Because BPD with DS is major surgery, it poses possible complications and side effects, which should be considered before making the decision to have surgery. Complications can occur both early after surgery and later during the recovery period. Although no surgery is risk-free, AtlantiCare's program takes steps to minimize the chance of complications with:
Potential Early Complications Following Duodenal Switch Surgery:
Potential Later Recovery Period Problems:
Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) surgery is one of four surgical weight loss options we offer at AtlantiCare. The BPD with DS was first reported by Dr. Doug Hess in 1986 and is considered the most effective surgical weight loss approach available today. It is also the most effective treatment for metabolic diseases, such as Type 2 Diabetes and hyperlipidemia associated with morbid obesity. The procedure has both restrictive and malabsorptive components. Very few centers in the world offer this procedure, especially with a laparoscopic approach.
Patients who choose to have laparoscopic BPD with duodenal switch surgery will typically experience these benefits:
*Improvement or complete resolution of medical problems is not guaranteed and they may recur if weight is regained.
Long-term follow up and daily vitamin and protein supplements are crucial to the success of this operation. Life-long monitoring is necessary to prevent nutritional and mineral deficiencies – just as with the RYGBP.
The gallbladder, if still present, is removed as a part of the procedure.
Information on laparoscopic Roux-en-Y gastric bypass surgery »
Information on laparoscopic adjustable band surgery »
Information on laparoscopic sleeve gastrectomy surgery »
Dr. Onopchenko graduated from Ursinus College with a B.S. in Biology in 1979 on the Dean’s Academic Honors list. He obtained his doctorate in medicine from the Medical College of Pennsylvania in 1984 with honors, completed a residency in general surgery at the University of Medicine and Dentistry of New Jersey in 1989, and has been a practicing general surgeon in Atlantic County since July of 1989.
Dr. Onopchenko is board-certified in general surgery, and is a fellow of the American College of Surgeons. He is also an active member of the American Society of Bariatric Surgery and presented a paper on identification of internal hernia after gastric bypass at the 2005 national ASBS meeting.
Dr. Onopchenko is a member of the Society of Laparoendoscopic Surgeons, the Society of Abdominal and Gastrointestinal Endoscopic Surgeons (SAGES), past president of the Medical Society of New Jersey, Atlantic County, and past president and member of the AtlantiCare Regional Medical Center Medical Staff. Since 1990, Dr. Onopchenko’s special interest has been in minimally invasive surgery. He was one of the first surgeons to perform a laparoscopic cholecystectomy in Atlantic County, as well as performing other advanced minimally invasive laparoscopic procedures including appendectomy, inguinal, abdominal and paraesophageal hernia repairs, anti-reflux gastric surgery, gastric and colon surgery, and adrenal surgeries.
In March of 2002, Dr. Onopchenko founded the Center for Surgical Weight Loss & Wellness at AtlantiCare and has extensive experience in performing Laparoscopic Bypass and LAP-BAND® surgeries. Dr. Onopchenko is also a member of the American Society of Bariatric Physicians and has passed both the written and oral exams leading to certification by the American Board of Bariatric Medicine, the only surgeon in Southeastern New Jersey to achieve this.
If you would like to schedule a consultation with Dr. Onopchenko:
In order to see patients in a more efficient manner, all paperwork mailed to our patients or given out at the seminar must be filed out completely prior to your visit or your visit will be rescheduled.
If you are more than 20 minutes late for your appointment, your appointment will be rescheduled.
It is the patient's responsibility to know if a referral is needed. If your insurance requires a referral, please make sure you have one for your office visit. If you do not have one, your office visit will be rescheduled.
Your insurance company may not cover your adjustments. If it is a non-covered procedure with your insurance company, any adjustment done will be the responsibility of the patient at the time of service. The cost of the adjustment is $200.00
Dr. Patel was born and raised in New York City. He completed undergraduate work at Cornell University, earning a degree in biochemistry. At Albert Einstein College of Medicine in New York City, he received his doctorate in medicine, graduating with honors.
Dr. Patel completed a residency in general surgery at State University of New York at Brooklyn and a fellowship in Advanced Laparoscopy and Bariatric Surgery at the Staten Island University Hospital, under the training of George Ferzli, MD, a world-renowned laparoscopic surgeon.
Dr. Patel is a member of the Society of American Gastrointestinal Endoscopic Surgeons, American Society for Bariatric Surgery, Society of Laparoendoscopic Surgeons, American College of Surgeons and the American Medical Association.
If you would like to schedule a consultation with Dr. Patel:
Those who have attended Dr Patel's seminar or have viewed the online webinar and passed the online test may contact Dr. Patel’s office at (609) 407-2332 to make an appointment.
Center for Surgical Weight Loss & Wellness
AtlantiCare Physician Group
2500 English Creek Ave
Egg Harbor Twp, NJ 08234
Making the decision to have weight loss surgery and having the procedure performed are the first steps in the journey toward significant weight loss. However, after surgery, patients must make a lifetime commitment to adhering to the program regime to stay healthy and achieve their weight loss goals.
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