.
• Garner support from others to motivate you to keep going.
• Be reminded you are not alone in this journey!
• Discover new ideas for exercising and keeping active.
• Get some great “insider” tips from seasoned doctors, nurses and nutritionists.
• Meet new people that share a common interest – improved health!
• The sessions are free!
Many in our group say how much they look forward to just spending an hour focusing solely on their weight loss effort and then leave feeling reinvigorated to keep their momentum going. We welcome you to join us. We promise it will be time well spent!
October 4, 2013
A little weekend inspiration to "keep on track" regardless of temptations
Hurray -- we've successfully made it through another hectic and busy week.
For many people with weight management challenges, we often see the weekend as a time to "reward" ourselves for surviving (and thriving, we hope) during the week.
These rewards are often food-related. But when Sunday night arrives, and we think about how many times we went off track in our healthy eating program, it can be a bit of a downer. And you can spend the beginning of the week, or the whole week, potentially, making up for weekend splurges.
DON'T DEPRIVE, SURVIVE
For those of you who know me, I am never one to say "deprive yourself". At the same time, I am also quick to say, "pace yourself".
I found this image which shows a long list of benefits to losing fat. This "delicious" list shows what missing some desserts and carbs can do when you lose fat as a result.
Spend an extra 5 or 10 minutes working out this weekend and see just how great the long-term "rewards" will be for you. If you ask me, that beats a piece of cake any day of the week.
Wishing you and yours a marvelous autumn weekend.
September 4, 2012
"Sugar is bad for more than just your waistline"
Dr. Adeyeri continues in his quest to educate the general public about the serious health risks of sugar consumption.
One of the biggest challenges is that pre-packaged food manufacturers often use terminology to disguise sugar by calling it high fructose corn syrup, raw sugar, corn sweetners, etc.
In this new article, published in several editions of Greater Media Newspapers, the doctor explains, in simple terms, why sugar is one of the bad guys.
August 29, 2013
Lauren Layton's one-year post bariatric update
We've been sharing Lauren Layton's video weight loss story since her gastric bypass last summer.
We just finished shooting her latest 1-year video update.
Looking forward to sharing her video soon.
August 13, 2013
GREATER MEDIA NEWS publishes Dr. Adeyeri's article
In addition to his role as a bariatric surgeon, Dr. Adeyeri also performs routine and complex laparoscopic and general surgery.
He recently published an article for patients called "Appendicitis--when it's more than a total pain" which was picked up by the Greater Media newspaper chain and published in the "Health and Fitness" sections of all its publications.
Congratulations Dr. Adeyeri!
August 6, 2012
A Note of thanks from a bariatric patient
My patient, Dee Rios, was kind enough to post this note of appreciation and I'd like to share it:
I am very happy that I got the surgery done, Dr. Adeyeri is awesome. Everything is going great, I feel great and his office staff and Dr Adeyeri are very helpful and go above and beyond to help you succeed with the program.
I will refer him to anyone of my friends. Thank you so much Dr Adeyeri for you help you have helped me to correct and change my life. Your truly a life saver.
July 16, 2013
CNN is looking for inspirational weight loss stories --share yours!
Here's a fun exercise to share your weight loss success. CNN Health is asking people to write about their ultimate inspiration to finally take action and lose weight. I have a lot of friends and patients with remarkable stories. Share your success and perhaps they will publish it!
July 1, 2013
Summer is the perfect time to start your weight loss program
By Ayotunde Adeyeri, MD
Many overweight people dread the summer─there is no hiding under layers of sweaters and you are forced to deal with the heat head-on. Here’s my advice for those of you looking to lose a little or a lot of weight. Don’t let the summer sun make you miserable. Instead, use it to your advantage and start your weight loss effort now! By adopting some simple-to-follow practical tips, you can be well on your way to a significantly healthier and thinner you by the holidays (which will be upon us sooner than we think).
Here’s how to get started:
Good morning, get up, get moving
Exercise is an important component of any loss plan. But for significantly obese people, conventional exercise advice can be hard to follow. To avoid becoming discouraged, take a gradual approach. Start with just 10-15 minutes of light exercise three to four days a week, then slowly increase the duration and frequency when you feel more comfortable. The first thing in the morning is a perfect time to exercise. Do it now and you are done for the day! By getting your blood flowing, it is a great way to jumpstart both your mind body for the day ahead. A morning exercise routine is easier to stick to since there are fewer distractions early in the day.
Fill up on water or tea
Not only is it important to drink water to stay hydrated, but it also promotes weight loss! Consuming a glass or two of water (frost your glass in the freezer, add some slices of citrus or mint) before each meal will help reduce your caloric intake. If drinking water is too bland for you, try eating it. Summer fruits such as watermelon are high in water content and low in calories and fat. Green tea is another great weight loss aid and an antioxidant as well. Substances found in green tea trigger weight loss by stimulating the body to burn calories and decrease body fat. And tea provides a natural and healthy supply of caffeine, a stimulant that has been found to speed metabolism and curb hunger. It also offers a good energy boost, which will decrease fatigue to help you to get through that morning exercise routine.
New lifestyle, not “new diet”
Dieting does not mean giving up all of your favorite foods. Rather than instituting an abrupt, restrictive diet, start with just some small, healthy changes to your current diet. Don’t try to give up all of your unhealthy habits at once; Focus on eliminating one bad habit at a time:
- Choose one unhealthy food that you eat and find a healthy substitute for it.
- Rather than focusing on eliminating foods, try adding more nutritious foods to each meal and eat those first.
- Enjoy the fresh fruits and vegetables of summer. Stop by the farmer’s market and select some fresh-off-the-vine, flavor-packed (and filling!) foods that are especially delicious now: fresh greens, beans, peaches, cherries, melons…
- Focus on long-term changes that will become part of your improved lifestyle rather than short-term fixes to be used “until you are thin”.
- Think “new lifestyle, not “new diet”.
Enjoy the sun safely
Losing weight this summer may be as simple as getting outside. Safe (SPF 50+ every day, sun or clouds) sun exposure is a great way to increase your vitamin D levels, which studies have shown can help slim your waistline. Sunlight also provides increased serotonin levels to boost your mood and may even reduce your craving for food, new studies show. If stress sends you straight for the kitchen, head outside to the park for a relaxing stroll or find another outdoor activity to cool down and regroup.
Ready to lose weight this summer? Great. Before starting, check with your family doctor if you are significantly overweight, have any chronic medical conditions or haven’t exercised in several years. There are still many glorious days of summer ahead. Make the most of every day.
About Dr. Adeyeri
Ayotunde Adeyeri, MD, is a board-certified and fellowship trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare and a partner at Central Jersey Bariatrics. He also serves as medical director of the Institute for Weight Loss at Raritan Bay Medical Center. Dr. Adeyeri has offices in Holmdel, Old Bridge and Freehold. Sterlingsurgicare.com (732) 217 – 3897.
Dr. Adeyeri is blogging on the Holmdel-Hazlet Patch!
As you know, I'm very interactive with patients and my community. Therefore, it seemed fortuitous for me to blog about healthcare issues that are important to me. What better way to reach out that to utilize the local Patch site!
Please feel free to leave comments or ask any questions you may have have laparoscopic surgery, general surgery or weight loss surgery. I welcome your feedback! http://holmdel-hazlet.patch.com/blogs/dr-ayotunde-adeyeris-blog
June 14, 2013
Gastric sleeve weight loss surgery offers restaurant owner plagued with obesity-related health issues a new life at age 46
For Scott Lentini, a father of two from Matawan, the decision to undergo weight loss surgery was an easy one. At 250 pounds, he struggled with losing weight for most of his life. Over the years, Scott tried a variety of diets and weight loss plans to no avail. He adopted a demanding exercise regime but his low energy level made most physical activity very difficult for him. After seeing the fantastic results achieved by his best friend who had undergone weight loss surgery a year earlier, Scott knew that bariatric surgery was the right choice for him.
But, for Scott, having the surgery was about so much more than just losing weight. Like many people struggling with obesity, Scott was dealing with a host of serious and chronic obesity-related illnesses─diabetes, high blood pressure, high cholesterol and sleep apnea. While he set a personal goal to lose 75 pounds, his main objective was finally overcome all of his health problems so that he could finally rid himself of all the medications and just feel healthy.
The first step—Attend a weight loss surgery seminar
To get started, Scott attended one of the free patient information seminars at Raritan Bay Medical Center in Old Bridge. He then made an appointment for a private consultation with Dr. Ayotunde Adeyeri, MD, medical director of the Institute for Weight Loss at the hospital. Scott was very impressed with the doctor’s expertise, professionalism and sincere compassion.
“Dr. Adeyeri was awesome,” says Scott. “He took a lot of time to explain all my options and supported me through the whole process.” Scott received medical clearance to undergo the sleeve gastrectomy (gastric sleeve), a less invasive weight loss surgery that works by reducing the size of the stomach to limit food intake and lessen the sensation of hunger. On May 3, 2012, Scott underwent this life-changing procedure at Raritan Bay Medical Center.
Thirteen months later…minus 115 pounds…and counting!
It’s been 13 months since his surgery and Scott has already lost 115 pounds, almost 50% of his previous weight. He couldn’t be happier with the results. He family doctor has taken him off all medications to treat diabetes, high blood pressure, high cholesterol; his sleep apnea is a distant (bad) memory. “I never want to go back to the way I was before,” says Scott. To help him stay on track, he attends a monthly live support group at Raritan Bay Medical Center. “My life is totally different now,” Scott says with a smile. “I have more energy, I sleep through the night and all of my previous health issues are gone─that’s right─gone! I am a new person. Life is so good.”
Ayotunde Adeyeri, MD, is a board-certified and fellowship trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare and a partner at Central Jersey Bariatrics. He also serves as medical director of the Institute for Weight Loss at Raritan Bay Medical Center. Dr. Adeyeri has offices in Holmdel, Old Bridge and Freehold.
May 31, 2013
A Flow Chart that Explains Your Weight Loss Surgery Process
weight loss surgery
is a very fruitful endeavor but it is surgery, nonetheless. Before we schedule your procedure, there are several important steps we take at Sterling Surgicare to ensure your optimal comfort and safety. Beginning with your first appointment, we begin supporting your physical and emotional wellness, which will continue long after your procedure.
That's where the Sterling approach to weight loss is different-- We maintain a healthy, supportive and continuous relationship with you before, during and long after you have achieved your weight goal. Believe it or not, other bariatric doctors don't necessarily follow this patient protocol. They operate, ensure that you have successfully recovered from the surgery, and send you on your way.
