Our board-certified general surgeons specialize in bariatric surgery, breast surgery, hiatal hernia surgery, gastrointestinal/ abdominal surgery, laparoscopic/ minimally-invasive surgery and skin/soft-tissue surgery.
Dr. Sigi Joseph is board certified, fellowship-trained general, laparoscopic and weight loss surgeon with United Surgical Associates of Kansas City. Dr Joseph is a Fellow of the American College of Surgeons. He earned his medical degree at St. John’s Medical College in Bangalore, India and completed basic surgical training in the United Kingdom at the Royal College of Surgeons in Edinburgh, Scotland. He then completed surgical residency from University of Missouri, Kansas City, MO and then a fellowship in Minimally Invasive and Bariatric surgery at the Baylor College of Medicine in Houston, TX.
For further information, contact us at 816-254-9292
Obesity – Rapidly Expanding Problem
In the past 20 years, obesity has doubled to the point at which three in five Americans are either overweight or obese. This has led to more than 300,000 premature deaths each year. Obesity has widespread medical, psychosocial and economic impacts.
Unfortunately, the response to medical treatment options including diet, exercise, behavior modification and medication is poor. Most people regain nearly 67 percent of weight lost is regained in five years. Surgery is the only proven modality for long-term, sustained weight loss and resolution of associated conditions like diabetes, high blood pressure, sleep apnea, reflux and back/joint pain.
Laparoscopic Sleeve Gastrectomy
Laparoscopic sleeve gastrectomy achieves weight loss by restricting the amount of food that the stomach can hold. Intestinal bypassing is not done. A staple line divides the stomach and a “sleeve” of a stomach is left that reduces the stomach to less than one third of its original size (about the size of a banana). The other two-thirds of the stomach is removed.
The data at three years indicates that 65-75 percent of excess body weight is lost. The resolution of associated conditions is relative to the amount of weight loss.
Obesity A Rapidly Expanding Problem
Laproscopic Sleeve Gastrectomy
This operation achieves weight loss by restricting the amount of food the stomach can hold. No intestinal bypassing is done. A staple line divides the stomach and a “sleeve” of stomach is left that reduces the stomach to less than one-third of its original size (about the size of a banana). The other two-thirds of the stomach is removed. The data at three years indicates that 65-75 percent of excess body weight is lost. Resolution of conditions is relative to the amount of weight lost.
Greater than 70 percent of insurance companies currently cover bariatric operations because they are beginning to recognize obesity’s association with conditions such as those mentioned above and when patients undergo these operations, they are significantly improving their health. For example, 52 percent of patients undergoing sleeve gastrectomy and 28 percent of those undergoing LAP-BAND placement are cured of their diabetes.
Approved Indications for Surgery
- BMI of 40 or >100 pounds over ideal body weight
- BMI of 30 with one or more obesity-related comorbidities
- Patients who have failed conservative weight reduction alternatives
- Must be > 17 years old