Home
/
Articles

Nicholson Clinic Is Now Offering a New Weight Loss Procedure

Dr. Nicholson explains the new weight loss procedure that combines gastrectomy and intestinal bypass to restrict food intake and nutrient absorption.

Dallas, TX, August 10, 2022 – Nicholson Clinic is the go-to clinic for bariatric surgery. The clinic is now offering the Duodenal Switch, a new weight loss procedure also known as the single anastomosis duodeno-Ileal bypass (SADI) or loop duodenal switch.

The procedure is a combination of sleeve gastrectomy and intestinal bypass. The gastrectomy restricts the amount of food that can be eaten and reduces appetite. The intestinal bypass creates a shorter path for food to travel through the intestines, reducing the absorption of calories into the intestines and affecting gastrointestinal hormones to promote weight loss.

“There are two types of duodenal switch, the traditional biliopancreatic diversion with duodenal switch and the single anastomosis duodenal switch (loop duodenal switch),” said Dr. Nicholson. “In a biliopancreatic diversion with duodenal switch surgery (BPD/DS), there are two new intestinal connections created which increases the risk of both technical and long-term complications. The newer SADI or loop duodenal switch creates only one new intestinal connection making the SADI a safer and highly effective modification of the historical duodenal switch (BPD/DS) procedure.”

Single anastomosis duodenal switch (SADI) starts with sleeve gastrectomy to restrict the amount of food one can eat. The sleeve, which is the size of a banana, will be connected to a loop of small intestine allowing food to bypass a significant portion of the small intestine. The procedure changes the hormonal signals between the liver, stomach, and brain, which helps to promote significant weight loss.

The SADI is a new minimally invasive procedure that offers exceptional weight-loss results. SADI is ideal for patients with severe obesity and is highly effective for patients with type 2 diabetes and metabolic syndrome. It is also an excellent revision option for sleeve gastrectomy patients who have gained weight.

Statistically, the duodenal switch (SADI) has better overall weight loss results than the gastric bypass or gastric sleeve. On average, patients who have the SADI procedure can expect to:

lose 85% of their excess weight
see a 95% chance of remission of Diabetes
see minimal to no weight regain
commit to lifelong follow-up

The Nicholson Clinic has been committed to ensuring its patients lose weight through the safest, most advanced procedures. Contact them today to discuss which weight loss surgery option is best for you.

About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, SADI, Gastric Balloon and Revisions.

The clinic’s depth of support goes beyond the surgical staff and includes clinical psychologists, dieticians, and fitness experts trained in bariatric care to best help patients in their weight loss journey.

Psychologists: Psychologists offer pre-surgical evaluations, counseling, and behavior modification to help patients achieve their goals and overcome any barriers they might encounter. In addition to one on one appointments, Nicholson Clinic partner psychologists offer complimentary quarterly virtual support groups with insights for healthy living, mental and physical wellbeing.

Dieticians: The dieticians provide advice on the best nutrition to get before and after the surgery to ensure successful weight loss. With bariatric surgery, a very specific pre-op and post-op diet is required, and a dietitian can help you adhere to the recommended guidelines and find a food plan that works for you.

Fitness Experts: Nicholson Clinic partners with bariatric fitness experts who provide exercise recommendations and instructions tailored to patients’ level of progress, both insurance based and affordable self-pay options. In addition to bariatric exercise programs, Nicholson Clinic offers patient-led fitness groups where patients connect with each other to exercise together and motivate one another, including a Facebook fitness group where patients workout from anywhere at any time.

Educational Resources: Nicholson Clinic also offers educational resources on weight loss on its website. The site contains helpful blogs and tips to read and follow. It also has created a Facebook Support Group where patients share their struggles, successes, and other useful ideas to motivate each other.

Patient Educators: The clinic has patient educators/medical assistants who address patient concerns and answer any questions they may have. The medical assistants provide pre-op and post-op medical support, nutrition advice, and guidance to help patients during their weight loss journey.

Weight loss requires a healthy body and mind. The behavioral continuum of care offered by The Nicholson Clinic caters to all the physical, mental, and emotional aspects of weight loss, including intervention on the patient’s health and lifestyle.