The flow chart below explains the process you will go through in simple step-by-step form. If you have any questions,
just give us a call
and we'll be happy to go over it with you.
Click image to view larger.
May 17, 2013
Appendicitis - When it’s more than a total pain
By Ayotunde Adeyeri, MD
Appendicitis is a medical emergency resulting from an inflammation of the appendix, a small pouch attached to the large intestine. This part of the body serves no useful purpose in the adult patient other than to cause significant pain should it become inflamed. In the worst case scenario (usually as a result of misdiagnosis or the patient not seeking prompt medical attention) it can rupture and spew infection throughout the abdominal cavity. Recognizing early symptoms can help offset this complication and significantly speed up recovery time. Keep in mind—an inflamed appendix is not going to “get better” nor is the pain going to dissipate.
Know the warning signs and take action
Appendicitis can affect anyone, although it is most common among people between the ages of 10-30. Often, early symptoms are mistaken for a stomach cramp, indigestion or the need to have a bowel movement. The most common symptom of appendicitis is severe pain in the abdomen, usually localized on the right side. Most often, the pain is sudden and worsens over a period of 12 to 18 hours. Additional symptoms can include:
- Swelling in the abdomen
- Loss of appetite
- Nausea and vomiting
- Constipation or diarrhea
- Inability to pass gas
- Low grade fever
Once appendicitis has been diagnosed by a doctor, an immediate appendectomy, surgical removal of the appendix, is required.
The good news - minimally invasive appendix removal
There are two surgical methods used to remove the appendix. The traditional method is called a laparotomy. In this procedure, the appendix is removed through a single incision in the abdomen, about two to four inches long. But the newer minimally invasive surgery used in the majority of cases today, laparoscopic appendectomy, uses only three tiny incisions through which tiny surgical instruments and a miniaturized camera are inserted to remove the appendix. Although not appropriate in all cases, laparoscopic surgery is usually the preferred method for several important reasons ─ fewer complications, less blood loss, lower risk of infection, shorter recovery time and less scarring.
There are rarely surgical complications when undergoing an appendectomy so recovery time is relatively fast. With just a short hospital stay of a day or two, followed by two to four weeks of limited physical activity, you’ll be back to your regular routine in no time, and with only tiny scars remaining. If you or a loved one is faced with a laparoscropic surgery or general surgery operation, please feel free to contact me to discuss your case.
About Dr. Adeyeri
Dr. Adeyeri is a board certified, University of Rochester fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare; medical director of the Institute for Weight Loss, Raritan Bay Medical Center; and co-medical director at Central Jersey Bariatrics. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital.
To schedule a surgical consultation at his office in Holmdel, Old Bridge or Freehold, call (732) 217 – 3897.
May 3, 2013
A Middlesex County family fights back against genetic obesity – and wins the war on obesity.
Like many families, the Brunos suffered from genetic obesity. But they were not content to accept that diagnosis and just live with it. Instead, they decided to stand up and get their health back on track.
Frank Bruno had gastric bypass performed by Dr. Washington at Central Jersey Bariatrics in 2010. He now sees Dr. Adeyeri for follow-up visits.
Dr. Adeyeri performed the same procedure for his wife Renee in 2011. (Their ‘before and after’ images shown here were shared with us on Facebook).
In September 2012, their adult son, seeing his parents’ success, underwent the surgery successfully as well (right). With his weight now under control, he hopes to reach his career dream of becoming a firefighter in Middlesex County.
As you can see from the photos, the family supported each other until they achieved success.
April 30, 2013
Forked River woman sheds extra weight and gains an improved self-image
November 7, 2012 is a date that 47-year-old Anne Costantino-Cooper will not soon forget. That was the day that she underwent the weight loss surgery which dramatically changed both her body and her life. Fertility issues, a negative self-image and a serious work-related accident resulting in surgery and a metal plate implanted in her neck, left a usually outgoing Anne feeling depressed and introverted. “I couldn’t stand myself anymore,” Anne recalls. “I always pictured myself as a thin person, but when I bought the clothes I liked and put them on, they just didn’t look right on me.” Determined to get her life back on track, she began to explore weight loss surgery options.
After extensive research, Anne made an appointment with Dr. Ayotunde Adeyeri, MD, (left) medical director of Sterling Surgicare, Central Jersey Bariatrics and the Institute for Weight Loss at Raritan Bay Medical Center. She came armed with a lot of questions and concerns to her first private consultation. According to Anne, the doctor took all the time she needed to have her questions and concerns answered and explained to her complete satisfaction. “When I left his office, I knew I was going to have gastric bypass surgery and Dr Adeyeri was going to be my surgeon.”
Six months and 80 pounds gone for good
Almost six months have passed since her surgery at Raritan Bay Medical Center and Anne has lost 80 pounds (and counting). She is very pleased with the progress she has made thus far. “My clothes fit better. I feel better. I look better,” Anne says with a smile. Before surgery, Anne was a borderline diabetic, but that’s a problem she no longer has to deal with ─ thanks to a healthier lifestyle, which includes exercising five times a week. For social and emotional support in her weight loss journey, Anne joined CJ Bariatrics Online Bariatric Support Group at ObesityHelp.com, a popular site for pre-and post-operative bariatric patients, to give and receive 24/7 support and information to each other. She also attends Dr. Adeyeri’s live support group meetings twice a month at CentraState and Raritan Bay hospitals.
Words of advice from someone who has been there
Anne has a personal message for anyone considering weight loss surgery. “You have to be strong enough and love yourself and the people around you enough to make the decision to have the surgery and start living your life.” Anne also says that weight loss surgery requires a long term relationship with the doctor/surgeon, so choose carefully. “If someone asked me for a bariatric surgeon recommendation, I would drive them to Dr. Adeyeri’s office myself.” Anne adds, “He truly is an amazing doctor…He’s my hero!”
The future looks very bright for Anne. She has always enjoyed sunbathing by her pool. But now she looks forward to next summer even more because she will be able to show off her new body in a great bathing suit.
About Dr. Ayotunde Adeyeri
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic, bariatric and general surgeon. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital. To schedule a bariatric or surgical consultation at his office in Holmdel, Old Bridge or Freehold, call (732) 217 – 3897.
April 16, 2013
Our patient, Adrianne Massaro Caldwell has lost 112 pounds in 14 months. She is now on our Sterling Maintenance Program because she has reached her goal weight. She started at 251 pounds before weight loss surgery is now weighs 139. Her clothing size has gone from size 22 to 4-6. Congratulations Adrianne!!
April 9, 2013
A bariatric patient 6-months post-op says, “What are you waiting for?”
“After years of trying to lose weight (and failing) I finally decided to have bariatric surgery. I had my surgery 6 months ago. The only question I have now is why did I wait so long?
Dr. Adeyeri and his staff are top notch professionals. They help you each and every step along the way. I highly recommend to anyone thinking of having bariatric surgery to seek out Dr. Adeyeri and his team.
Don't hesitate, the sooner you get it done, the better your life will be.”
Reprinted from a Patient Review posted on Dr. Adeyeri’s page on ObesityHelp.com
March 28, 2013
Not getting your rest? It could be the mystery behind your weight gain
By Ayotunde Adeyeri, MD
Most of us know the health risks from not getting enough sleep. It affects all the body’s functions in a negative way─including the efforts of anyone trying to lose weight. But why? Sleep deprived people will often resort to filling up on empty calories because the body mistakes the need for sleep as a need for food (and not the good stuff).
Our nutritional team here at Sterling Surgicare has warned our bariatric patients about the dangers of sleep deprivation for years now.
Recently, researchers asked 16 men to select the ideal serving size of meals and snacks before and after they ate breakfast on two separate mornings: Once after sleeping for eight hours, and again after they didn’t sleep at all. Not surprisingly, the sleepy men chose larger portions of all the foods before they ate breakfast. They also were significantly more likely to reach for snack foods—even after a morning meal.
Although it is often easier said than done (this is coming from a surgeon who often works around the clock) the best way to offset sleep-deprived overeating is to get your seven or eight hours of sleep─no matter what. And not only your waistline will benefit—you’ll also be doing your heart and other organ functions a favor by giving them some well earned down time. It’s also beneficial for the mind to take some time off as well.
Regardless of how many hours you are able to sleep at night, save 15 minutes every morning to prepare and enjoy a protein-rich, high-fiber breakfast that includes chicken, eggs, plain Greek yogurt or unsweetened oatmeal with some raw almonds or walnuts. Top it off with a big glass of water to restart the body’s hydration system.
If you haven’t been able to get a full night’s rest, perhaps you can find 30-45 minutes to sneak in a cat nap during the day. It will do you, and your pants size, a world of good.
*Follow-Up April 10, 2012: The New York Times reports that teen obesity could also be offset by them sleeping more every night in their article, "Less Sleep, More Weight".
About Dr. Ayotunde Adeyeri
Dr. Adeyeri is a board certified, University of Rochester fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare; medical director of the Institute for Weight Loss, Raritan Bay Medical Center; and co-medical director at Central Jersey Bariatrics. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital. To schedule a surgical consultation at his office in Holmdel, Old Bridge or Freehold, call (732) 217 – 3897.
March 18, 2013
Patient loses weight before bariatric surgery to ensure a safe procedure and optimal outcome
My patient, Steven, was too heavy to undergo weight loss surgery safely, in my opinion. So I made a deal with him. I asked him to lose weight before we proceeded with gastric bypass. While the pre-op weight loss would not be as quick, it would greatly improve his eventual weight loss success.
Mission accomplished! He underwent gastric bypass in December 2012. He was kind enough to post this review about me on ObesityHelp.com, a wonderful site for anyone considering, undergoing, or in the process of losing weight after bariatric surgery. Steven--you've made my day. Thank you for taking the time to share your experience. It means the world to my staff and me!)
"I was completely amazed and 100% trusting in Dr. Adeyeri. I can not say this for every doctor, and I've been to PLENTY of specialists. I knew Dr. Adeyeri wasn't in on making money on surgery - he actually cared and was with me every step until the date of surgery, and still helps me post-op.
For the 6 months pre-op, I was told to lose weight first and then we could set a date. Dates were set, and pushed back as quickly as they were set for me. Dr. Adeyeri told me straight up - this is a very high risk surgery and if I didn't lose some weight before surgery, he would not do it.
