- Medical Weight LossUnfortunately they are hard to break. The problem is we over eat for many different reasons. We eat when we are hungry; we stop when we are full. But sometimes we eat even when we aren’t really hungry.The average person should not be eating any more than 2000 – 2500 calories per day, depending on how many calories that person burns daily. And diabetics should be eating no more than 1800 calories a day. How many calories a day do you eat? I bet you do not know. The problem is until you do know this number, it will be very hard for you to lose weight, and even harder to maintain that weight loss.
- Primary CareSurgical weight loss is something that people choose as a tool to help them on a journey to conquer the disease of obesity. Most people who come in for surgery have been battling obesity for their entire lives or at least a few decades, so when it comes to surgery they're not looking for an easy way out. They're looking for something to help them and we're here to offer that. There are three types of surgeries that we offer. One is the lap band, one is a gastric bypass, and currently the most popular choice is a laparoscopic sleeve gastrectomy. An ideal candidate for weight loss surgery is a patient who is motivated, who understands what it's like to use a tool to help reduce the volume of food that they're eating, to help reduce the number of calories that they're eating, but also is able to add exercise and a healthy diet to that tool. Most candidates today come in with something called a body mass index that is 35 or greater with comorbid conditions. Comorbid conditions can be anything from high blood pressure to diabetes, pulmonary hypertension, obstructive sleep apnea, as well as severe depression, polycystic ovary disease and many others. You don't need to have any comorbid conditions if your body mass index is greater than 40. Patients can use a simple online body mass index or BMI calculator to figure out their body mass index by simply plugging in their weight and their height. Patients who want to have weight loss surgery today have to go through a pretty significant pre-operative process. It's not just tracking your weight loss process, but it's actually making sure you're a great candidate and making sure you're healthy enough for surgery. You actually need to see your primary care doctor, a weight loss nutritionist and a weight loss psychologist, and those are usually mandatory. We help you through that process. In addition to that, you actually need to make sure you're healthy enough to have surgery and so we usually will refer you out to a heart doctor, a lung doctor, and a stomach doctor to make sure each of those three respective organs are healthy and able to tolerate general surgery.
- ColonoscopyDr. Anthony Vine: GI bleeding can occur anywhere from the upper intestinal tract to the lower intestinal tract, meaning you can have ulcers or engorged veins, which we call varices, in the esophagus, and you can have simply hemorrhoids or a tear or a fissure from severe constipation. Predominantly these patients that we see are referred by gastroenterologists who have either done endoscopy above, called gastroscopy, or colonoscopy. There are specialized gastroenterologists who do small bowel enteroscopy, which is called a double balloon enteroscopy. Nowadays we even have what's called pill endoscopy. It's a camera inside of a pill that is about the size of an antibiotic pill that one might take, and as it traverses the stomach and the small intestine we not only see the time of how long it takes to get from one point to the another, which can help us decide whether this is in the upper small bowel or the lower small bowel, but it actually takes pictures along the way. All of this data has been transmitted to a computer and analyzed. Dr. Brian Katz: In patients over the age of 50, there may be bleeding from a large paraesophageal hernia, so-called Cameron ulcers, or they may have this condition we call angiodysplasia, or very occasionally there may be a cancer that's being missed in the small intestine.
- Constipation
- Diarrhea
- Pneumonia
- Endometriosis
- GastroenterologyDr. Lester B. Katz has done many laparoscopic removals of these polyps and is considered a world expert on this. When indicated, Dr. Katz works very closely with a world-renowned gastroenterology specialist to assist with endoscopic removal of multiple polyps. Combined, both laparoscopy and endoscopy help attempt to make the patient polyp free and reduce the incidence of intussusception and the possibility of requiring an intestinal resection.
- Kidney StonesWhen it comes to diagnosing groin pain, it is important to take a number of different factors into consideration. Pain could be attributed to hernia (sports or non-sports related), muscle strain, nerve entrapment, lumbar disc disease, osteopathology, urinary tract infection (UTI), kidney stones, or many other, rarer intra-abdominal conditions. All too often we have seen patients that had been referred to specialists for unnecessary surgery that ultimately, did not resolve the problem. We believe in correctly diagnosing the cause of your pain the first time, and developing a treatment plan based on what is best for the patient.
- Colon CancerA restorative proctocolectomy is a surgical technique that can retain or restore the function of the anus, allowing patients to pass stool voluntarily. Also known as a ileo-anal pouch, a restorative proctocolectomy is essentially a surgically-constructed reservoir between your small intestine and anus. Patients are those who have had their colon removed, whether due to ulcerative colitis, colon cancer, or other conditions. This advanced surgery can eliminate the need to wear a bag to collect stool, freeing the patient to live life on their own terms.
