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- The
MiniGastric
Bypass (MGB) is
a short, simple, successful and inexpensive laparoscopic
gastric bypass weight loss surgery. The
operation usually takes only 30 min., hospitalization
less than 24 hours.
The Mini Gastric Bypass is low risk, has excellent long term weight loss,
minimal pain and can be easily reversed or revised. People from all across
America and around the world are choosing the MGB as the Best in Bariatric
Surgery. |
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Recent MGB Patient Experiences:
1-"2
years and 135 pounds later," 2-"This
was by far the best thing I have ever done," 3-"I
walked a 5K 9 days post-op" |
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Dr. Rutledge presenting
MGB research in Holland 10th World Congress of the International
Federation for the Surgery of Obesity 19th International Symposium on Obesity
Surgery August 31st - September 3rd 2005 Maastricht, the Netherlands |
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Two New Mini-Gastric Bypass programs bow in!
Texas and Costa Rica have just become the newest members of
the growing MGB family! From more info on Houston Texas please call
Dr. Peraglie at 713-582-9589 or email him at DrP@clos.net.
For more info on 1:Costa Rica, 2: "The new Cosmetic" gastroplasty or 3:
Medicare or Tricare insurance call Dr. Rutledge 702-215-9550. |
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Listen To Dr. Rutledge
and MGB patients on the radio now! Dr. Rutledge was interviewed
on "Lighten Up America." Hear about the Mini-Gastric Bypass and weight
loss surgery in general. Also, many of his patients were interviewed about
their surgical weight loss journey. Listen
to these radio shows right now, click here. |
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Good News, The
MGB gets its own Billing code. New 2005 CPT codes have added
43645-Laparoscopy, surgical, gastric restrictive procedure; with gastric
bypass and small intestine reconstruction to limit absorption. 43644 is
the code for Lap RNY gastric bypass. |
Gastric bypass
Surgery Overview
Gastric bypass surgery makes the stomach smaller and allows food to
bypass part of the small intestine. You will feel full more quickly than
when your stomach was its original size, which reduces the amount of food
you eat and thus calories consumed. Bypassing part of the intestine results
in fewer calories being absorbed. This leads to weight loss.
The most common gastric bypass surgery is a Roux-en-Y gastric bypass.
In normal digestion, food passes through the stomach and enters the
small intestine, where most of the nutrients and calories are absorbed.
It then passes into the large intestine (colon), and the remaining waste
is eventually excreted.
In a Roux-en-Y gastric bypass, the stomach is made smaller by creating
a small pouch at the top of the stomach with surgical staples or a plastic
band. The smaller stomach is connected directly to the middle portion of
the small intestine (jejunum), bypassing the rest of the stomach and the
upper portion of the small intestine (duodenum).
This procedure can be done by making a large incision in the abdomen
(an open procedure) or by making a small incision and using small instruments
and a camera to guide the surgery (laparoscopic approach).
See an illustration of a Roux-en-Y gastric bypass.
What To Expect After Surgery
This surgery usually involves a 4- to 6-day hospital stay (2 to 3 days
for a laparoscopic approach). Most people can return to their normal activities
within 3 to 5 weeks.
Gastric bypass surgeries may cause dumping syndrome. This occurs when
food moves too quickly through the stomach and intestines. It causes nausea,
weakness, sweating, faintness, and possibly diarrhea soon after eating.
These symptoms are made worse by eating highly refined, high-calorie foods
(like sweets). In some cases you may become so weak that you have to lie
down until the symptoms pass.
Why It Is Done
Gastric bypass surgery is rarely used to treat obesity. Many health
professionals will consider it only for people who have not been able to
lose weight with other treatments and who are at high risk for developing
other health problems because of their weight.
Although guidelines vary, surgery is generally considered when your
body mass index is 40 or higher or you have a life-threatening or disabling
condition related to your weight.
The following conditions may also be required, or are at least considered:
Have been obese for at least 5 years
Not have a history of alcohol abuse
Not have depression or another major psychiatric disorder
Be between 18 and 65 years of age
All surgeries have risk, and it is important for you and your health
professional to discuss your treatment options to decide what is best for
your situation.
How Well It Works
Most people who have open gastric bypass surgery quickly begin to lose
weight and continue to lose weight for up to 12 months. One study noted
that people lost about one-third of their excess weight (the weight above
what is considered healthy) in 1 to 4 years.1 Some of the lost weight may
be regained.
The laparoscopic approach showed similar results, with 69% to 82% of
excess weight lost over 12 to 54 months.2 At this time, the laparoscopic
approach for gastric bypass has not been used long enough to draw significant
conclusions about how well it works.