Determined, I decided to push through and eventually got my surgery. Even on surgery day, he re-iterated about the risk and what’s to come after surgery. For a doctor who not only cared for my health and well-being, he also treated me as if I was his own family member and would do anything and everything possible to get to my goal.
To this day I am still amazed how much he cares and I always hear wonderful things when waiting in the patient waiting area from past and present patients. He saved my life - and there is nothing in this world better than a person who is 100% behind his job and goes above and beyond to make sure you are secure and safe.
I'd recommend Dr. Adeyeri to ANYONE who is thinking or is in need of bariatric surgery."
March 3, 2013
Sugar is bad for your waistline and your heart
By Dr. Ayotunde Adeyeri
Sterling Surgicare; Institute for Weight Loss at Raritan Bay Medical Center; Central Jersey Bariatrics
As a bariatric surgeon, I see many patients who are struggling with serious obesity issues, unattractively referred to as ‘morbid obesity’ and ‘metabolic syndrome’. I also see patients who are overweight and living with chronic health conditions as a result. Much of the time, these patients explain that their weight issues are due to an addiction to sugar.
Let’s face it ─ sugar just tastes good. And the more you partake, the more you want it. Worst of all, when sugar-laden foods are in competition against vegetables, whole grains and healthy protein, sugar is going to win hands down.
But pure white cane sugar has also been proven to play a leading role in heart disease. New studies show that sugar cause inflammation that damages the artery walls and leads to plaque ruptures and potentially cardiac arrest, or heart attack. In April 2012, the television program “60 Minutes” featured a story called “Is Sugar Toxic?” It features Dr. Sanjay Gupta and Dr. Robert Lustig discussing that pure sugar and high fructose corn syrup is literally killing us (by inciting heart disease and other life-threatening diseases).
So what can we do about it? The American Heart Association recommends added sugar should be limited to no more than 6-7 percent of your total calories. This does not include naturally occurring sugars found in fruits (fructose) and dairy products (lactose). Read your foods ingredients list. Learn to identify terms that mean added sugars, including sugar, white sugar, brown sugar, confectioner’s sugar, corn syrup, dextrin, honey, invert sugar, maple syrup, raw sugar, beet sugar, cane sugar, corn sweeteners, evaporated cane juice, high fructose corn syrup, malt, molasses, and turbinado sugar, to name a few.
The good thing about ‘sugar addiction’ is that is can be cured within about 4-5 days after reducing overall sugar intake to below 10 percent a day. After that, you’ll be surprised at the healthier foods you are craving. Your waistline and your heart will thank you! For more information about hidden sugars in foods, check out this helpful resource from the USDA.
About Dr. Ayotunde Adeyeri
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic, bariatric and general surgeon. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital. To schedule a bariatric or surgical consultation at his office in Holmdel, Old Bridge or Freehold, call (732) 217 – 3897.
February 21, 2013
DEALING SUCCESSFULLY WITH MEDICAL INSURANCE FOR BARIATRIC SURGERY
If you are interested in pursuing weight loss surgery and have private medical insurance, we recommend you confirm that your policy includes this kind of surgery and what specific procedures it covers.
Please visit our Contact Us page where we have outlined your initial course of action which can be completed before your first appointment with us, including CPT Codes for the most common bariatric procedures.
Finally, feel free to call Mara at (732) 217 -3897 with your insurance-related questions.
February 20, 2013
MOTHER WHO CAN'T RIDE AMUSEMENT PARK RIDES WITH HER DAUGHTER CHANGES THE GAME WITH WEIGHT LOSS SURGERY
(Posted on ObesityHelp.com on 2.15.2012)
After not being able to get on a ride with my daughter, I started looking into Bariatric Surgery. In my first meeting with Dr. Adeyeri, he was full of information and answered any questions I had w/o hesitation. He also encourages all his patients to attend the seminars and support groups prior to making your decision.
I will forever be grateful to Dr. A.; he has changed my life for the best.
I would refer him to anyone. He is caring and talks to his patients as human beings. His staff is also very kind and helpful.
February 15, 2013
DR. ADEYERI APPEARS ON NEWS 12'S "12 TO YOU HEALTH" TELEVISION PROGRAM
Last month I was honored to appear on News 12 NJ's "12 To Your Health" hosted by Dr. Derrick DeSilva discussing how patients can optimally prepare for surgery. The reality, most of us will face surgery at some point during the course of our lives. But preparing for the procedure can make the procedure and recovery process flow more smoothly and with less risk of complications.
After performing thousands of operations over the course of my career, I shared some specific tips to help every surgical patient jumpstart recovery ─ even before the procedure takes place.
Dr. DeSilva is a consummate television host and made the interview enjoyable and stress-free.
February 11, 2013
Another Argument for Less Invasive Laparoscopic Hernia Repair
New study finds chronic pain common in patients 10 years after traditional open inguinal hernia repair
A new report was recently released stated that one in six patients who reported chronic pain six months after an open (general surgery) inguinal hernia repair still suffer from chronic pain 10 years later. The report, was conducted after an exhaustive 10-year study by Dr. Wolfgang Reinpold, Hamburg, Germany. For surgeons, this report was welcome news.
What does this mean for people who may need hernia repair?
As a laparoscopic surgeon, specializing in performing the least invasive surgical solutions possible, the doctor’s study findings came as no surprise.
Unless very unusual circumstances require an “open” surgical hernia repair, I simply no longer perform them.
When repairing hernia damage laparoscopically, there is no need to mobilize the ilioinguinal inguinal (groin) nerve from its natural bed. Instead, we come through the space between the muscles layers in the groin and are able to place a wider coverage mesh to reduce recurrence.
Problem solved. Hernia repaired.
Should you or a loved one be faced with a surgical need for hernia repair, ensure that your surgeon has advanced training and expertise in minimally invasive laparoscopic hernia repair. Benefits for the patient are significant ─ less post-op pain, blood loss, scarring and pain ─and, best of all, a markedly quicker recovery.
About Dr. Ayotunde Adeyeri
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare; medical director of the Institute for Weight Loss, Raritan Bay Medical Center; and partner at Central Jersey Bariatrics. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital. To schedule a surgical consultation at his office in Holmdel, Old Bridge or Freehold, call (732) 217 – 3897.
February 5, 2013
Mary Ann's gastric sleeve procedure defeats obesity-related health issues
Maryann Peragallo isn't your typical bariatric patient. Weighing 188 pounds before surgery, she was overweight, certainly. But carrying this extra weight at 63-years-old brings more risk for the development of serious health conditions. MaryAnn came to see me for expressly this issue.
Over the past five years, she had tried all the diet plans to no avail. Meanwhile, she was living with type 2 diabetes, hypertension and sleep apnea, all chronic, obesity-related medical issues.
After attending my new patient Information Seminar, she passed medical clearance to undergo a gastric sleeve procedure in March of 2012 at the Institute for Weight Loss at Raritan Bay Medical Center. Today, I am happy to report MaryAnn has lost nearly 50 pounds, about a 60% weight loss!
Best of all, she no longer needs medication for diabetes or high blood pressure and her sleep apnea is a thing of the past. When she stops in next month for her one-year check-up, she will film a video recap of her experience that I look forward to sharing with you all.
Well done MaryAnn!
February 1, 2013
Obesity often opens the door to Metabolic Syndrome
By Dr. Ayotunde Adeyeri
Medical Director, Sterling Surgicare and Central Jersey Bariatrics
Medical Director, The Institute for Weight Loss, Raritan Bay Medical Center
Our obesity crisis has introduced a disease that we are hearing about more often ─ Metabolic Syndrome. Simply stated, this condition occurs when three or more of these obesity-related conditions are diagnosed:
- Large waist
- High blood pressure
- Excess blood sugar
- High fat triglycerides (bad cholesterol) or low counts of good HDL cholesterol
Metabolic syndrome significantly increases the risk of heart disease, stroke and type 2 diabetes. More often than not, the patients I see who are pursuing a bariatric weight loss solution have been diagnosed with this condition.
How to Fight Back
Unlike many diseases, metabolic disease is treatable without medication. In most cases, it can be brought under control by making lifestyle changes that can benefit your overall health and lead to feeling and looking better in as little as a few weeks. How?
Follow four simple strategies that only take minutes of your day ─
- Stop smoking.
- Check your BMI here: Get thy BMI under the magic number of 25.
(This is easy to say, but not so easy for many of us to do. If your BMI exceeds 35 and you’ve tried other weight loss plans unsuccessfully or living with obesity-related health issues diabetes, high blood pressure, high cholesterol or sleep apnea you may wish to consider a surgical weight loss solution. Feel free to consult with me about your situation.)
- Walk like you are very mad (fast and furious is best).
- Build key fruits (nectarines, plums and peaches) and multi-colored vegetables into your meals every single day.
- Limit your intake of sugar, salt and saturated fats.
- Include lean meats, fish and low-fat dairy into your diet every day
- Committing for the long haul
By following these guidelines, will you be rid of Metabolic Disease by the weekend? Sorry, but no. But will you start looking and feeling better after following this plan for just a few weeks? Talk with your family doctor before starting any new fitness or nutrition program. Once you have a green light to begin, try it out and let me know how it’s going.
Only you can decide when it’s time to get your health on the right track. What about today?
About Dr. Ayotunde Adeyeri
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic, bariatric and general surgeon. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital. To schedule a bariatric or surgical consultation at his office in Holmdel, Old Bridge or Freehold, call (732) 217 – 3897. To learn more about surgical solutions to treat metabolic syndrome and morbid obesity, click here.
January 29, 2013
Lauren Layton's video chronicle of her her bariatric weight loss journey
My patient Lauren Layton is a charismatic and intelligent 28-year-old woman who refused to let obesity hold her back. After learning that she was pre-diabetic, Lauren began researching weight loss surgical solutions. After undergoing a sleeve gastrectomy at 406 pounds in the summer of 2012, Lauren agreed to offer periodic updates during her weight loss journey. At five-months post op, she shares her experience before surgery and since her surgery. In early summer, we will revisit Lauren to check in on her progress again. Click here to watch Lauren's video on YouTube. Stay tuned!
January 25, 2013
Captain Fahnholz featured in Healthy Directions magazine after his gastric sleeve surgery and 130 pound weight loss
I was delighted to see Stephen featured in this health-focused publication after his very successful weight loss surgery. As you will read, he inspires many people and is a tremendous person (and patient!) and I'm honored to know him. Thank you for sharing your great story.