- Endoscopy
- Urinary Tract Infection
- Depression
- Diabetes Care
- General Surgery
- Minimally Invasive SurgeryAt the Laparoscopic Surgical Center of New York, Drs. Brian Jacob, Mark Reiner, L Brian Katz, and Anthony Vine put the patient's needs first. Our entire staff is here to accommodate your needs, which includes working with your schedule. We have been performing minimally invasive surgery in the greater New York area since the early '90s and have more combined experience than any other practice in the city. To learn more about the laparoscopic procedures we offer, please contact our office to schedule a consultation.
- Robotic SurgeryRobotic surgery further hones the benefits of laparoscopic procedures. Through the use of advanced robotics, our surgeons are able to perform minimally invasive surgeries with even greater precision. This method allows the surgeon to manipulate four robotic arms with full 360-degree rotation capabilities. For the patient, this means that highly complex intra-abdominal procedures that could once only be performed with traditional open surgery can now be executed through just a few small incisions. Similar to other laparoscopic techniques, robotic surgery leads to better patient outcomes than traditional methods. The technique has been proven effective at treating several conditions.
- LaparoscopyInflammatory bowel disease is a condition of inflammation of the intestine. There are two broad groupings of it. One is called Crohn's disease and one is ulcerative colitis. Crohn's disease affects the full thickness of the intestine and can affect the small and large bowel, where ulcerative colitis is a more superficial disease and affects the colon exclusively. Crohn's disease predominantly presents with abdominal pain, may present with infection, may present with severe diarrhea, and it often takes a while before the diagnosis is made. Many times it's treated first medically with antibiotics and different immunosuppressives, but many of these patients will come to surgery. Because Crohn's disease can't be cured by surgery, the primary focus for Crohn's disease is medication, and surgery is reserved for the complications of the disease. Ulcerative colitis frequently comes to surgery both because the patients don't respond to medication or they get tired of the medication, or the patients go on to develop cancer related to the colitis. Laparoscopic surgery for this disease is very effective. The disease can be treated with minimum abdominal scarring by laparoscopy and we can create a so-called ileoanal pouch and completely cure the disease laparoscopically.
- Laparoscopic SurgeryLaparoscopic surgery is a specialized technique for performing minimally invasive procedures to treat several conditions. During laparoscopic surgeries, your doctor creates one or more small "keyhole" incisions, allowing him to insert small tubes containing surgical instruments and a video camera. The surgery is then performed internally without the need for larger incisions. This results in less blood loss, pain, and scarring compared to traditional surgery, as well as a reduced recovery time. Our doctors have been cultivating their expertise in laparoscopic procedures since the early '90s when use of this technique was pioneered for intra-abdominal surgeries.
- Bariatric SurgeryOne of our patients describes his struggles with weight throughout his life and his eventual decision to undergo bariatric surgery. This patient came to Laparoscopic Surgical Center of New York to undergo sleeve gastrectomy surgery. This patient was most delighted by how quickly the results of his treatment presented.
- UlcerAn ulcer is a sore or hole in the lining of the stomach, esophagus, or small intestine caused by a bacterial infection, excessive alcohol consumption, or the overuse of over-the-counter painkillers like ibuprofen. Smoking, caffeine, and stress have also been found to exacerbate symptoms. Complications can occur when ulcers become perforated, cause an obstruction, or bleed profusely. When complications arise, a surgical intervention is often necessary. Our experienced surgeons perform ulcer surgeries laparoscopically to quickly restore the patient's health. As minimally invasive procedures are becoming more common for ulcer treatment, patients should choose highly trained, experienced surgeons.
- LesionsGI bleeding can occur for a variety of reasons, from ulcers, engorged veins, hemorrhoids, and other lesions. At Laparoscopic Surgical Center of New York, we provide several advanced diagnostic and surgical treatment options for all types of GI Bleeding. Your GI bleeding treatment can be performed laparoscopically in many cases.
- Sports MedicineGroin pain can refer to any feelings of pain or discomfort in the upper thighs to lower abdominal area. All too often, unnecessary surgeries are performed to alleviate symptoms associated with groin pain without actually resolving the problem. The causes of groin pain can be due to hernia, sports injuries, endometriosis, appendicitis, or a number of other conditions. Our doctors perform precise diagnostic tests to determine the real cause of your discomfort, and formulate an effective, individualized treatment plan for each patient.
- Physical TherapyMuscle tears and inflammation can lead to a sports hernia, which can be treated at Laparoscopic Surgical Center of New York. In many cases, we can treat these injuries laparoscopically, while in others they are treated with open surgery. After sports hernia surgery, we help patients during recovery with a physical therapy and exercise regimen.