Risks
Risks common to all surgeries for weight loss include an infection in
the incision, a leak from the stomach into the abdominal cavity or where
the intestine is connected (resulting in peritonitis), and a blockage of
blood flow within the lung (pulmonary embolism). About one-third of all
people having surgery for obesity develop gallstones or a nutritional deficiency
condition such as anemia and osteoporosis.3, 4
Fewer than 3 in 200 (1.5%) people die after surgery for weight loss.3
After a Roux-en-Y gastric bypass:5, 3
An iron and vitamin B12 deficiency occurs more than 30% of the time.
About 50% of those with an iron deficiency develop anemia.
The connection between the stomach and the intestines narrows (stomal
stenosis) 5% to 15% of the time, leading to nausea and vomiting after eating.
Ulcers develop 5% to 15% of the time.
The staples may pull loose.
Hernia may develop.
The bypassed stomach may enlarge, resulting in hiccups and bloating.
What To Think About
In a gastric bypass, the part of the intestine where many minerals and
vitamins are most easily absorbed is bypassed. Because of this, you may
have a deficiency in iron, calcium, magnesium, or vitamins. This can lead
to long-term problems, such as osteoporosis. To prevent vitamin and mineral
deficiencies, you may need to work with a dietitian to plan meals and may
need to take nutrient supplements and injections of vitamin B12.
Early studies of the laparoscopic approach to surgery for obesity suggest
that it reduces recovery time and postsurgery complications.2 A laparoscopic
approach for this surgery has not been used long enough to draw significant
conclusions.
Complete the surgery information form to help you prepare for this surgery.
References
Citations
Balsiger BM, et al. (2000). Prospective evaluation of Roux-en-Y gastric
bypass surgery as primary operation for medically complicated obesity.
Mayo Clinic Proceedings, 75: 673–680.
Schauer PR, Ikramuddin S (2001). Laproscopic surgery for morbid obesity.
Surgical Clinics of North America, 81(5): 1145–1179.
American Gastroenterological Association (2002). AGA technical review
on obesity. Gastroenterology, 123(3): 882–932.
National Institute of Diabetes and Digestive and Kidney Diseases (2001).
Gastrointestinal Surgery for Severe Obesity (NIH Publication No. 01–4006).
Available online: http://www.niddk.nih.gov/health/nutrit/pubs/gastric/gastricsurgery.htm.
Brolin RE (2002). Bariatric surgery and long-term control of morbid
obesity. JAMA, 288(22): 2793–2796.
Credits
Author Paul Lehnert
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer Caroline S. Rhoads, MD
- Internal Medicine
Specialist Medical Reviewer W. Stewart Agras, MD
- Psychiatry
Last Updated October 9, 2003
- We're
#1, the Best Gastric Bypass web site
on the internet. Google,
MSN.com
and AOL.com
rank CLOS.Net and the Mini-Gastric Bypass as the #1 web site on the internet
for gastric bypass.Google,
the #1 internet search engine ranks clos.net
#1 out of about 602,000 gastric bypass web sties. (CLOS.net
is also in the top 10 best web sites on Lycos.com,
Teoma.com,
Vivísimo.com,
Ask
Jeeves and on
Yahoo.com
out millions of web pages!) |
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MGB Hospital
continues Success in Las Vegas, Nevada: 86 MGB's finished
successfully at our new MGB hospital in Las Vegas. Operating times
20-60 min surgery, 24 hr Hospital stay! Call
to schedule cases or for more information. Dr. Rutledge's private
Cell Phone: 702-215-9550, CLOS West: Office 702-456-4643, Trish Lanman
702-376-3446, Sandy Brubaker 702-376-3647, Email: Dr. Rutledge DrR@clos.net,
Trish Lanman PEL@clos.net, Sandy Brubaker SandyB@clos.net |
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New
Videos of a Patient Interview, the MGB Surgery and of an MGB Revision
Now in higher quality video for broadband. |
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- Costs:
According to a recent USA
Today article "Weighing the cost of obesity" weight loss surgery usually
costs about $24,000. In contrast the total cost for the MGB is $17,000.