About Author
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, SADI, Gastric Balloon and Revisions.

Dr. Long explains how their patient-centric approaches to weight loss have yielded remarkable outcomes for decades.

Dallas, TX – July 10, 2022 – Nicholson Clinic for weight loss surgery has been transforming lives through weight loss surgery. For over two decades, the Clinic has made pioneering advances that have had patients undergoing various procedures to reduce their weight.

Nicholson Clinic isn’t just about losing weight; it saves people’s lives each day by eliminating illnesses and long-term health conditions due to obesity. Success stories from its patients are very inspirational. Many who felt helpless due to obesity and an inactive life testify how the clinic has helped them restore their lives.

“At Nicholson Clinic, we work with our patients to ensure their overall wellbeing, said Dr. Brian M. Long. “By taking them through their weight loss journey, we’ve managed to help many patients to eradicate obesity and related diseases. Our teams are dedicated to helping our patients achieve their goals. Besides surgery, we also offer weight loss support and education to ensure people maintain a healthy weight even after surgery.”

The weight loss procedures offered by Nicholson Clinic include Sleeve Gastrectomy, Gastric Bypass, SADI, LAP-BAND Surgery, Gastric Balloon, Abdominal Cosmetic Surgery, and Revisional Surgery. Many patients can attest to the proficiency of the clinic in helping them lose a significant amount of weight and recover from the medical conditions associated with obesity.

Nicholson Clinic’s procedures are tailored to the patient. The professional staff will evaluate the patient’s condition before deciding on the best surgical procedure for their unique condition. The clinic works with other professionals like psychologists, dietitians and fitness experts to ensure the patient gets appropriate advice and education before and after surgery. They create a warm environment that makes patients feel they are a part of the Nicholson Clinic family.

This is according to research on 30,000 obese patients. Out of those who went through bariatric surgery, only 2.9% were found to have cancer after a 10-year follow-up and 4.9% of people who underwent non-surgical weight loss registered the disease.

This translates to a 32% less risk of getting cancer due to obesity, thanks to bariatric surgery.

In the study, obesity-related cancer became a composite of 13 types. The findings from those who had weight loss surgery and the long-term positive effects showed that patients can lose about 20-40% of body weight and still sustain their weight loss over decades.

This indicates that the more weight a patient loses, the lower their risk for cancers like gallbladder, ovarian, pancreatic, rectal, colon, thyroid, corpus uteri, renal cell carcinoma, esophageal, and more.

Bariatric Surgery involves different surgical procedures that help restrict food consumption and malabsorption of nutrients. The procedures are often performed on patients with obesity and a BMI of 30 or higher.

Besides weight loss, the effects of bariatric surgery show a reduced cancer risk, elimination or reduction of obesity-related illnesses like high blood pressure, Type 2 diabetes, heart disease, and more.

The risk for cancer was especially lower for all the patients who underwent sleeve gastrectomy and Roux-en-Y gastric bypass procedures. In addition to low cancer risks, cancer-related mortality also dropped significantly.

The American Cancer Society places obesity second to tobacco when it comes to cancer-causing variants that are preventable in the U.S.

This research clearly shows that intentional weight loss through bariatric surgery can help minimize the risk and mortality for many cancers.

This study isn’t the first to highlight the enormous benefits of bariatric surgery. Other studies have confirmed these findings before. Bariatric surgery helps patients live longer, cancer-free, healthier lives.

Dallas, TX, June 6, 2022 – Nicholson Clinic believes everyone deserves to be healthy and happy. For some, the best way to achieve this objective is through bariatric/weight loss surgery. Patients can lose weight, live a healthier life free of obesity related illnesses, and regain their self-confidence.

The clinic utilizes a team approach to help patients reverse obesity. Nicholson Clinic has the top bariatric surgeons in the country, highly experienced clinicians, physician assistants, and support staff dedicated to their fields of specialization. Since Dr. Nick Nicholson started the clinic more than twenty years ago, over 25,000 patients have successfully been treated, lost weight and live healthier lives.

