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G. Brice Hamilton, MD, received his Bachelor of Science degree from Transylvania University and his medical degree from the University of Tennessee College of Medicine. He completed his post-graduate training, including an internship and residency, at the University of Kansas Medical Center. He also served as Chief Resident in General Surgery.
Certified by the American Board of Surgery and a member of the American College of Surgeons, Hamilton has practiced for more than 10 years. Prior to returning to the Kansas City area, he founded bariatric programs in Dickson, Tenn. and Jeffersonville, Ind.
Hamilton is enthusiastic about providing caring support for his patients and offers many approaches to successful weight loss including healthy lifestyle changes and advanced medical procedures that help ensure patients a lifetime of success.
Stanley Hoehn, MD, is the founder of the Bariatric Center of Kansas City. He is a Bariatric Center of Excellence Surgeon and currently serves as the Medical Director of the Bariatric Surgery Program at SMMC. Hoehn received his undergraduate degree from union College in Lincoln, Neb., and graduated from medical school at Loma Linda University in Loma Linda, Calif. He completed his surgical training at the University of Kansas Hospital in 1999.
Board-certified in general surgery and a Fellow of the American College of Surgeons, Hoehn is also a member of the American Society for Metabolic and Bariatric Surgery. In 2002, he received specialized training from doctors Wittgrove and Clark, founders of the laparoscopic technique for Roux-en-Y Gastric Bypass Surgery. In 2004, he also trained with the InaMed Corporation, a developer of the Lap Band system. Hoehn is a proctor for Allergan, as well as faculty for Ethicon Endosurgery. He offers three types of bariatric surgery: Laparoscopic Roux-en-Y Gastric Bypass, Laparoscopic Sleeve Gastrectomy and Laparoscopic Adjustable Gastric Banding.
Hoehn has performed more than 3,000 weight-loss surgeries and is well-known for his advanced laparoscopic surgery practice in the Kansas City metropolitan area. His goal is to provide surgical excellence within a compassionate atmosphere, along with lifelong quality patient support.
Ravi Sabapathy, PsyD, has worked with the Bariatric Center of Kansas City since its inception.
He completed his undergraduate training in psychology at the University of Missouri-Columbia and received his master's and doctoral degrees in clinical psychology from the Minnesota School of Professional Psychology. He completed a one-year clinical practicum at the Mayo Clinic in Rochester, Minn. and also serves as a clinical practicum supervisor for the University of Missouri - Kansas City.
Sabapathy has specialized training in health and medical psychology that focuses on improving psychological and behavioral health of medical patients. He offers bariatric sensitivity training to medical staff who serve and care for bariatric surgery patients on an inpatient and outpatient basis. Sabapathy has worked with thousands of bariatric surgery patients with the ultimate goal of optimizing overall safety and success to transition to the most active, healthy lifestyle possible.
Insurance issues can be some of the most dreaded aspects of the bariatric surgery process. Not all insurance providers cover bariatric procedures and many carriers change their policies from year to year. However, our bariatric professionals can help you navigate the sometimes intimidating world of insurance coverage.
Where do you begin? If you have questions about whether or not your insurance plan covers weight-loss surgery, contact your provider by calling the customer service number on the back of your card and ask if you have a policy exclusion for weight-loss surgery. If you're told you have an exclusion, see the options listed below. However, if you're told weight-loss surgery is not a covered benefit unless medically necessary, your doctor can help to prove medical necessity.
If your insurance company has an exclusion for weight-loss surgery, you have three options:
Three types of weight-loss surgery in Kansas City are performed at Shawnee Mission Medical Center:
All three weight loss surgeries limit the amount of food you can eat at one time and one of the surgeries also reduces your body's ability to absorb some of the nutrients and calories consumed. You and your physician will decide together which surgery is most appropriate for you.
Each of Shawnee Mission Medical Center's surgical options uses a laparoscopic approach, which means that your surgeon will use several small "keyhole" incisions rather than one large vertical abdominal incision. A laparoscopic approach decreases the chances for wound infections and incisional hernias. Watch a video on choosing the right procedure for you.
Roux-en-Y Gastric Bypass surgery is considered the "gold standard" in weight-loss surgeries performed today in the U.S. It is widely viewed as the safest and most effective means of long-term weight loss. Since 2002, our bariatric surgeons have performed over 1,000 laparoscopic Roux-en-Y gastric bypass surgeries, with surgical times, complication and length-of-stay rates lower than the national average.
Gastric bypass surgery consists of two components: (1) a portion of your stomach is stapled into a small pouch and (2) approximately 100cm (40 inches) of your small intestine is "bypassed" so food does not absorb along that portion of the small bowel.
Gastric bypass surgery usually requires a hospital stay of less than 48 hours and a two- to three-week recovery period. Long-term weight loss averages 70-80 percent of excess body weight. Insurance companies may offer coverage for this procedure. Watch a live surgery webcast of this procedure.
Previously, the Sleeve Gastrectomy (also known as gastric sleeve) had been used as the first step in a two-step weight loss surgical process. However, the Laparoscopic Sleeve Gastrectomy is becoming more common as a single stage stand alone procedure for treating the disease of morbid obesity. The Sleeve Gastrectomy achieves weight loss through restriction only. No intestinal bypassing is done. A staple line divides the stomach and a “sleeve” of a stomach is left that reduces the stomach to one third of its original size. The other two-thirds of the stomach is removed. Weight loss and co-morbidity resolution data has not been reported beyond five years. The data at less than 5 years indicates a 50% excess body weight loss. At this time, insurance companies generally do not cover the Sleeve Gastrectomy procedure. Watch a live surgery webcast of this procedure.
Approved by the FDA in 2001, laparoscopic gastric banding is rapidly gaining popularity. Since SMMC began offering Laparoscopic Gastric Banding surgery in 2004, over 600 gastric banding surgeries have been performed at our facility.
Gastric banding involves placing a silastic band around the upper portion of your stomach. The band is attached to a small port that lies outside the abdominal wall under the skin and fatty tissue. The silastic band forms a gastric pouch, which provides a sensation of fullness with smaller portions of food. The gastric band provides weight loss through food restriction only and there is no malabsorption component to this type of surgery. To ensure proper weight loss, the gastric band requires a number of in-office adjustments over one to two years.
Although weight loss is slower with banding, the outpatient procedure requires a minimal recovery period, usually less than one week. Long-term weight loss averages 50 to 60 percent of excess weight at the two- to three-year mark. The laparoscopic gastric banding procedure is covered by some insurance companies.
Weight-loss surgery is an option for people between ages 18 and 72. Generally, candidates are 100 pounds or more over ideal body weight, have a BMI of 35 with one or more weight-related health conditions, or have a BMI over 40. If your BMI is over 60, you will need to work with your doctor to lose weight to lower your BMI to a safer level so that surgery may be performed.
To calculate your BMI, divide your weight in kilograms by your weight in square meters. Although a patient's BMI does not actually correlate in terms of body fat or overall health condition, it is a means of categorizing weight in terms of nationally recognized standards. If you believe your BMI qualifies you for bariatric surgery, click here to receive more information.
It's important to remember that the decision to undergo bariatric surgery is a serious one that should not be taken lightly. Patients must be committed to making the physical and mental changes necessary to ensure their surgery is a successful one. Click on Our Program to learn more about the requirements to enter Shawnee Mission Medical Center's Bariatric Surgery Program.