(Note: For patients that cannot afford the MGB and their insurance
will only cover the Roux-en-Y gastric bypass, CLOS will be offering
a Mini-Roux-en-Y and accepting insurance coverage
for the hospital and anesthesia portions of the surgery.) |
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Now get the Free
Book on Obesity and Weight Loss Surgery: Get the latest update
on Obesity and Weight Loss Surgery in America. You can read about
the latest results of different types of surgery as well as updates on
diet exercise and drug therapy. |
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Join
Us! Join the thousands of other successful "MGB" patients
that have lost weight after the 30-60 minute Mini-Gastric Bypass surgery
with an overnight hospital stay. Email and talk directly with thousands
of people just like you. |
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New study
shows Atkins, Weight Watchers, Zone and Ornish diets all fail to produce
significant weight loss. |
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MGB now available around the U.S.:
Texas, North
Carolina, Nevada, Michigan, Missouri and Florida all have strong growing
MGB programs associated with CLOS. Great News!
Our Newest Center to open April 25th in Houston Texas! For more
information or to schedule surgery please contact: Catherine LeRoy at 704-871-0031
or 704-682-8009, e mail clr@clos.net , Star Sweet at 417-291-2892, e mail
stars@clos.net, Elizabeth Robbins, 989-415-0238, e mail epr@clos.net ,
Dr Cesare Peraglie 702-376-9339, e mail drp@clos.net See the newest Houston
facility: http://www.springbranchmedical.com |
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New MGB Program to open with Dr. Rutledge in San
Jose Costa Rica! We will be offering the "Cosmetic" Mini-Banded
Gastroplasty for obese people who are not morbidly obese. We have
just competed our review of the hospital facilities and are nearing start
up. Please email or call us for more information: Phone
Dr. Rutledge Cell Phone: 702-215-9550, CLOS West: Office 702-456-4643,
Dr Rutledge (Cell Phone) 702-215-9550, Trish Lanman 702-376-3446, Sandy
Brubaker 702-376-3647, Dr. Peraglie: 702-376-9339, Email: Dr. Rutledge
DrR@clos.net, Trish Lanman PEL@clos.net, Sandy Brubaker SandyB@clos.net |
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Listen To Dr. Rutledge
on the radio now! Recently, Dr. Robert Rutledge was interviewed
on Lighten Up America, a radio show dedicated to educating people about
obesity surgery. (You
need the Flash Player to listen.) |
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Spanish Study Confirms Excellent
Results with Mini-Gastric Bypass Dr. Rutledge's Mini-Gastric Bypass
surgery is shown to be a simple low risk with excellent outcomes.
Endoscopy shows no evidence of bile reflux. |
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- View
Dr Rutledge's presentations for the 9th World Congress of IFSO:
6 Year Study of the MGB,
Elimination
of the Learning Curve in the Mini-Gastric Bypass |
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Read and view a description
of the MGB Surgery Watch and read about the short simple Mini-Gastric
Bypass. |
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New
Study shows that 39% of RNY Gastric Bypasses Back in Hospital for Complications:
Pennsylvania study reports that Roux-en-Y gastric bypass surgery has a
39% rate of readmissions for conditions related to this Non-MGB gastric
bypass. Pennsylvania
Costs for surgery twice as high as MGB. |
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- New
Study Recommends MGB as Best Choice as Salvage for Failed VBG (Vertical
Banded Gastroplasty) |
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Mini-Gastric Bypass is being adopted around the
world. Dr Rutledge recently spoke at the 9th World Congress
of the International Federation for the Surgery of Obesity September
8 - 11, 2004 in Tokyo, Japan
http://www.pac.ne.jp/ifso and will
be speaking Spain.
View Dr. Rutledge's MGB presentations in Japan (1,
2)Now surgeons
in Canada, Mexico, Spain, Brazil, Romania, Taiwan and Australia are all
adopting the Mini-Gastric Bypass! Surgeon reports first successful
MGB in Mexico. New surgeon from Romania reports excellent results
with MGB! |
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Canadian
Health Service approving some patients for MGB!
Over 221 patients turned out for recent
informational seminar in Toronto Canada. Dozens of Canadians have had the
MGB. For Canadians click
here... |
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MGB
now Success in Florida "I had my surgery on June 16 in Davenport,
FL. My procedure was 62 minutes. I had some pain and nausea when
I first got out of surgery, but everyone at the hospital worked quickly
and the relief was very fast. I was up and walking around later that afternoon.