January 14, 2013
REVISIONAL BARIATRIC SURGERY--From Lap-band to Sleeve--A Patient's Story
I recently received this much-appeciated Patient Review on obesityhelp.com from a patient who experienced ongoing problems with his Lap-band which was debilitating his health and slowing his weight loss progress. Ultimately, we decided that the Lap-band should be removed and replaced with sleeve gastrectomy, which does not require life-long doctor visits for adjustments and follow-up checks. Because I specialize in Revisional Bariatric Surgery, I handle many of these kinds of cases. "Mr. T" shares his story below:
"After struggling for almost two years with a lap-band and not successfully losing the weight I wanted, I met with Dr Adeyeri (Dr. A) and his team for some advice and guidance. Dr. A and his highly qualified support team was open and honest with my situation and provided me with the direction to get my weight loss back on track for 2013.
On January 3rd, I successfully had my lap-band removed and had a bariatric sleeve procedure performed all at the same time at Raritan Bay Med Center. Everything went like clock work from pre-op testing to surgery to discharge. One week from later the pain is gone, I am walking daily and going through the recovery process. Everything is going exactly as they told me and I am now positioned to lose the weight I wanted and live a healthier life.
Dr. A did a great job and got me turned in the right direction for 2013. I cannot say enough positive things about the man from start to finish. His advice and guidance was clear, the patient care was outstanding, the surgery was successful and the support team is outstanding. I have been blessed to have top notch care and am thankful to everyone. I look forward to a great new year. Many thanks to all involved."
Mr T 1959
January 8, 2013
Raritan Bay Medical Center unveils new television commercial for the Institute for Weight Loss
Perhaps you've seen some of the new commercials for the IWL, where I am proud to be the medical director. We are truly focusing on our patients' success stories every chance we get.
I hope you will agree, this is an great effort!
If you happen to be one of our bariatric patients here at Sterling Surgicare and would like to star in our next commercial for Raritan Bay, just let me know!
January 2, 2013
To start off the new year, here's a very inspiring ''before and after' from our 2012 patient.
||Tammy underwent gastric bypass on
August 17, 2012
Tammy is shown on the left at her starting weight of 284 ounds.
At her check-up
Tammy weighed 128 pounds!
December 19, 2012
GUEST BLOGGER! FEATURING FORMER BARIATRIC PATIENT KATHLEEN QUINLAN
(Note: Kathleen is an incredible role model for bariatric patients. She has overcome incredible obstacles to finally achieve her goal weight. If you would like to read about her personal triumph over obesity, click on her story here and scroll down to "July 9, 2012")
YOU CAN ENJOY THE HOLIDAYS AND MAINTAIN YOUR WEIGHT LOSS MOMENTUM!
By Kathleen Craparo Quinlan
(Kathleen, center, is shown here with her daughters after losing 160 pounds. December 2012)
It’s that time of year again… A time to celebrate the holidays with family and friends. For me, this time of year has always been a struggle because so much of our celebrating is surrounded by food. I struggled with my obesity and addiction to food for more then 10 years. I had my WLS a year and a half ago and I have thankfully reached my goal!
However, being at a healthy weight now does not mean my food issues have magically disappeared ─ I still struggle but now I make better choices. When I’m out at a holiday celebration, I stick to my rules of small portions, not drinking while I eat, and if I really want dessert, I have something sugar free (again a small portion). I’ve learned that food is for fuel ─ not something I need to make myself “happy”. The holidays are a time of year when most people gain weight, not just people who struggle with obesity and food issues.
Another way I keep from gaining weight back is going to the gym. I work out 3 times a week for at least an hour or two. Most people do not realize that strength training (weights) is 60% of your weight loss and tones as you lose. Please do not be afraid to lift weights! I know this can be more intimating for the women, but ladies, I promise you, you will feel more empowered after your work out. Going to the gym for me has been amazing; I put in my headphones and I am mentally carried away to my workout.
However, I know not everyone feels comfortable in the gym; I understand that because I’ve been there myself. On days I don’t go to the gym, I get the kids involved and we do Jumping Jacks, sit-ups, push-ups, burpees, and other fun exercises together. There are so many exercise tapes as well. Zumba is a big thing right now and it’s fun! You can get yourself a kettle bell, jump rope, yoga ball, and resistant bands. Most of these products come with DVD’s. If you’re still unsure how to use them, you can always look up the correct way to do an exercise on YouTube. If you really don’t want to go into a gym or do some of the things I’ve suggested, try brisk walking for at least 45 minutes. I know the weather is now getting colder but that makes it more invigorating!
If the treadmill is not your thing, you can go to your local mall before the stores open and just walk around. Many people do this and I think it’s a creative way to stay fit (and window shop at the same time!) Keeping the weight loss process creative and fun make this journey a much easier process. Like our doc says, “Weight loss surgery is only a tool the rest is up to us!” Good luck to you all!
December 5, 2012
Had a very enjoyable morning at News 12 NJ studios filming a "12 To Your Health" program discussing how patients should prepare and optimally recover from surgery.
Enjoyed working with host, Dr. Derrick DeSilva. It will air Saturday, December 15, and Saturday, December 22, at 15 past the hour (in case anyone needs to see me every hour, on the hour :)
November 28, 2012
I'll be a guest on radio station WOR710AM's "Health Navigator" talking about bariatric surgery airing Sunday, December 2 at 10 p.m.
In the unlikely event you miss the show, you will can download the podcast online from the WOR710.com on Monday. Download here!
November 2, 2012
School administrator turns the tables on obesity bully and "expells" more than 130 pounds!
We received this wonderful email message and would like to share it. Because this patient is an educator and works in administration, we've omitted his name here.
"Please let Dr. Adeyeri that I feel great. I'm running 1 1/2 miles a day and riding my bike with the kids 3-4 days a week. My plan is to run in a 3k race before a year is up. My wife is doing it all with me.
I feel great. I sleep all night and have more energy than when I was a kid. I had to buy all new clothes for school this year.
My waist went from 46 to 32, my shirts went from 3x to medium!
Best of all, my weight went from 296 the week before I met Dr. Adeyeri to 165 this morning.
I've lost 131 lbs -- so far. I can't thank you guys enough."
October 12, 2012
What does 'laparoscopic' and 'minimally invasive' surgery really mean?
By Ayotunde Adeyeri, MD
In the world of surgery, these two phrases are bantered around at least once an hour. But most people who do not work in the healthcare field are unclear about what they mean. Today, due to the remarkable improvements in medical technology and understanding of the human body, many (if not most) surgeries can be successfully performed without a need for cutting a sizeable incision (called "open" or "general surgery") in the body.
From knee repair to back surgery to cancer surgery, the problem can be surgically "fixed" by insert just a few tiny 2-inch incisions near the treatment site. Laparoscopic tools are then inserted into these holes and surgery is performed.
As you can imagine, there are a long list of benefits to the patient -- quicker recovery time, due to the less invasive nature of laparoscopic surgery, less scarring, blood loss and even pain medication requirements. Essentially, after minimally invasive surgery, you will be back on your feet before you know it.
Just a few decades ago, facing surgery meant weeks or months of recovery. Today, in many cases, you'll be amazed how quickly you are back in the game.
October 3, 2012
Join me in Toms River on SATURDAY, October 6 at 10 a.m. for an informal seminar to learn all about weight loss surgery!
Heeeelllooo Toms River area friends! We are excited to take our Information Seminars on the road and look forward to meeting many new friends on Saturday at the Holiday Inn. I so enjoy meeting new people who are ready to consider a surgical weight loss solution to obesity. I welcome you to ask questions and consider if now is the time to make a big change in your life. Several of our Institute for Weight Loss team at Raritan Bay Medical Center will also be on-site to answer your questions and share their expertise.
Call us at (732) 217-3897 to reserve your space along with any supportive friends or family members you'd like to bring.
September 7, 2012
Staff Appreciation Day: Kudos to our office manager, Mara Munoz
As you'll quickly see once you meet us, Sterling Surgicare is 100 percent patient-focused 24/7. When our patients share a kind word about our services or staff, it means we are doing our jobs right. Mr. Cannon, a retired gang intelligence lieutenant, generously took the time to share his appreciation in a letter, which we would like to share below:
My Dear Dr. Adeyeri:
I hope and pray you fully understand what a Blessing Mara was in helping me with all the things that had to be completed before my surgery. Even when we had our backs against the wall, she never gave up on me. She kept me in the loop and walked me through everything. What a true blessing Mara is!
Thank you, Mara, for going up and far beyond your normal duties to help out a person you don't even know. You are a saint! I do not know how I could have been ready for surgery without your care and hard work.
God Bless You All.
William A. Cannon, Old Bridge, NJ
August 27, 2012
From weight loss surgery patient to male model
As you know, I am the medical director of the Institute for Weight Loss at Raritan Bay Medical Center. We lauched this new program last year and the results and feedback from patients thus far has been one of the highlights of my career.
One of my patients, William Curtis Cannon, is featured in the new ad campaign for the program. He was diligent about losing the weight and has continued to be a fervent supporter of new patients coming through our doors. Via Facebook, ObesityHelp.com and our monthly on-site support group meetings at the hospital, he offers advice, feedback and encouragement to anyone and everyone.
Another exciting development is the hospital's launch of a new televison commercial about the Institute for Weight Loss program that will begin airing in Sept. It's simple, direct and to the point. Let me know what you think!
August 13, 2012
Our Inspiring Bariatric Patient Shares Her Challenges and Her Victory After Weight-Loss Surgery
I am incredibly fortunate to have met so many wonderful patients through the course of my career. As a bariatric surgeon, I have more time to get to know these patients, in comparison to my general surgical patients, because successful weight loss surgery requires a long-term relationship. "Kacee1959", a patient who had WLS surgery earlier this month, was generous enough to share a lengthy patient review of my services on ObesityHelp.com. Because her journey is so captivating, I've posted it below:
I had been seriously considering gastric bypass surgery for several years but always hestitated due to the invasive nature of the traditionally performed procedure. My other concern was follow-up, continuing education and support. This website is fantastic but attending monthly support meetings with local people you can see and with which you can converse put me at ease. The initial informational session conducted by Dr.Adeyeri and his nurses (offered monthly) thoroughly explains the three most frequently performed weight loss surgeries describing the pros while not sugar coating all possible complications (some are very rare) and dangers.
