Laparoscopic, Bariatric Surgery Center Gives Obese Patients a New Lease on Life
Obesity is reaching epidemic proportions in the United States, yet physicians struggle with counseling their patients on weight management. Lack of time and training are just some of the barriers that prevent more than half of physicians nationwide from offering patients critical guidance on diet, exercise, and weight control.
To address this problem, North Kansas City Hospital’s Bariatric Center works together with physicians to help overweight and obese patients lose weight, improve their health, and live longer, happier lives. We are the first hospital north of the Missouri River to provide these services. For questions about the program, call 816-691-5048.
When Non-Surgical Methods Fail
If you have patients who have not been able to lose weight with non-surgical treatment methods like medication and behavior modification, you are not alone. About 95 to 97 percent of patients who use these methods do not achieve substantial weight loss. If they do lose weight, they are likely to gain it all back within 5 years. For these patients, your advice and warnings about the increased risks for cardiovascular and pulmonary disease, cancer, and phlebitis are likely not enough.
But continuing to manage their diabetes, hypertension, osteoarthritis, and other comorbid conditions is not optimal either. These patients need lasting solutions. Bariatric surgery is the standard of care for most patients with clinically severe obesity.
Bariatric Center Offers Specialized, Compassionate Care
Patients at the Bariatric Center benefit from our unique combination of specialists who help them manage the physical, behavioral, and psychological issues involved in obesity therapy. Our team, led by Center Director Dr. Keenan Berghoff, a board-certified general surgeon with specialized training in bariatric procedures and advanced laparoscopic surgery, includes a psychiatrist, nutritionist and health administrators.
Patients can also attend support groups both before and after surgical procedures to learn healthy eating habits, identify psychological triggers for overeating and address other critical issues. This additional support, all conveniently located on the Hospital campus, helps patients achieve the most successful and permanent long-term results.
Importantly, when you refer your patients to us, we make sure to keep you informed of your patients’ progress and to collaborate on major decisions regarding care and treatment.
Bariatric Surgery Improves Health
90 percent of patients maintain their weight loss for more than 10 years and comorbid disease resolution includes:
• 80% of diabetes
• 75% of hypertension
• 70% of hyperlipidemia
• Many types of cancer, including uterine and colon
• More productive, restful sleep
Identifying Bariatric Surgery Candidates
Bariatric surgery can put patients on the right path to a healthier lifestyle. Dr. Berghoff believes that for obese patients, bariatric surgery itself is just the beginning.
“Bariatric surgery is simply the first step in helping patients lose weight. As the person sheds pounds, he or she is increasingly motivated and committed to adhering to a new diet and exercise plan. Surgery gets them started on their journey to a longer, happier life,” he says.
But is bariatric surgery the answer for all obese patients? The best candidates for bariatric surgery should have the following characteristics:
• A body mass index of 40 kg/m2 or greater
• BMI greater than 35 kg/m2 with one or more co-morbidities
• Have failed other medically managed weight-loss programs
• Remain nicotine free for three months
Obese patients who are not good candidates for bariatric surgery include those who:
• Have a metabolic or endocrine disorder
• Have an active substance use/abuse or major psychiatric problem
• Are high risk or are contraindicated for surgery
• May become pregnant soon
Bariatric Center Offers Advanced Surgical Procedures
Patients may ask about the safety of bariatric surgical procedures. Dr. Berghoff says you can assure your patients that the procedures are safe, effective, and critically necessary for obese patients.
“Due to the associated health risks of people being overweight, people put themselves at greater risk by not having the surgery and remaining obese,” he says.
Dr. Berghoff performs three different types of laparoscopic, bariatric surgical procedures:
• Gastric banding – This is a minimally-invasive procedure that positions an adjustable silicone band around the upper part of the stomach through a laparoscopic technique. The surgery reduces the overall size of the stomach.
• Sleeve gastrectomy – This is a laparoscopic procedure that removes the lateral stomach to significantly reduce the size of the entire stomach.
• Gastric bypass – This surgical procedure divides the stomach into two sections to limit the amount of calories the body can absorb.
About Dr. Berghoff
Dr. Keenan Berghoff received his MD from Indiana University School of Medicine and completed his general surgery training at the University of Missouri in Kansas City. He also completed a fellowship in advanced laparoscopy at the Texas Endosurgery Institute in San Antonio, TX. Throughout his career, Dr. Berghoff has performed over 400 bariatric procedures.