I had my gall bladder out in 1993 and the MGB was SO much easier on me
then that was. For anyone who is planning on surgery in Florida, I have
to say I couldn't have had a better experience." “The procedure itself
is done in about 30 to 60 minutes, what’s more, recovery is exceptionally
fast. Only a 24-hour hospital stay is necessary, and within a few hours
after surgery, patients are up and walking around. Plus, patients are able
to resume their normal, day-to-day activities in just a few days.” |
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CLOS-High Point
North Carolina! Dr's Dasher and Walsh are having clinics on Mondays
and Wednesdays at The Millis Rehabilitation Center at 4p.m at High Point
Regional Hospital. High Point Regional Hospital is right off Highway 311,
at 601 N. Elm Street, High Point NC. 336-878-6000. |
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New Independent Controlled
Prospective Randomized Study confirms Dr Rutledge's MGB outperforms
RNY gastric bypass. In a randomized head to head comparison the MGB
had shorter operative times, fewer complications and weight loss as good
or better than the RNY gastric bypass. |
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Exciting 5 year Follow Up
Results! New follow up data shows continued excellent long
term weight loss and low complication rates in MGB patients. (See
it in 3D!) |
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Short, Simple, Effective Surgery "Imagine,
my surgery took only 18 minutes, (Our 2,000th case took only 15
min.) I had no pain, was up and out of bed walking two hours after
surgery and was out of the hospital less than 24 hours later!" Our
2,000th patient, Susan B's surgery took only 15 minutes! Read What
Hundreds and Hundreds of Patients
say about their MGB!Read one patient's Weight
Loss Surgery Success and another
and another and
another! |
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Please Call Us Anytime for Help or
Questions :Call
Us for Help Anytime: Dr. Rutledge' Personal Cell Phone: 702-215-9550, ****CLOS
West (Nevada, California and Costa Rica): Office 702-456-4643, Dr Rutledge
(Cell Phone) 702-215-9550, Trish Lanman 702-376-3446, Sandy Brubaker 702-376-3647,
Veronica Gonzalez 702-400-8636, Dr. Peraglie: 702-376-9339 ****CLOS North
Carolina: Debra Green 336-906-2810, 336-841-0326 office, Surgeons Dr. James
Dasher and Dr. Tom Walsh, 336-841-0326, **** CLOS Missouri Office: 417-206-2596
office, Star Sweet 417- 291-2892, Dr David Hargroder, 417-483-7090 ****CLOS-Michigan:
Kim Hazen 989-450-8081, Dr. Paul Doroghazi, 989-892-4591, ****CLOS Florida
Wayne Robbins 704-682-1549 ****CLOS Texas: Catherine LeRoy 704-682-8009,
Elizabeth Robbins 989-415-0238, Dr. Cesare Peraglie: 713-582-9589 ****Our
Nurse Debbie Pennell 704-682-2145 *****CLOS ADMINISTRATIVE OFFICES: 704-871-0031
Main office, Elizabeth Robbins 989-415-0238, Brian Chu 417-291-1018, Nancy
Monroe 704-682-0260, Catherine LeRoy 704-682-8009, Wayne Robbins 704-682-1549 . |
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Dr. Kurt Semm, surgery
pioneer, dies in Tucson Dr. Kurt Semm, whose pioneering techniques
in minimally invasive surgery were initially ridiculed but led to innovations
in many types of operations, died July 16 at his home. Surgeons and
other Doctors are slow to recognize new techniques. |
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Resolution of Diabetes
The Mini Gastric Bypass is a low risk, short, simple and effective treatment
of Type II Diabetes Mellitus. Over 82% of Diabetics resolve their
Diabetes completely following the MGB. "I am very pleased with my
MGB results. I fit into a size 8 now and my health has improved significantly.
All of my blood work is done on regular basis and has been wonderful. My
cholesterol was 240 pre-op with meds, now its 127! My
Diabetes is gone, my HgbA1c was 7.5 pre-op now it is 4.2 with no meds!!" |
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Study shows Mini
Gastric Bypass patients have shorter operating times, a shorter hospital
stay and lower rates of wound infection, hernia and leak than a comparable
series of Lap RNY patients. |
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What
are the Features of an
"Ideal"
Weight Loss Surgery |
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1. Low
Risk ...as safe as gallbladder surgery
2. Major Weight Loss ...average
140 lbs.
3. Easily performed ...technically
simple
4. Short operative times... less
than 45 min.