This is a life changing (positive for me and most bariatric patients) and life altering surgery but should not be embarked upon cavalierly! I needed to feel that my surgeon was not selling me just a pretty bill of goods. I was impressed by Dr. Adeyeri's seriousness, knowledge, honesty and positivity. When he said that there'd be lifetime follow-up and support, I knew I'd found my surgeon.
I needed the surgery because I have suffered from polycystic ovarian sydrome (PCOS) since my teens, was very morbidly obese weighing 130+ lbs over my idea weight, had developed often uncontrollable HBP, high cholestrol, severe joint pain especially of the knees and hips but also recently my arms/shoulders, asthma, migranes and sleep apnea. Due to the PCOS, I had increased risk factors for stroke, heart attack or developing diabetes; not a pretty health picture!
Though Dr. Adeyeri is extermely busy, he is always patient asking if there is anything else need to ask or discuss during every visit. When I was seen for my initial post-surical follow-up he again said to me, "You know, you're stuck with me for life," I knew I'd made the right choice. As usual, he reminded me to come to our next support meeting.
I know many people who have had this and other weight loss surgeries and this kind of care and follow-up is unheard of. None of them received support approaching this level. If you are considering weight-loss surgery snd live in New Jersey go to Dr. Adeyeri's informational session and attend a support meeting. You'll know you've come to the right place and you found your surgeon!
I wish I'd found Dr. Adeyeri sooner as I would had have my surgery long ago. I am delighted with my decision it has only been ten days but I can now walk over an hour daily, feel FANTASTIC and younger than I have felt in a long, long time. My mind is clear, I'm sleeping better, my BP is already lower and my back, body and joints are no longer sore and constantly aching. I can BREATHE! I"M ALIVE AGAIN! This is what my surgery has done for me-I HAVE NOT FELT TRULY ALIVE IN A LONG TIME! THANK YOU LORD for putting Dr. Adeyeri and his team in my path- THANK YOU for the second chance to LIVE MY LIFE- AGAIN THANK YOU Dr. Adeyeri for changing my life for the BETTER!
August 10, 2012
One of the best things I have done this year is connect with my patients, colleagues and friends on Facebook. We have a great back-and-forth rapport this way. I'm connected to James, a gastric sleeve patient who is a busy husband and father and remains steadfast in his resolution to reach is goal weight.
I had to laugh, but at the same time be very inspired, by his latest post (here's an excerpt):
Before I hit the sack, I would like to share some very wonderful news with you, "I NOW WEIGH 260 POUNDS" Thats another 5 pounds down!! 60 more to go!!! Everyone is talking about bringing sexy back ~ I SAY, I NEVER LEFT.. LOL GOODNIGHT FB:)
July 30, 2012
Are you ready to learn more about weight loss surgery?
Great! I will be hosting a free informational seminar on Wednesday, August 1 at 7 p.m. at CentraState Medical Center in Freehold.
I'm often asked why new patients shouldn't just make an appointment to see me in the office. I'll answer that below:
New Patient Information Seminars are a perfect opportunity to see and hear if you are a viable candidate for weight loss surgery and understand how the different procedures (gastric bypass, sleeve or banding are the post common) are performed.
Weight loss surgery is not a one-step process. For optimal results, there is medical testing, nutritional preparation and educational information necessary. This information session lays out the simple flow chart of the process and, most importantly, sets the groundwork to start you back on the path to good health after substantial weight loss.
Often, a former patient or two will attend the session and share their personal journeys as well.
Ready to move forward? Please call our office at 732.217.3897 to reserve your spot. Attendance is free of charge, of course, and supportive friends and family members are also welcome.
Julie Parrott, our Sterling nutritionist, will also be on-site to answer your questions as well.
I look forward to meeting you!
Current/Former Patients: If you'd like to attend this meeting to talk with the group or just be on hand to answer questions, please call Megan in the office to let her know.
July 11, 2012
Dr. Adeyeri will be a guest on talk radio station WOR710!
Dr. Adeyeri will appear on Abe Kasbo's "Health News" program on
Sunday, July 15 at 10 p.m.
Tune in to WOR710 Radio for a revealing discussion about obesity and surgical weight loss solutions.
July 6, 2012
A Message from Sterling Surgicare’s Nutritionist
Julie Parrott, MS, RD, CPT
Important fluid tips and tricks to stay healthy and hydrated
How do you drink enough fluid in this warm, humid weather if you don’t like the taste of water? One of our newbies (patient who just had weight loss surgery) brought us a Hint during his pre-operative journey. You can always add “flavor” to water such as Crystal Light or Mio or a try a more natural approach such as a squeeze of orange, lemon or lime. There is a new beverage on the market named “hint”. We’ve tried this here in the Sterling office and think it tastes great, plus it just might be the answer for those of you who are looking for a hint of flavor in your bottled water without the added chemicals, preservatives, colors, etc.
Hint is currently available locally at Whole Foods, Super Stop & Shop of Raintree Plaza in Freehold or Wegmans in various flavors: blackberry, pear, watermelon, lime, cucumber, honeydew-hibiscus, raspberry-lime, strawberry-kiwi, mango-grapefruit and pomegranate-tangerine.
How do you know if you are getting enough fluid? You should be sure that you are urinating at least three times per day and the lighter yellow to clear – the better. Most people find the typical recommendation of 8 glasses ( 8 fluid oz) of water to be sufficient. This will vary based on the length of time from your surgery (1 week versus 6 weeks or 6 months after your surgery), activity (minimal to walking, running or other vigorous type) and environment (are you in an air-conditioned/ cool office setting or working in a sweaty, fan-cooled warehouse). If you begin vigorous training (>60-90 minutes), please make sure you are sipping fluids before, during and after exercise.
For more specific recommendations, please see Julie Parrott, CJB Registered Dietitian and Certified Personal Trainer.
Congrats to all our Sterling Surgicare newbies! Remember to stay cool with sips of refreshing, unsweetened essence of flavor and zero calorie water.
(Reposted from a Patient Review of Dr. Adeyeri on Obesityhelp.com. Thank you Mary!)
A dental emergency sidelines weight loss surgery -- but only temporarily!
Before I met Dr, Adeyeri, I was a prime candidate for a stroke or heart attack.
Dr. Adeyeri is a caring and compassionate person. All my questions and concerns were addressed quickly and professionally. He used his charts and literature to explain exactly what he was going to do. His staff was helpful and friendly as well. My original surgery was scheduled for 5/30/12. I made it to the second floor, (about 50 ft. from the operating room) when the anesthesiologist recommended I reschedule until I had the loose tooth stabalized or pulled. What a major disappointment.
Dr. Adeyeri said not to worry, he would work it out. He was booked solid for the next couple of months. I had the tooth pulled, and then got a call from Mara. They would be able to squeeze me in next week--YAHOO!!!
My surgery was successful and now three weeks later I feel great.
Thank you Dr. Adeyeri and staff. You were all wonderful. I finally feel like I'm on track to a healthier and happier life.
June 18, 2012
After weight loss surgery, UPS manager ends diabetes, liver problems, high bp.....
At nearly 60-years-old, Katie Fletcher was ready to end her growing list of health problems and enter her 60s without all the expensive medications and lack of energy.
In our newest patient video feature, Katie shares how her life is simplified now that she only takes a multivitamin every day.
June 7, 2012
Posted on ObesityHelp.com today. Thank you Jackie!
I had my bariatric surgery only 3 weeks ago at CenterState Hospital in Freehold, N.J. The staff was very pleasant and met all my needs. My surgeon was top- notch. Dr. Adeyeri is a compassionate surgeon who really shows he cares. He knew my concerns I had due to past family issues with bariatric surgery, but Dr. Adeyeri made me feel comfortable and more convinced that this surgery would help me in the long run.
I have had no bad effects post surgery, I feel great, and I look at each day in a new way.
Thank you Dr. Adeyeri for coming into my life. You have given me the chance to be around to see my grandbabies have babies of their own. I would highly recommend you to any person seeking to have weight loss surgery.
May 31, 2012
You've got to move it, move it
A new report was released this week stating that bariatric patients who exercise will preserve the all-important lean body mass during weight loss.
The bottom line -- "Obese patients who undergo bariatric bypass surgery lose more lean muscle mass early in recovery compared with gastric banding patients, but an intense exercise program can mitigate the muscle loss, researchers found."
To read about one of our bariatric patients who developed a true passion for working out after her weight loss surgery, read Kathleen Quinlan's story on our Patient Experiences page.
May 18, 2012
There's a lot to love about the Institute for Weight Loss at Raritan Bay
We have many exciting things going on at the IWL these days! Our patient base is growing by leaps and bounds. Why? We have a bariatric team that is 100% committed to offering the highest quality bariatric program in the state. How?
- Our designated nurse navigator helps every bariatric patient through the weight loss surgery process.
- Our nutritionists build confidence and offer "real-world" nutritional guidance and awareness to each patient starting well before surgery through the victory of reaching goal weight.
- Raritan Bay offers an award-winning nursing staff specially trained in bariatric surgery.
- A great medical director (that would be me!)
- Every bariatric patient received a private hosptial room (at no additional charge!)
- We offer monthly supprt group sessions.
- Our Old Bridge hospital location is conveniently located just minutes from most major roadways.
And by no means are we finished yet!
In March, we were the first in the region to launch a new exercise program at the South Amboy WMCA exclusively for bariatric patients. I personally deisgned the program to fit the needs of patients who are weeks, months and even years post-op. Our enthusiastic patients have been regularly profiled by the media and continue to recommend our services to their friends, co-workers and family members (thank you!)
New Patient Information Seminars
Are you ready to learn more about weight loss surgery? Please join me at one of my monthly new patient Information Seminars. I will present an overview of the three main bariatric procedures and explain how the process works. Questions welcome! As our seminar is held after the monthly Support Group meeting, you'll have a chance to hear one of my patients talk about their personal bariatric journey. To find an upcoming seminar near you, click here, and I look forward to meeting you soon!
May 4, 2012
You asked for it. We delivered! New Patient Seminar on SATURDAY, May 19!
Some patients have let us know they cannot attend our weekday evening new patient Information Seminars . We listened! In partnership with the Institute for Weight Loss at Raritan Bay Medical Center in Old Bridge, where I am medical director, I are facilitating a Saturday session at the Woodbridge YMCA from 11 am to 12 pm. on May 19. To register, just call (732) 217-3897. I look forward to meeting you soon!
