668 N. Beers Street
Holmdel, NJ 07733
3 Hospital Plaza
Old Bridge, NJ 08857
901 W. Main Street
Freehold, NJ 07728
9 am to 5pm (Holmdel)
9am to 1pm (Freehold)
1pm to 5pm (Old Bridge)
Dr. Ayotunde Adeyeri is a board certified, fellowship-trained surgeon specialist performing laparoscopic (minimally invasive), bariatric and general surgical procedures. Useful healthcare information is sometimes difficult to find and you aren't always sure what you are reading is accurate. So here, on the Sterling Surgicare Blog, he shares tips, insights and valuable medical information that you need to know. Enjoy and always feel free to contact us if you have a question about what you've read.
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 on an 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, MDThe 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
Order of 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.
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
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,
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.
Dr. Ayotunde Adeyeri is a board certified, fellowship-trained, advanced laparoscopic surgeon, medical director of the Institute for Weight Loss at Raritan Bay Medical Center, medical director at Sterling Surgicare, located in Holmdel and Old Bridge, and partner at Central Jersey Bariatrics, Freehold.
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 to talk with Dr. Adeyeri, call (732) 217 – 3897.
July 25, 2011
Looking for a surgical weight loss solution that is less invasive and requires fewer office visits?
By Ayotunde Adeyeri, MD
Holmdel, Freehold and Old Bridge
We’re looking forward to sharing a recent bariatric patient’s story who underwent a gastric sleeve resection surgical weight loss solution. Before doing so, we’d like to explain the procedure and provide some background about it. Gastric sleeve resection is one of the newest and safest types of bariatric surgery. You may also hear this surgery referred to as a sleeve gastrectomy, vertical sleeve gastrectomy, tube gastrectomy or laparoscopic sleeve gastrectomy.
Most patients approved for traditional bariatric surgery should consider the gastric sleeve procedure. The procedure entails the removal of 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 return visits required by the banding procedure. Another marked benefit of sleeve resection is that it is performed laparoscopically, requiring only very small incisions. The benefits for the patient are significantly less post-surgery scarring, less blood loss, reduced post-operative pain and pain medication needs, and earlier return to normal activities.
Since the surgically reduced stomach is considerably smaller after the procedure, hunger and food cravings subside allowing for reduced food intake without hunger. Sterling Surgicare patients receive private pre- and post-surgical nutritional counseling sessions and are encouraged to join our support group counseling sessions facilitated by one of our bariatric nutritionists.
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 complications such as diabetes, high blood pressure or high cholesterol. Gastric sleeve resection may also be used as precursor to traditional gastric-bypass surgery for those patients who may be very overweight and for whom gastric bypass may be too high risk as an initial procedure.
Would you like to learn more about surgical weight loss solutions? Please call Dr. Adeyeri at (732) 217 – 3897 to schedule an appointment or check here for his next Bariatric Weight Loss Information Session near you.
July 14, 2011
The many benefits of modern laparoscopic surgery
By Ayotunde Adeyeri, MD
Holmdel, Freehold and Old Bridge
Smaller incisions, speedier recovery and less time in the hospital—these are just a few of the advantages to keep in mind when considering laparoscopic splenectomy. This procedure allows for removal of the spleen in a much less invasive manner than traditional splenectomy.