5. Outpatient or short hospital stay
< 24 hours
6. Minimal Blood Loss... Less
than a tablespoon
8. Minimal Pain ...rarely need
narcotics after 24 hr
9. Very High Patient Satisfaction
...>98%
10. A Good "Exit Strategy" - Easily
Reversed or Revised Laparoscopically ...revision <
60 minutes
13. Few adhesions or hernias
...<0.01% hernias
15. Low Failure Rate ...<
1%
17. Short Recovery Time ...home
in < 24 hrs
18. Rapid Return to Work .. <
3 days
20. Durable weight loss ...<10%
regain wt
23. No Plastic "ForeignBody"
Material
26. Performed as part of an extensive program of
education and follow-up
27. Independent confirmation
of results ...CPA certified
....More
Take
Our Survey: What Do You Think Makes an Ideal Weight Loss Surgery? |
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- Ghrelin
is a hormone made in the stomach stimulates food intake. A
new study shows dieting increases Ghrelin (makes you hungrier) while Gastric Bypasssuppresses
Ghrelin, explaining some of it’s
effectiveness. |
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Dr.
Rutledge is the most highly recommended weight loss surgeon on
the independent, nationally recognized ObesityHelp.com
web site. Click
here to see what hundreds of people say about the MGB and Dr. Rutledge. |
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- Patient
Emails: "I
have gone from a size 26/28 to a 6!!" Join
our online mailing list and chat with hundreds of pre and post op patients... |
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Costs: According to a recent USA Today article "Weighing
the cost of obesity" weight loss surgery usually
costs about $24,000.
In contrast the total cost for the MGB is $17,000. |
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NEW Version! Online
Manual for information and guidance on
having Weight Loss Surgery. |
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Watch the MGB
Movie (Get free RealPlayer.) |
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The
Four Stages of Scientific Acceptance famous geneticist J.B.S.
Haldane said... "1-This is worthless nonsense. 2-This is an interesting,
but perverse point of view. 3-This is true, but quite unimportant. 4-I
always said so." |
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Excellent results of the
MGBconfirmed by two independent studies,an
unprejudicedCertified
Public Accounting firm confirms excellent results for the Mini-Gastric
Bypass. |
| PreOp
Process for the MGB: The
steps to having the Mini-Gastric Bypass are detailed here. |
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1.
Selection Guidelines: understand
who is a good candidate |
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2.
Join Mailing List: enable you
to learn from other patients’ experiences, and give additional support.
http://clos.net/forms/mailinglist_form.htm |
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3.
Patient Information:
form http://clos.net/patinfo.htm |
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4.
Patient Education:
One of the most important efforts of the preoperative preparation of patients
for the Laparoscopic Gastric Bypass is an education about the risks and
benefits of the operation. |
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5.
Referring Doctor:
A variety of early, medium and long-term complications, problems and illnesses
can cause difficulties after the operation. Dr. Rutledge is committed to
provide long-term follow up for all of his patients after Laparoscopic
Gastric Bypass. It is important to develop a close relationship with your
local Doctor |
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6.
Patient Letter:
The letter requirement is based upon educational research showing that
retention of information is improved by asking the learner to think about
and write down the information. You can now complete the patient letter
requirements online http://clos.net/pat-letter.htm |
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7.
Psych Evaluation:
Patient undergoes a psychiatric evaluation to assess their psychological
status prior Gastric Bypass. |
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8.
Patient Contacts:
you have to contact at least 10 previous patients and fill out the online
patient contacts form. http://clos.net/forms/patient_contacts_form.htm |
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9.
Photographs:
These pictures will be used to document your physical size and appearance
both before and after surgery. |
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10.
Family Letter:
The family support letter is vital in documenting that your family knows
and understands why you seek this surgery, the changes you will undergo,
and the emotional and physical changes that affect you and them. |
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11.
Clinic Visit:
To make an appointment please call or email us: Email
Us Anytime for Help: **** CLOS West (Nevada, California and Costa Rica):
Dr Rutledge Drr@clos.net, Patricia (Trish) Lanman: pel@clos.net, Sandy
Brubaker SandyB@clos.net, Veronica Gonzalez veronica@clos.net , Dr. Peraglie:
drp@clos.net **** CLOS North Carolina: Debra Green: djg@clos.net , Wayne
Robbins wr@clos.net, **** CLOS-Missouri: Star Sweet StarS@clos.net , Dr
Hargroder drh@clos.net, Brian Chu brian@clos.net, Wayne Robbins wr@clos.net,
****CLOS-Michigan: Kim Hazen khazen@clos.net **** CLOS Florida: Wayne Robbins
wr@clos.net , Elizabeth Robbins epr@clos.net **** CLOS Texas: Catherine
LeRoy clr@clos.net , Elizabeth Robbins, epr@clos.net , Dr. Peraglie drp@clos.net
**** Our Nurse Debbie Pennell R.N. dpprn@clos.net , **** Corporate office:
Nancy Monroe, npm@clos.net |
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12.
Consent Form:
a detailed review of the issues and follow up required for the MGB. |
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