April 27, 2012
Overweight, Obese More Likely to Report Chronic Pain
(Doctor Note: This significant study shows yet again that carrying too much weight leads to additional health problems. This is a high quality, conclusive study. Dr. Adeyeri)
Those who are overweight or obese are much more likely to have a chronic pain condition than those who are underweight or maintain a normal weight. This difference supports Gallup Senior Scientist Arthur Stone's findings about the relationship between weight and chronic pain.
For example, 36% of obese Americans say they have a knee or leg condition compared with 19% of those who maintain a normal weight. Overweight and obese individuals place extra pressure on weight-bearing joints, such as the knees and hips, which may lead to chronic pain conditions like osteoarthritis.
There could be several additional explanations for the relationship between obesity and pain. As Dr. Stone outlined in his analysis of similar data, these include complex physiological processes that result in inflammation and chronic pain due to excess fat or depression. Medical conditions that cause chronic pain, such as arthritis, might also result in lower levels of exercise, thereby resulting in weight gain.
This in-depth report was recently released by Gallup. Click here to read the full article with graphs.
April 11, 2012
Introducing our new post-bariatric surgery exercise program!
Bay Bari-Fit Program
Institute for Weight Loss members
Raritan Bay Medical Center
Through the continued growth of our monthly Bariatric Support Group at the Institute for Weight Loss (IWL) at Raritan Bay Medical Center, our all-new Bay Bari-Fit 12-Week Exercise Program is now available exclusively for post-op IWL members. Weekly classes are held at the new South Amboy YMCA. Whether you had weight loss surgery weeks, months, or years ago, certified personal trainer Kesha Griffin, can help you get started on an exercise program that is right for you.
I personally designed this customized program curriculum for IWL members at all levels of recovery—from a few weeks to a more than a year after bariatric surgery. Program benefits:
- The program is designed for the unique needs of bariatric participants
- Our program is designed to ease you back into the benefits of exercise—not send you home feeling exhausted and in pain.
- Every patient is encouraged to participate at their own speed.
- Our certified fitness trainer will help every participant set individual goals to support rapid short- and long-term weight loss.
- Participants can join at a significant reduced rate for the 12-week program
- Participants are offered a 25% discount should they wish to become a YMCA member.
- Everyone connected with our program follows a single mantra—SUPPORT!
For Bay Bari-Fit Program details, click here http://www.ymcaofmewsa.org/sites/mewsa/files/event/downloads/2012_winter_session_bariatric_flyer.pdf
March 26, 2012
Manhattan Mail Carrier Lightens Her Load by Losing 110 pounds
We're working on a great new patient story about 60-year-old Reyna Velazquez who dropped 110 pounds in a year after gastric bypass. See her before and after images below!
Dr. Adeyeri interviewed for Living Magazine's "Talking Health and Wellness" feature
Dr. Adeyeri is interviewed in this month's Living Magazine talking about Health and Wellness and his role as medical director of the Institute for Weight Loss at Raritan Bay Medical Center in Old Bridge, NJ. In the article on page 28, he discusses the obesity epidemic in the U.S. and the benefits of bariatric surgery for very overweight people, particularly those with obesity-related chronic diseases such as diabetes, heart disease, sleep apnea, high blood pressure and high cholesterol.
February 27, 2012
Can the Weight be Over?
Last year, an article produced by Raritan Bay Medical Center focused on the latest obesity statistics and the steps the Institute for Weight Loss had taken to help seriously overweight people find their way back to good health. We've included excerpts from this article that includes a one-on-one interview with Dr. Adeyeri:
Many individuals have struggled with their weight all their lives. They worry about being around to enjoy their kids and grand-kids. Having to deal with their own discomfort and frustration has led many area residents to seek help from Dr. Ayotunde Adeyeri, M.D., medical director of the Institute for Weight Loss at Raritan Bay Medical Center.
A board certified, fellowship trained, bariatric surgeon, Dr. Adeyeri specializes in Roux-en-Y gastric bypass, adjustable gastric banding, sleeve gastrectomy and other minimally-invasive laparoscopic surgical procedures.
“These procedures are done through small incisions,” says Dr. Adeyeri. “Patients can return to work and resume heavy lifting and strenuous activity, inmost cases, in about two weeks. Those who are able to do light duty at work may go back even sooner.”
People seeking obesity surgery must undergo medical and psychological evaluations to determine if they are candidates for surgery, and then participate in support groups following their surgery to ensure successful, long-term weight loss.
Dr. Adeyeri and his staff at the Institute for Weight Loss at Raritan Bay Medical Center always put the patient first. “Our patients love us because we take the time to explain,” says Dr. Adeyeri. "We show them how the surgeries are performed. We make sure that they really understand the care and support they will receive – before, during and after their procedure."
Dr. Adeyeri derives satisfaction from helping people overcome their obesity. “We watch lives transform as our patients start discovering a whole new world and the possibilities that life offers,” says Dr. Adeyeri. “Our focus at the Institute for Weight Loss at Raritan Bay Medical Center is to ensure that patients have their surgeries and then stay motivated, eat healthily, change undesired patterns, exercise, and more than anything…enjoy a new lease on life.”
February 24, 2012
Dr. Adeyeri, medical director of Raritian Bay Medical Center's Institute for Weight Loss, is featured in this month's issue of Direct Line. Click here to view the article about his patient, Mr. Curtis Cannon.
February 1, 2012
PATIENT AMBASSADORS VISIT INFORMATION SESSIONS
Thank you to our gastric bypass patient, Alex Strashnov, for attending our most recent New Patient Information Seminar and sharing his personal story. Alex was not morbidly obese but experienced serious health complications, including advanced type 2 diabetes (requiring four insulin injections daily), dangerously high blood pressure and high cholesterol. After being forced onto disability due to these conditions, he knew the time to take action had arrived. To read more about Alex's story, please visit our Patient Experiences page.
To Alex--thank you for your time and insight!
January 18, 2012
Tips to help minimize pain after surgery
By Dr. Ayotunde Adeyeri
Earlier this year, I watched an ABC News story about doctors’ lack of pain management expertise. It resonated with me because I’m a surgeon, of course, but it is also a crucial component of patient care which is particularly important to me-how to make post-op patients comfortable and help promote the fastest recovery possible after surgery.
Here are some simple tips to help speed recovery with as little pain as possible:
- Start Before Surgery.
- The time to talk with your surgeon and anesthesiologist about how your pain will be managed after surgery is during pre-surgery testing so you are all on the same page about your pain management protocol. Be sure to discuss all of the medications you are taking and if you have any allergies.
- Discuss previous experiences with pain with your surgeon.
- Before surgery, talk to your doctor about your experiences with different methods of pain control.
- After surgery, make sure your medical team is aware of your pain level.
- Communicate how much pain you are experiencing with your doctor, the nursing staff—anyone and everyone. At any point if your pain is more than you can bear, ask for help immediately. If you don’t receive proper attention, ask to have your surgeon contacted.
- Be aware of the emotional toll and physical toll surgery can take.
- Successfully managing anxiety and depression after surgery, whether with medication or social support, often reduces the need for pain medication and quickens the time you can resume normal activities.
- Develop a plan for when you go home.
- Ask your doctor about what can be done to ensure that your pain will be properly addressed once you leave the hospital. This is particularly important to your long-term recovery.
Unfortunately, whether you have undergone a minimally invasive laparoscopic surgery or general surgery, with a larger incision, you will experience some discomfort. I advise my patients that only they know how they are feeling and no one knows their bodies better than they do. Most importantly, there is never a reason to suffer in silence. You will not become addicted to pain medication for a short period of time. Your medical team wants you to be comfortable while your body travels down the road to recovery—ideally in the fast lane!
About Dr. Adeyeri
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare; medical director of the Institute for Weight Loss, Raritan Bay Medical Center; and partner at Central Jersey Bariatrics. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital. For more information, call (732) 217–3897.
January 6, 2012
The Best Christmas Gift for a Bariatric Surgeon - A Letter from a Patient
On Christmas Eve, I received a wonderful letter from one of my bariatric patients which was the best gift I could have received. Mike took the time to write to me about his lifelong weight loss challenge and thanking me for supporting him throughout his bariatric surgery journey. Today, after losing more than 100 pounds in less than a year, I appreciated his heartfelt thanks--but it was Mike who did all the work!
Mike generously offered us the opportunity to share his letter so that other people considering weight loss could read a patient's first-hand account about the experience highlighting that bariatric surgery does help people back on the road to living a longer, happier and healthier life.
Further, you can see more of Mike's before/after images as he is appearing in our new print advertisement for Central Jersey Bariatrics this month! (You can see the ad in Greater Media Newspaper's Suburban issue).
So, as we forge into a new year, I'd like to thank you, Mike, for sharing your story and offering appreciation for the work my staff and I perform. Your letter to us is the perfect gift for any doctor.
January 4, 2012 - Published in Greater Media Newspapers
Outsmart the unhealthy dangers of restaurant dining
By Dr. Ayotunde Adeyeri
It’s one thing to eat a heart-healthy diet when you are home. But it can be more challenging when you are at a restaurant. Here are some tips for when you go to a restaurant, which may help you maintain your healthy diet:
- Buffets can be challenging because you can unnoticeably slip into the danger zone of losing track or overeating.
- Select dishes that are designated “heart-healthy,”“low-fat” or “light.”Today, many restaurants make a point of highlighting these healthy items on the menu.
- Don’t be afraid to ask how dishes are prepared and if they can be prepared differently. Many restaurants will honor requests to serve foods the way you prefer. For example, ask to have fish grilled without butter or oil.
- Ask for dressing, sauces and gravy on the side, so you can use them sparingly.And ask your server if low-fat salad dressings are available.
- Avoid deep-fried foods. Instead, select foods that are broiled, baked, grilled, roasted, steamed, poached, lightly sautéed or stir-fried.
- If you order poultry or meat, trim off all the visible fat.
- Eat the same amount of food you would if you were at home. If the restaurant meal includes larger portions, set some of it aside and take it home.
- Choose pasta with a tomato-base rather than cream-based sauces.
- Order entrées with vegetables as key ingredients.
- Do not ask for a refill on the fresh baked breads and butter.
- Order beverages carefully because the calories you save in ordering sensibly will be more than lost with a bad order of a beverage.
- Choose between a high calorie beverage and a dessert. Get water with the meal and share a dessert.
- Plan your day’s intake ahead of time when you are going out for dinner.
- Pay attention to what you eat before and after eating out and crank up your activity level.
