by Dana Swilley, RD

Ms. Swilley is with the Section of Minimally Invasive and Bariatric Surgery, UCLA Division of General Surgery

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A New Link: Laparoscopic Gastric Banding and Reduction in Insulin Resistance

Dr. Joan Carroll is an Assistant Professor in the Department of Integrative Physiology at the University of North Texas Health Science Center at Fort Worth. Her research focuses on the cardiovascular and endocrine effects of obesity. As part of the North Texas Healthy Heart Study, she is studying ethnic differences in visceral fat distribution and its relationship to inflammatory risk markers and anthropometric measures of body composition. As part of the DREAMS (Diabetes Research, Education, and Metabolic Studies) project, Dr. Carroll and colleagues studied patients before and for one year after bariatric surgery using the laparoscopic adjustable gastric banding procedure.

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Mr. Lindstrom is from the Obesity Law and Advocacy Center, the first practice of its kind and the leading advocate for the rights of persons suffering from obesity and morbid obesity, and is a member of the faculty of training courses for the American Society of Metabolic and Bariatric Surgery and the American College of Surgeons, specializing in training practices, surgeons, and hospitals in the areas of reimbursement and risk management.

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by Constance M. Chen, MD, MPH; Lidie Lajoie,
BA; Robert T. Grant, MD; and Jason A. Spector,
MD
From the Division of Plastic Surgery,
New York-Presbyterian Hospital, New York, New York

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by Melissa Cuesta-Gonzalez, LPN

Ms. Cuesta-Gonzalez is Bariatric Coordinator, Surgical Weight Loss Institute, Coral Gables, Florida.

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Reviewed by Giselle G. Hamad, MD, FACS

Dr. Hamad is Assistant Professor of Surgery, Obesity Surgery, UPMC Weight Management Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

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TELL US ABOUT THE ROLES AND RESPONSIBILITIES OF THE LEAD STAFF AT YOUR FACILITY.
The Metabolic Surgery Center at Baptist Hospital currently has four surgeons, four nurses, and 11 staff members. Surgeons include Albert T. Spaw, MD, and Charles E. Morton, III, MD, who serve as co-medical directors, and George B. Lynch, MD, and James G. McDowell, Jr., MD. Each surgeon has a nurse who practices with them out of the center. The center is led by Director of Bariatric Services, Cylinda V. Phillips, RN, MBA, who is responsible for operations of the practice, strategic planning, business development, marketing, community outreach, patient education, consultation, and support group facilitation.

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