The Truth is, Weight Loss The Truth is, Weight Loss Surgery Can Change Your Life Surgery Can Change Your Life

Ranjan Sudan, M.D. – Medical Director

Alene Wright, M.D.

R. Armour Forse, M.D.

Multidisciplinary Team

Surgeons

Medical Physicians

Nurses

Registered Dietitian

Program Manager

Insurance Specialist

Physical Therapists

Psychologists

Program Highlights Offer three different options Offer laparoscopic and open approaches Individualize options Multi-disciplinary approach Life-long follow up Support groups Leaders in robotic surgery Intense level of care

What is Morbid Obesity?

More than 100 pounds over ideal weight

Severely affects health and increases risk of dying prematurely

Body mass index (BMI) of 40Kg/M2 or more

Indications for Surgery

A BMI of 40 or more A BMI of 35 or more if serious

medical issues are present Benefits of surgery outweigh risks At least one well documented

attempt to lose weight by medical means

Types of Obesity Surgery Gastric Restrictive

Lap band

Combined mode of action Roux en Y Bypass BPD/DS

Lap Band (Continued)

Surgical difference

BPD/DS

Results Lap Band

Average of 30-40% of excess body weight lost

Gastric Bypass Average of 55% - 65% of the excess

weight lost and maintained B.P.D. with Duodenal Switch

Average of 75% of excess weight lost and maintained

Results (Continued) Diabetes Type 2

Virtually 100% cured Hypertension

Most cured or improved Many medical conditions resolved Sense of well being improved Depression improved in most cases

Creighton Weight Management Program

Birgit Khandalavala, M.D.

Medical Director

Shelly Oestmann, R.D., L.M.N.T.

Nutritionist

Our Mission

To improve the quality of life through

lifestyle changes lifelong

Our Focus To maintain weight loss with the

use of lifestyle toolsBehavior ModificationNutritionActivity/Exercise

5 Step ProgramOutreachGroup SessionsMedical/MedicationVery Low Calorie DietSurgery

Use the

Lifestyle TOOLS

and

BUILD a HEALTHIER LIFESTYLE