Board certified and fellowship trained laparoscopic surgeon Ayotunde Adeyeri, M.D., is the medical director of the Institute for Weight Loss at Raritan Bay Medical Center. The Institute provides individualized medical and surgical solutions and support for individuals seeking weight loss, who have been unable to lose weight through conventional dieting, exercise or weight loss medication. For more information, call (732) 217-3897.
December 3, 2011
Revisional Bariatric Surgery Can Restart Your Weight Loss Journey
By Ayotunde Adeyeri, M.D.
With so many weight loss success stories and the increasing popularity of bariatric surgery, it begs the question-what happens if you’ve undergone a procedure and you have not achieved the desired results?
When performed improperly or when the patient is not counseled on post-surgery nutrition, those who have undergone bariatric procedures could experience complications and/or lack of desired significant weight loss. However, hope is not lost—there are several options for those who have undergone a previous bariatric procedure and require revisional bariatric surgery to finally achieve the desired weight loss goal.
Revisional Bariatric Options
- An adjustable gastric band can be removed and converted to a gastric bypass procedure. This can help patients who have complications like severe heartburn or have been unable to lose significant weight since the original surgery was performed. This can be achieved laparoscopically.
- The sleeve is another less-invasive revisional technique. In this procedure, part of the stomach is removed altogether. You will experience reduced hunger and better general health, thanks to a decreased caloric intake and better nutritional choices.
- A previous gastric bypass can be redone if the pouch has stretched out from bad eating habits or if there is a complication such as an ulcer causing pain and/or bleeding. If your bariatric specialist has advanced expertise, this procedure may be performed laparoscopically.
Most importantly, make sure the bariatric surgeon you choose for your revisional procedure has extensive educational and clinical expertise performing these advanced surgical procedures. If you’ve experienced complications or have not been satisfied with your original bariatric procedure, I would be happy to consult with you about your current and future weight loss goals. I regularly perform many of these procedures both in emergency and non-emergency situations.
To Learn More
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic, bariatric and general surgeon. He is medical director at Sterling Surgicare; medical director of the Institute for Weight Loss, Raritan Bay Medical Center; and partner at Central Jersey Bariatrics. Dr. Adeyeri is on staff at Raritan Bay Medical Center, CentraState Medical Center and Bayshore Community Hospital. For a consultation with Dr. Adeyeri, please call Mara at (732) 217-3897.
Arm Yourself with a Plan to Combat Holiday Overeating
By Dr. Ayotunde Adeyeri
With a little planning, you can enjoy the foods of the upcoming holiday season without tipping the scales. Follow these simple tips to help avoid overeating:
- Avoid hunger. Always have a small snack before you go to a party.
- Don't skip meals in preparation for a holiday feast. Being famished often leads to overeating. Plan your intake on the day of the party.
- Go easy all day to justify your big meal. Focus on family and friends, not food. It's hard to talk and eat at the same time.
- Stand away from the food. The closer you are, the more likely you are to nibble.Take small portions. Denying yourself your favorite food will only lead to frustration. Use a smaller plate-your servings will look bigger.
- Go easy on appetizers, start with a salad and drink water with meals to cut down food intake, take time between every mouthful of food - put the fork down.
- Watch your choice of beverage; they can add plenty of calories.
- Choose wisely. Go for lean meats, such as turkey. Load up on vegetables and fruits.Limit butter and high-fat salad dressings and gravies.
- Avoid alcohol. Alcohol weakens will power. And don't forget, it has calories, too.
- Do not skip your exercise, stick to your activity routine. Take walks before and after big holiday meals. Delay dessert. If you wait a while, your craving for sweets may quiet down.
- Even if you do not lose weight focus on not gaining during the holidays.
- Deal with the leftovers wisely. Pack 'to go' bags for your guests, freeze them for later.
- Party planning is an art; make a realistic estimate of your guest list, menu and food portions. Buy disposable leftover containers to store or give away.
Dr. Ayotunde Adeyeri is the medical director of the Institute for Weight Loss at Raritan Bay Medical Center. The Institute provides individualized medical and surgical solutions and support for individuals seeking weight loss, who have been unable to lose weight through conventional dieting, exercise or weight loss medication. For more information or to make an appointment, call (732)217-3897.
November 14, 2011
ObesityHelp.com offers bariatric information, support and patient reviews
We encourage our patients to utilize the support tools on ObesityHelp.com, a comprehensive website offering a wide spectrum of information about the surgical weight loss journey. The informative and objective site provides interactive support groups and several useful online tools to manage your day-to-day weight loss.
I recently added my profile to this site and was pleased to read four patient reviews this morning http://www.obesityhelp.com/profiles/bariatric-surgeon/dr-ayotunde-adeyeri/#profile_reviews
Now this is the way to start a new week!
October 5, 2011
Reprinted from Greater Media News
Gastric sleeve is a less invasive surgical weight loss solution
By Ayotunde Adeyeri, M.D. and Seun Sowemimo, M.D.
Gastric sleeve resection is one of the newest and safest types of bariatric surgery. This surgery is also referred to as sleeve gastrectomy, vertical sleeve gastrectomy, tube gastrectomy or laparoscopic sleeve gastrectomy. The procedure is performed by removing approximately 85% of the stomach, resulting in a tube-like appearance resembling a “sleeve.” The reduced stomach (the remaining 15%) is then stapled closed.
The sleeve may be a recommended alternative to gastric banding for those who can’t make the frequent office visits required by other bariatric procedures. Since the surgically reduced stomach is considerably smaller after the procedure, hunger and food cravings subside allowing for reduced food intake without hunger. Another marked benefit of sleeve resection is that it is performed laparoscopically, requiring only very small incisions. Benefits of gastric sleeve resection are significant-shorter hospitalization, less scarring, and reduced post-operative pain.
The National Institutes of Health recommends a body mass index (BMI) greater than 40 for most bariatric surgeries (about 80-100 pounds overweight). However, those with a slightly lower BMI may also be approved if their obesity is causing common complications such as diabetes, high blood pressure, high cholesterol or sleep apnea. Gastric sleeve resection is also used as precursor to traditional gastric-bypass surgery for patients who may be very overweight or for whom gastric bypass may be too high risk.
Bariatric patient says goodbye to diabetes, high blood pressure, sleep apnea.
Before George Peters of Toms River underwent gastric sleeve resection with us, he weighed 425 pounds and needed four insulin shots and 15 pills per day to control a long list of chronic diseases—ranging from sleep apnea to heart disease and type 2 diabetes.
But since his weight loss surgery earlier this year, his overall health has improved dramatically-
- Eliminated all insulin injections
- Eliminated all blood pressure medications
- No longer suffers from sleep apnea
- No longer controlled by the emotional roller coaster that comes with diabetes (due to blood sugar changes)
- George lifts weights and walks five days a week
- His improved health and energy allows him more quality time with his daughter before she leaves for college next year
“Since my knees don’t hurt anymore, I can do seated squats with about 395 pounds of resistance which was my weight less than a year ago. I remember lugging that weight around and it’s no wonder I was in pain every day.” Today, at 285 pounds, George is closing in on achieving his goal weight of 225 – 245 pounds.
Should you wish to pursue any kind of bariatric surgery, first, get the facts. Locate a board certified bariatric surgeon and meet with the doctor or attend an Information Seminar. Ask if the bariatric center or surgeon offers one-on-one pre- and post-surgical nutritional counseling with a nutritionist or licensed dietician. Finally, make sure they offer regular support group meetings that include other bariatric patients.
Dr. Adeyeri is a board certified, fellowship-trained, advanced laparoscopic, bariatric and general surgeon and medical director of Central Jersey Bariatrics located in Freehold, Holmdel and Old Bridge. He is on staff at CentraState Medical Center, Bayshore Community Hospital and Raritan Bay Medical Center and serves as medical director of the Institute for Weight Loss. For more information or to attend a Sterling Surgicare weight loss surgery Informational Seminar call (732) 217–3897.
September 25, 2011Sterling Surgicare lead nutritionist, Julie Parrott, shares her expertise on vitamin and mineral needs for bariatric patients
Three pieces to the dietary supplement puzzle for bariatric patients
By Julie Parrott, MS, RD, LD
As a weight loss surgery patient, you know that the numerous forms of dietary supplements-tablets, capsules, chewables and powders, as well as drinks and energy bars-can be overwhelming. How do you know which choices are the best for you? Imagine a puzzle with only three pieces. Let’s put the three pieces of the puzzle together-
Which supplements do I need?
One of the primary goals of weight loss surgery is to restrict the quantity of food you eat at one time. This affects your ability to eat a variety of nutritious foods within your first six weeks after surgery. Your individual history and prior eating patterns may also leave you susceptible to developing specific nutrient deficiencies. At Sterling Surgicare, we monitor your nutrient levels before and after surgery to prevent nutritional deficiencies from developing or worsening.
According to the most recent research guidelines, all weight loss surgery patients should be taking:
- A multivitamin and mineral supplement
- Calcium citrate with vitamin D
Additionally, we recommend that you take vitamin B12 and iron each day if you had the sleeve gastrectomy or the gastric bypass (we discuss supplement and dose at pre-operative and post-operative visits).
After your first six weeks of surgery, you may also be taking specific supplement(s) based on your particular bariatric surgery or nutrient deficiency (recommended to you by your primary care practitioner or surgeon’s office). These supplements may include protein supplements and specific vitamins such as vitamin B12 or vitamin C; minerals like iron or magnesium; herbs such as garlic; and specialty products like glucosamine chondroiton, probiotics, and omega 3 fatty acids.
What form or type of vitamin should I take?
We recommend that you take a chewable, powder or liquid form of supplement for the first four weeks after surgery. You should be able to tolerate most capsules or tablets after this time. The newer gummy vitamins may taste great, but they do NOT contain all the vitamins and minerals you need as a bariatric patient. In fact, many of the gummy vitamins do not contain the recommended 100% Daily Value for many nutrients, particularly thiamine (vitamin B1), so forego this option. The recommended daily amount (100% DV) for adults is 1.5 mg per day.
Why is thiamine so important?
Thiamine (vitamin B1) is an important nutrient for taking energy from food and turning it into energy for your brain, nerves and heart. It is needed by the body to process carbohydrates, fats, and proteins.
What happens if I don’t get enough thiamine?
Your body stores very little thiamine, so deficiency can happen very quickly – especially if you are not eating much or if you are vomiting for any reason. When you don’t get enough thiamine, you may have difficulty concentrating, weakness, changes in memory, burning feet and loss of balance among other symptoms.
