Welcome to The Center for Surgical Weight Loss at Care New England. We understand that obesity can be a difficult disease to live with and a frustrating problem to treat. That's why we are committed to helping you along your journey to better health.
Kent Hospital is an MBSAQIP-Accredited Comprehensive Center. We offer a free video consultation, led by Dr. Jeannine Giovanni, director of bariatric surgery at Care New England. During the webinar, you can hear about your options, the risks, and the benefits of bariatric surgery, all from the comfort and privacy of your own home.
Watching the video consultation is the first step. We’ll then invite you to schedule an in-person consultation at Care New England’s Center for Surgical Weight Loss in Warwick, RI.
Our free video consultation is the first step towards easily finding the answers to your questions, all from the privacy of your own home. By participating in the free webinar, led by Dr. Jeannine Giovanni, director of bariatric surgery at Care New England, you’ll learn more about the considerations of surgical weight loss, get to know Care New England’s expert bariatric team, and take the first steps to start your journey to a healthier life.
Once you have watched the consultation video, you’ll have a basic understanding of the surgical weight loss process. Once completed you’ll be able to schedule an in-person consultation at Care New England’s Center for Surgical Weight Loss in Warwick, RI.
This device was approved for use in the U.S. by the Food and Drug Administration (FDA) in 2001. The band is made of solid silicone, like a belt, and is wrapped around the upper part of the stomach. The belt has an inner inflatable balloon that is adjusted by adding sterile water to the port. The port is placed under the skin. When the band is inflated, it squeezes the stomach, making it harder for food to pass from the small upper stomach pouch through to the rest of the stomach. Food is forced to slow down and, therefore, the small p
ouch stretches. This makes you feel full after eating very small portions. If the band is too tight, food will get stuck and cause vomiting. In that case, the fluid can be removed by the doctor to relax the band and allow food to pass easier. Digestion is normal and your anatomy is kept intact, which makes the procedure reversible.
The "sleeve" is a procedure in which the majority of the stomach is stapled off and removed. This results in a long, slender stomach tube that doesn't stretch much. This procedure helps you eat small portions (4-8 ounces). It also has the added benefit of reducing hunger, partly due to the dramatic decrease in the hormone ghrelin which is primarily made in the part of the stomach that is removed. There may be other hormone changes that occur to help improve diabetes.
This is still the most popular weight loss surgery in the U.S. With the bypass, nothing is removed but the anatomy is rearranged. First, a small one ounce stomach pouch is created. This is stapled and divided from the rest of the stomach and can only hold a few ounces of food. The remaining 95 percent of the stomach remains in place but no longer is able to receive food. This "bypassed" leftover stomach does not shrink, rot, or cause any problems. It still makes digestive juices.
Next, the small intestine is "rearranged." About two feet of small intestine is divided into three sections: the duodenum, jejunum, and ileum. The duodenum, where the majority of digestive juice is produced and nutrients are absorbed, is cut and connected to the jejunum three feet (100cm) down stream. The "free" or "cut" end is pulled up and connected to the pouch with a very small opening.
Now food enters the stomach pouch and squeezes through a small, button-sized opening to get into the intestine. The food travels three feet before it encounters the digestive juices produced by the bypassed stomach and duodenum. The overall effect is that patients eat small portions and calories do not absorb well (restriction plus malabsorption). In addition, because food bypasses the old stomach, 90 percent of diabetics are cured almost immediately after the operation.
We are glad you have chosen to have surgery with us. You can rest assured that we will provide the highest quality of care in a respectful, dignified manner. Your comfort and safety are our priority.
Surgery usually takes between one to three hours. You will meet the surgical team before going under anesthesia but will be completely asleep and continually monitored throughout your surgery. You will wake up from surgery in the recovery room where staff will monitor you carefully and make sure you are as comfortable as possible.
You will be allowed to drink water immediately. Most patients spend just a few hours in the recovery room. Your family and friends cannot come into the recovery area, but we will keep them updated about your condition. They may visit you when you arrive on the surgical floor. You will be up and walking within hours of your surgery. This helps you feel better, recover faster, and prevents life-threatening complications such as blood clots.
Lap band patients generally go home the day of their surgery. Sleeve and bypass patients spend one to three nights in the hospital. Everyone is followed closely by the surgical team made up of your surgeon, physician assistants, nurses, pharmacists, nutritionists, physical therapists, and medical specialists. All of these professionals have undergone training to understand your needs as a bariatric patient.
When you leave to go home, we will give you instructions about the diet plan, medications, and follow up. We will also review the signs and symptoms of potential complications. Know that you can always call your surgeon with any problem no matter how trivial it may seem.
Recovery is different for everyone. You can expect some discomfort and we will give you medication to take as needed for pain and nausea. You may feel more tired than usual. It’s important to maintain a positive attitude and to keep your surgeon informed if there are any problems.
Lap band patients tend to recover quickly. Most patients take one to two weeks out of work. It is usually easier to eat and drink, but patients are advised to adhere to the strict dietary guidelines. These recommendations are crucial to avoid problems such as food getting stuck, retching, and vomiting. These actions can cause the band to slip or the sleeve/bypass to leak.
Bypass and sleeve patients tend to recover a little slower and usually need four weeks out of work.
Weight loss is rapid after the bypass and sleeve. The majority of patients lose most of their weight in the first six to 12 months. The band has to be adjusted often so weight loss tends to be slower (about one to two pounds per week). It’s important to remember that this process is a marathon not a sprint!
