When you need outpatient LAP-BAND surgery, we’re here to help
If you are experiencing obesity-related health risks, diseases or health conditions that have reduced your quality of life and functional abilities, and are seeking intervention from a qualified specialist, Dominick Artuso, M.D., has dedicated his entire practice to bariatric surgery. Dr. Artuso, a board-certified surgeon, performs the LAP-BAND System® of bariatric surgery at Ellenville Regional Hospital (E.R.H.) and sees patients onsite at the E.R.H. Specialty Services Department.
For convenience, you can participate in nutritional, emotional and physical therapy sessions – and have all of your pre-surgical tests and evaluations done – right here, on site. Once you’re approved for LAP-BAND surgery, we will tailor treatments and services to your individual needs and physical condition. Your caregivers and family members are welcome to attend sessions, as they may play a vital role in helping you to practice skills at home.
What types of increased health risks are associated with obesity?
The average American is more than 24 pounds heavier today than in 1960, and more than one-third of American adults are obese. Body Mass Index (B.M.I.) is considered the most accurate measurement of normal weight, overweight and obesity. Obese people have a B.M.I. of 35 or more, and often have one or more of the following health risks, serious diseases and health conditions:
- High blood pressure (hypertension)
- High LDL/low HDL cholesterol
- High levels of triglycerides (dyslipidemia)
- Type 2 diabetes
- Coronary heart disease
- Gallbladder disease
- Sleep apnea, breathing problems
- Clinical depression, anxiety
What is the LAP-BAND System and how will it help me lose weight?
The LAP-BAND Adjustable Gastric Banding System does not require stomach cutting, stapling or intestinal re-routing (like other bariatric surgical procedures such as gastric sleeve or gastric bypass). It’s minimally invasive, adjustable and reversible, and most often performed as an outpatient procedure.
Using the LAP-BAND System encourages weight loss by reducing stomach capacity and the amount of food that you may eat at one time, while still allowing normal digestion and absorption of food and nutrients.
How do you determine if LAP-BAND surgery is right for me?
Patients may be seen on a walk-in or referral basis, and the first step in diagnosing a problem is a physical examination and a comprehensive medical history. Your examination will include a discussion with Dr. Artuso about your symptoms and concerns, as well as your previous attempts to lose weight. Further testing – such as M.R.I., x-rays, C-T Scans and ultrasounds, as well as nutritional, psychological, cardiac and pulmonary clearances – will be done as needed. If Dr. Artuso determines that LAP-BAND surgery is right for you, scheduling is flexible.
How is this procedure performed and what should I expect following LAP-BAND System insertion?
Bariatric surgeons use a laparoscopic technique to make tiny incisions and insert thin surgical instruments through narrow, hollow tubes called trochars. A small camera traverses the trochars so the surgeon can view the inside of your abdomen on a video monitor. The surgeon fastens the LAP-BAND System around the top of your stomach to create a small pouch that limits the amount of food you can consume. Tubing connects the Lap-Band System to a port that is secured beneath the abdominal skin, allowing the surgeon to adjust the stoma size and determine the rate of your weight loss.
You’ll have two to four follow-up visits with Dr. Artuso and his staff during the first month or two, and then come in for check-ups every four to eight weeks during the first year. During these office visits, adjustments are made, as needed, and you can discuss any questions or concerns. You’ll also receive nutritional counseling sessions to maximize your weight loss success.
Do you accept referrals?
Yes, we encourage referrals from medical professionals, caregivers and others.
Working with your provider
If you need additional medical services (such as a prescription for medications or pre-operative evaluations, which may include nutritional, psychological, cardiac and pulmonary clearances), we will work with your provider or refer you to our staff professionals.
Who pays for my treatment?
Medicare and most major health insurers will pay for part of your LAP-BAND Surgery. If you cannot afford to pay, you may be eligible for our financial assistance program. Most insurances are accepted.
Certifications and additional resources
Our program is licensed and certified by New York State. The following websites offer additional information about LapBand surgery and the medical management of obesity:
- American Society for Metabolic and Bariatric Surgery
- LAP-BAND System
- National Institute of Diabetes and Digestive and Kidney Diseases
Bariatric (LAP-BAND) Surgeon
Dominick Artuso, M.D.
Make an appointment
If you would like to schedule an appointment with our Bariatric Surgeon, please call 845-647-6400 ext. 314.