Where can I get thiamine?
Thiamine is found in fortified cereals, beans/peas, nuts and pork, foods difficult for a weight loss surgery patient to obtain in the first six weeks after surgery. Some beverages, like coffee, black tea and alcohol, can also inhibit thiamine absorption.
How much do I take?
When it comes to supplements, there is no “one size fits all”. What you need depends on your particular situation, and the staff at Sterling Surgicare will help you identify the dosage that's optimal for you.
However, there are a few tips that will help you:
- Read the Supplement Facts. All products labeled as dietary supplements carry a Supplement Facts panel that lists the contents, amount of active ingredients per serving, and other added ingredients (like fillers, binders, and flavorings).
- Pay attention to how a “serving size” is defined. Different products define a serving size differently. For instance, do you need to take six capsules, two chewable tablets or just a single chewable to provide the percent daily value (% DV) listed on the Supplement Facts?
- Who is the supplement intended for? An adult? A child? Pregnant and Lactating woman? An adult who had weight loss surgery?
- Look for a seal of approval. The dietary supplement or dietary ingredient manufacturer is responsible for ensuring that a dietary supplement or ingredient is safe before it is marketed. FDA is responsible for taking action against any unsafe dietary supplement product after it reaches the market. The FDA has established standards for dietary supplements (ensuring identify, purity, strength, composition—in short, that you are getting what the manufacturer claims you are getting). Also, several independent organizations (like U.S. Pharmacopeia, ConsumerLab.com, NSF International) offer quality testing and allow products that pass these tests to display their seals of approval.
- Keep track of all your supplements. Because vitamins and minerals are present in many different supplements, it’s very important to keep a list of all the supplements you take. The U.S. Office of Dietary Supplements (ODS) has created a handy (and free!) mobile app for consumers called My Dietary Supplements (MyDS). Simply enter the names and amounts of your dietary supplements, and they'll be stored on your iPhone or iPad for your use anytime, anywhere—for example, when seeing your doctor or shopping. MyDS is available from the iTune store. http://itunes.apple.com/us/app/myds/id399053073?mt=8 Download MyDS. MyDS gives you:
- An easy way to keep track of the vitamins, minerals, herbs, and other products you take—right in the palm of your hand.
- Access to science-based, reliable information on dietary supplements.
Use Reliable Sources
Not all information on dietary supplements is accurate or useful. In fact, there is quite a lot of misinformation out there. We recommend to patients a wealth of reliable information available at the following government websites:
Julie Parrott, MS, RD, LD, is the lead dietician/nutritional counselor at Sterling Surgicare. She has worked in the field of nutrition for more than 20 years working as a clinical research study coordinator and clinical monitor for the Lap Band FDA trials for the BioEnterics/Inamed LAGB Device. Julie served as the founding Bariatric Surgery Sub-units Coordinator for the American Dietetic Association and Weight Management Dietetic Practice Group Sub-unit Director.
She is an active member of the ASMBS Integrated Health (IH) Executive Council and IH Clinical Issues and Guidelines committee. She co-authored the ASMBS Nutrition Guidelines for the Surgical Weight Loss Patient and continues to serve as an Allied Health Editor for the journal, Surgery for Obesity and Related Disorders (SOARD).
To learn more about weight loss surgery and the nutritional support programs at Sterling Surgicare, we invite you to attend our next Informational Seminar, located at a hospital near you or call (732)217–3897.
September 18, 2011
Liver biopsy offers substantial patient benefits over traditional biopsy
Laparoscopic liver biopsy offers substantial patient benefits over traditional biopsy. A biopsy of the liver or enlarged abdominal lymph node may be required when the problem can’t be diagnosed or closely monitored with blood tests, ultrasound or x-rays. During this procedure, a small piece of liver tissue is removed so it can be assessed for signs of damage or disease.
RISKS OF TRADITIONAL LIVER BIOPSY
A traditional liver biopsy includes several significant risks not found when performing a laparoscopic liver biopsy, where only tiny incisions are necessary to obtain a sufficient tissue sample. Risks include:
- Hemorrhaging (the number one cause of liver biopsy complications)
- Potential puncture of other internal organs
- Post-operative infection as a result of a larger incision and longer hospitalization.
- Possible spread of cancer cells (cancer seeding) as a result of disturbance of the cancer cells
BENEFITS OF LAPAROSCOPIC SURGERY
Conversely, laparoscopic liver biopsy is a minimally invasive procedure that ameliorates many of these risks. I regularly perform laparoscopic liver biopsies to obtain tissue samples from the liver or when the risk of spreading cancer or infection exists. This low-risk procedure is performed by making only one to three small incisions in the abdomen. A trocar is inserted and the abdomen is inflated with gas. Using a tiny lighted video camera, called a laparoscope, the liver is magnified allowing me to examine it in precise detail. Small fine instruments are inserted through the trocars to remove a small piece of the liver. Then the trocars are removed, and the incisions closed with stitches. These stitches are self-dissolving and do not need to be removed.
Laparoscopic biopsy is most helpful in the diagnosis of diseases of cavities enclosing the stomach and pelvis, examining fluid in the abdominal cavity and the staging of abdominal cancer. Best of all, recovery time usually lasts less than a week before the patient can resume normal activities.
If you or a loved one is facing surgery, talk with your surgeon about the viability of performing the surgery laparoscopically. If appropriate, you will experience less post-operative pain, quicker recovery time, less blood loss and scarring.
TO LEARN MORE
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic and general surgeon. He is medical director at Sterling Surgicare, director of the Institute for Weight Loss, Raritan Bay Medical Center, and partner at Central Jersey Bariatrics. For an appointment with Dr. Adeyeri, please call Mara at (732) 217 - 3897.
September 6, 2011
Laparoscopic common bile duct exploration offers patient optimal outcomes with minimal risk and pain
By Ayotunde Adeyeri, M.D.
More than 25 million Americans have gallstones and approximately one million are diagnosed each year. However, only one to three percent of the population complains of symptoms during the course of a year, and fewer than half of these people have symptoms that return.
Common bile duct exploration and stone extraction is generally considered to be a complex procedure that traditionally was considered to be a major surgical procedure. This unfortunate stigma is no surprise—until recently, surgical options for this “open” procedure required a lengthy period of hospitalization, long recovery time and the risk of developing post-surgical pancreatitis, which could result in a hospital stay of several months.
LAPAROSCOPIC SURGICAL SOLUTION
But today, Laparoscopic Common Bile Duct Exploration (LCBDE), a minimally invasive, laparoscopic surgical option alleviates virtually all of these concerns. LCBDE is commonly performed during gallbladder surgery when common bile duct stones are suspected, or detected. LCBDE procedures are either transcystic (no need for suturing, a T-tube or drains) or choledochotomy (recommended for the removal of large stones). This surgical solution has the lowest associated rate of complications or post surgical pancreatitis, as opposed to open surgery, which had up to a 10 percent rate of complication and a 1 percent mortality rate.
Other highlights of LCBDE include a quick recovery and minimal hospital stay—it may even be performed in the ambulatory surgery setting. One or two 1/2-inch incisions and three 1/5-inch incisions are made in the abdomen, so scarring, blood loss and pain medication needs are minimal and the patient can return to normal function much sooner.
Laparoscopy for common duct stones should be performed only by experienced surgeons with specialized training in this procedure. Additionally, the hospital or surgical center where the procedure is performed should also have extensive expertise performing this procedure.
Dr. Adeyeri is a board certified, fellowship-trained advanced laparoscopic, general and bariatric surgeon. He also serves as Medical Director of The Institute for Weight Loss at Raritan Bay Medical Center, Old Bridge, and is a Partner at Central Jersey Bariatrics in Freehold. For a consultation about an advanced laparoscopic or surgical procedure, please contact Sterling Surgicare at (732) 217 – 3897 to schedule an appointment.
Published in NJToday.com on August 31, 2011
Maintain Your Ideal Weight, Enjoy Healthy Foods for Good Health
By Dr. Ayotunde Adeyeri
Maintaining your ideal weight and enjoying a balanced, healthy diet is an important part of your well-being and can significantly reduce the risk for chronic diseases, including: diabetes, heart disease, stroke and certain cancers. Know your body mass index, or BMI, and waist measurement compared to your height, so you can track how you are doing. Regular exercise is a must; be sure to get 30 minutes of aerobic exercise most days of the week plus some form of resistance training or weight lifting and stretching. Proper nutrition is also very important. Enjoy a balanced diet with plenty of whole grains, vegetables and fruits, low-fat dairy products, proteins low in saturated fat and switch to water instead of sugary drinks.
The following guidelines can help you select nutritious foods for you and your family-
Limit your saturated fats and avoid trans fats: butter, some margarines; vegetable shortening; foods containing “hydrogenated or partially hydrogenated vegetable oil,” such as cookies, crackers, pastries, microwave popcorn, and some frozen meals; deep-fried foods, such as doughnuts, french fries, and fast foods; cheese; butter; fatty meats, such as hamburger, steak, and prime rib; cold cuts; poultry skin; whole milk and whole-milk products, such as ice cream and cream; and tropical oils, such as palm kernel or coconut.
Increase your intake of good fats (monounsaturated and polyunsaturated): olive oil; canola oil; peanut oil; flax seeds and flaxseed oil; wheat germ; nuts, including almonds, cashews, filberts, macadamias, pecans, pistachios, walnuts, and peanuts; avocados; peanut butter (look for all-natural brands) and other nut butters, such as almond butter and cashew butter; corn, soy bean, safflower, and sunflower oils; sunflower seeds; fish, including herring, bluefish, salmon, pollack, flounder, lake trout, tuna, and sardines; fish-oil pills with EPA and DHA (500 to 1,000 milligrams per day).
Enjoy fruits, vegetables, nuts, and whole grains: oranges and orange juice; green and red peppers; collard greens; broccoli; spinach; tomatoes; strawberries; kiwi; apricots; carrots; pumpkin; cantaloupe; sweet potatoes; dark, leafy vegetables, such as spinach, kale, hubbard squash, and papaya; Brussels sprouts; asparagus; bananas; avocados; almonds; cashews; peanuts; macadamia nuts; hazelnuts; pistachios; walnuts; peanut butter and other nut butters; 100-percent whole-grain bread; oatmeal; whole-wheat pasta; whole-grain crackers; whole-wheat flour; wheat berries or cracked wheat; quinoa; brown rice; barley and millet.