You will need to see the surgeon two weeks after your operation. Band patients will then be seen monthly to adjust the band. Sleeve and bypass patients will need to be seen in the office every three months for the first year, every six months the second year, and then every year for life. We will check your blood work at each visit to make sure you are not developing any vitamin deficiencies. We also suggest that you see the dietitian regularly. These visits are important to monitor your weight loss, medical conditions, and potential problems. They are also important to help you stay on track to achieve your weight loss goals.
Remember that this is the beginning of your journey to a healthier you. We know you can do it and are here to help before, during and after your surgery. Your success is our goal. Attend one our free informational seminars.
“When we heard how excited the staff in Kent’s Center of Surgical Weight Loss office was about the Walk from Obesity, we knew we had to be a part of it. From our very first appointment and throughout our journey, everyone has made us feel like we are part of the Care New England family. We don’t want to miss out on the opportunity to meet other members of our ‘family’ and learn about new ways to stay healthy.
We love to share our success stories as we want people to know that having weight loss surgery is nothing to be ashamed of. For us, it was one of the most positive, life changing decisions we made. We want to inspire others to walk their way to better health. Walking gives us the opportunity to spend time with each other and stay fit. It also helps us to be good role models for our kids, who we encourage to adopt a healthy lifestyle.”
“Having bariatric surgery has changed my outlook on life all together. I not only look different, but I feel healthier. I feel more energized and more importantly people always say to me how happy I look. I lose my mother in March, who was my biggest supporter, and I didn’t think I could finish this journey without her. But I found it in myself to do it and move closer to my goal.
What did I do once I hit my goal? I went to Disney World with my best friend. I rode a roller coaster and was not afraid if I would fit in the ride. I rode on an airplane and did not worry if I would have to ask for a seat belt extender.
This surgery has changed my life in so many ways and I could not have asked for a better surgeon or a better medical office than The Center for Surgical Weight Loss at Care New England.”
“An outline for the stages I went through during the process with the hopes of motivating others:
SHAME. EMBARRASSMENT. DARKNESS.
SKEPTICISM. UNCERTAINNTY. DILEMA
THANKFUL. ACCOMPLISHED. ACHIEVEMENT.
Thank you to Dr. Giovanni and Jocelynn Cobb for saving my life.”
“All my life, I have never been lean, slim, or thin. Being naturally built bigger, I knew I would never be skinny. I felt I could lead an active lifestyle but – having surpassed 400 lbs. – the reality was that my weight prevented me from doing the many things my heart desired. Things like skydiving, riding a roller coaster, etc. were physically out of reach.
Since having gastric bypass surgery my life has improved dramatically in so many ways. When I get on an airplane I can put the table down in front of me and use only 1 seatbelt! I’ve checked off several of my life long goals. I have been indoor rock climbing, skydived, surfed, and I even summited Mount Kilimanjaro in Africa, which was a major bucket list item.
I am days away from my 2-year surgical anniversary (as of 2017) and I am the healthiest I have ever been in my adult life. I have very few food limitations and, while my portions are small, they are no longer freakishly small; for the most part I can eat just like anyone else. I am a happier person all around.
I now enjoy a much better quality of life and will forever be grateful. Thank you to Dr. Giovanni and her team for the expert care that to me back to what I deem to be a very full life!”
Jeannine Giovanni, MD, is the director of bariatric surgery for CNE. She is a board-certified general surgeon with advanced training in bariatric surgery. She did her surgery training at Boston Medical Center and completed a fellowship in bariatric surgery at Saint Francis Hospital in Hartford, CT. She has been practicing since 2005 and has performed more than 1,000 laparoscopic bariatric procedures including the lap band, roux-en-Y gastric bypass, and sleeve gastrectomy.
Lindsay Tse, DO, is a board eligible Minimally Invasive General and Bariatric Surgeon at Care New England’s Kent Hospital. She completed her general surgery training at Hackensack University Medical Center in Hackensack New Jersey, where she served as the Chief Academic and Administrative Resident during her final year. She then completed her fellowship training in Minimally Invasive Surgery, Bariatric Surgery and Flexible Endoscopy at Houston Methodist Hospital in Houston, Texas. She has performed many complex laparoscopic intra- abdominal surgeries including advanced foregut procedures, fundoplications, hiatal hernia repairs, revisional bariatric surgery, roux en y gastric bypass, sleeve gastrectomy, common bile duct explorations, and esophageal surgeries. She received extensive training in advanced flexible endoscopy including stent placement, dilations, endoscopic mucosal resections and polypectomies. She also performs many minimally invasive general surgery procedures including cholecystectomy, appendectomy, hernia repair, and colon resections.
Jocelyn Cobb, PAC, is a physician assistant and bariatric coordinator for the program. She graduated from Quinnipiac University in 2009 and has been working with Dr. Giovanni since 2011. She cares for patients postoperatively both in the hospital and office as well as assists in surgery. Hear from Jocelyn on what to expect and her advice for those considering weight loss surgery. Watch now.
Sherry Peter is the office manager and program manager for The Center fir Surgical Weight Loss. Her role is to help patients coordinate their preoperative evaluations and to help obtain insurance approval for the procedures.
Jane Sylvestre, MS, RDN, LDN is the bariatric nutrition specialist located on-site at the Center for Surgical Weight Loss. She graduated with her master’s in nutrition and food science in 1995 from Texas Women’s University. She is certified by the Academy of Nutrition and Dietics in adult weight management levels 1 and 2. Jane provides pre- and post-operative nutrition counseling and leads an array of programs that support long term weight-loss success.
Daniel Piascik is a physician assistant with the bariatric and general surgery service. He graduated from Quinnipiac University in 2015 and has been a practicing PA in the state of Rhode Island throughout his PA career. He cares for patients both in the hospital and office as well as assists in surgery.