- Warts
- Medical Weight LossChristiana Institute of Advanced Surgery (CHRIAS) | Weight Loss/Bariatrics, Advanced Surgery: General, Cancer, Colorectal/Colon, Hernia Repair and more.
- Nutritional CounselingThe surgeons at CHRIAS stress that gastric bypass, banding or sleeve surgery for obesity is not the first option that should be used to treat your weight problem. In fact, if you can lose weight without an operation, we are overjoyed. Unfortunately, for many individuals who have been unsuccessful with diets, liquid preparations, pharmaceutical agents, nutritional counseling and exercise programs, long term weight loss is not possible without surgery. Surgery does not replace the need to exercise and make better food choices, but makes these goals realistic and provides a long-term control mechanism to assist in managing this chronic problem.
- Primary CareThe surgeons at CHRIAS typically perform this procedure using minimally invasive techniques. Although laparoscopic anti-reflux surgery has many benefits, it may not be appropriate for some patients. Obtain a thorough medical evaluation by a surgeon qualified in laparoscopic anti-reflux surgery in consultation with your primary care physician or gastroenterologist to find out if the technique is appropriate for you
- Emergency CareAvoid the long wait times over the phone by using one of the options below. If you have a life-threatening situation, please go to the nearest emergency room. Please allow 24 hours for a response.
- ColonoscopyColonoscopy – The most commonly known screening type, colonoscopies are performed by placing a long, flexible tube into the entire colon and rectum to check for cancer or polyps.
- ElectrocardiogramAll weight loss surgery patients require a full medical examination by a bariatric multidisciplinary team; including a psychologist, nutritionist, cardiologist, pulmonologist and medical doctor with experience with bariatric patients. Mandatory preoperative testing includes a complete blood count, blood chemistry, thyroid function tests, EKG, upper GI x-ray, possibly a gastroscopy, and chest X-ray. Females must have a pregnancy test to confirm they are not pregnant.
- Urinary Incontinence
- Diarrhea
- GynecologyYes. Many patients have given birth following bariatric surgery. However, several rules should be followed. You should not become pregnant until your weight loss has stabilized. While you are actively losing weight you would not want to support a growing fetus. Therefore, you should wait 18 months to 2 years before trying. You should make sure you are taking vitamins, iron and folate, and make sure your OB/GYN is familiar with gastric bypass surgery. We request that our patients follow with our surgeons, their ob-gyn doctor and be seen by a maternal fetal specialist.
- Female Infertility
- Pregnancy
- Labor and DeliveryObviously there is discomfort. Most of our patients say that after having bariatric surgery, they experienced less pain than expected. It is our goal to make everyone comfortable so they can walk, take deep breaths, and expand their lungs. We utilize a variety of ways to maximize our patients’ comfort. These include patient-controlled analgesia pumps, epidural catheters similar to those used in childbirth, and medications administered by the nursing staff.
- EndoscopyThe stomach, duodenum, and parts of the small intestine cannot be seen easily using X ray or endoscopy if there are problems after surgery such as ulcers, bleeding, or malignancy.
- Depression
- Diabetes Care
- Thyroid
- MRIScreening tests are very important for finding cancers at an early stage when they are most treatable. Screening can prevent cancers of the cervix, colon, and rectum by allowing doctors to take out pre-cancerous tissue before it becomes cancer. Screening can also detect cancers of the breast, colon, rectum, cervix, prostate, oral cavity, and skin at early stages. For most of these cancers, early detection has been shown to reduce the number of deaths caused by cancer. CHRIAS’s Helen F. Graham Cancer Center offers genetic cancer testing and other screening tests including mammograms and MRI.
- X-Rays
- Computed TomographyDouble-contrast barium enema – Allows the colon and rectum to be x-rayed. CT colonography (virtual colonoscopy) – A type of CT scan that provides a clear view of the colon and rectum. Colonoscopy, sigmoidoscopy, double-contrast barium enema, and CT colonography are recommended screening methods to detect both polyps and cancer in the colon and rectum. Because these tests can detect polyps before they become cancerous, they may be an effective step in preventing colorectal cancer.
- ChemotherapyDepending on the type of cancer, the stage of the cancer, and other factors such as your age, health status, and personal preferences, there is a number of treatment choices. The three major types of treatment for cancer are surgery, radiation, and chemotherapy. Depending on the type and stage of the cancer, two or more of these types of treatment may be combined at the same time or used after one another. Surgery is the oldest form of cancer treatment. It also plays a key role in the process of diagnosing cancer and finding out how far it has spread.
- General SurgeryGeneral surgery focuses on the abdominal area and includes appendix removal, hernias, gallbladder surgeries, stomach issues and intestinal issues.
- Minimally Invasive SurgerySydney works side-by-side with the team at CHRIAS to deliver the finest patient care. She is involved in pre-surgical discussions, assists the surgeons in the operating room, and is involved with postoperative care. Since beginning her career in 2010, Sydney has taken a special interest in minimally invasive surgery, particularly robotics. Together with the physicians, Sydney is devoted to providing the best care possible.
- Robotic SurgeryOften called robotically-assisted surgery or computer-assisted surgery, Robotic surgery was designed to help surgeons perform procedures more efficiently. Robotic surgery provides the surgeon with improved control over surgical instruments and more visibility over the surgical location. Benefits like smaller incision sites, faster patient recovery, shorter hospital stays, and reduced pain contributed to CHRIAS utilizing this advanced technology. During a procedure, our surgeons utilize one of two techniques; telemanipulation, which allows the surgeon to guide the robotic arm with his or her own movement, or computer-controlled surgery, which allows the surgeon to perform the surgery through a computer.
- LaparoscopyThe surgeons at CHRIAS typically perform this procedure using minimally invasive techniques. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if either laparoscopic or single incision gallbladder removal is an appropriate procedure for you.
- Plastic Surgery“I had gastric bypass surgery on May 11th 2004. I lost 170 lbs and feel wonderful! I’ve had all my plastic surgery and have reached my goal weight. Gastric bypass surgery is the best thing I have ever done.”
- Breast SurgeryIn addition to weight loss surgery, Dr. Wynn also performs advanced laparoscopic surgery and robotic surgery of the abdomen through small incisions, which allows for faster recovery times and less pain after major surgeries. She also performs breast surgery and abdominal wall reconstruction.
- Laparoscopic SurgeryRather than one large incision, laparoscopic surgery typically requires several small incisions, about 0.5-1.5 cm in size. During surgery, thin surgical instruments and a narrow camera are inserted through the incisions. The surgeon is able to perform the surgery by viewing the operative site on a video monitor. Laparoscopic surgery commonly results in less pain and scarring, as well as faster healing and recovery, than traditional open surgery. It is still considered a major surgery and requires general anesthesia.
- Bariatric Surgery**American Society for Metabolic and Bariatric Surgery. ASMBS Position Statement on Sleeve Gastrectomy as a Bariatric Procedure. 3 September 2007. JAMA 2004;292(14):1724-37.
- UlcerMarginal Ulcer – This is an ulcer which can bleed or cause pain or perforation. It usually occurs at the margin of the pouch where it joins the small intestine.