“Together with my team, we offer the most advanced, minimally invasive procedures with effective outcomes”, explained Dr. Nicholson. “Our clinic utilizes the latest weight loss technology such as robotic bariatric surgery to achieve long-term, positive outcomes for patients. The bariatric procedures we offer include Gastric Bypass, Sleeve Gastrectomy, Gastric Balloon, LAP-BAND, and revisions.”

After surgery, patients receive personalized follow up care to help them adjust to their new lifestyle and maintain their weight. The Nicholson Clinic has organized programs and support groups for post-surgery patients. Programs include patient-to-patient support groups, nutrition classes, sessions with psychologists and other experts as well as partnering with other fitness experts and service providers who deliver sessions virtually or in-person.

Another of the clinic’s latest achievements is the addition of more Spanish-speaking staff to the clinic. This big move will benefit many, eliminating the need for translators for native Spanish patients. They also started posting Spanish blogs and offering patient-to-patient support groups in Spanish, which is a win-win for the clinic and its patients.

The Nicholson Clinic patients have seen tremendous transformations, including reversing Type 2 Diabetes, obesity, heart disease, arthritis, high blood pressure, and many other weight-related conditions.

Dallas, TX, May 23, 2022 – The Nicholson Clinic offers its patients the latest treatment options for weight loss using rising technology, which includes robotic bariatric surgery. Nicholson Clinic offers a variety of procedures which ultimately include the following:

LAP-BAND® (Laparoscopic banding) is less common than it was in years past but is still an available option to reduce the capacity of the stomach itself. LAP-BAND® significantly restricts the amount of food that can be consumed. The whole procedure consists of fastening a band around the stomach resulting in a smaller stomach. It is adjustable and reversible.

Gastric Bypass surgery makes the stomach much smaller and allows food to avoid part of the small intestine, resulting in fewer calories being absorbed. This procedure also helps with appetite suppression. Most patients are able to go home the day after surgery with up to 70-80% surplus weight loss within 12 months.

Sleeve Gastrectomy (also known as Gastric Sleeve surgery) can be a wonderful solution for those who want the benefits of Gastric Bypass but are concerned about potential long-term side effects. Like Gastric Bypass, the Gastric Sleeve involves resection of the portion of the stomach that produces ghrelin – the hormone that is the major contributor to the feeling of hunger. As a result, patients who undergo Sleeve Gastrectomy have a smaller stomach which aids in portion control, and report a reduced appetite, allowing them to lose weight.

The Nicholson Clinic surgeons operate out of several hospitals and outpatient surgery centers throughout the DFW Metroplex offering convenience with the highest standard of patient care. With credentials at these top facilities, they can offer patients the assurance of safety and high-quality care.

The dietary guidelines provided following surgery are essential for success. First and foremost, they are meant to allow your body to heal from surgery. Going forward, they are meant to help you lose weight appropriately. Any deviation from the dietary guidelines can result in a slowdown in weight loss. The number one goal is to improve your health!

STAGE 1 – DAY 1 TO 21

From the time you get home from the hospital to three weeks after your day of surgery, a full liquid diet is required (beverages, broths, protein drinks). These first three weeks after your surgery are crucial for minimizing complications and maximizing your recovery. Following a full liquid diet for the first 3 weeks after surgery will give your body time to heal. This diet will also help you begin to understand how much food you can eat BEFORE you feel too full. This is a time of learning new behaviors and developing new lifestyle habits.

Many patients ask why they need to be on liquids for three weeks?
Due to swelling, anything thicker than water can easily become stuck, creating a “dam” effect and causing any intake after that to back up and push on the stomach walls. This can stress your new staple line and may result in a leak. A leak from your stomach could be a serious complication. The bottom line: If you aren’t sure you can have it, put it in a strainer. Only that which runs freely and easily through the strainer is part of this phase of the diet. If it doesn’t go through, it is not for you!

The main 3 goals during Stage 1 of the diet are to:

Rest the stomach and allow it time to heal
Stay hydrated by consuming ≥ 64oz fluid per day
Consume adequate amounts of protein to aid in the healing process

STAGE 2 – DAY 22 TO 42

Soft Solid Foods | 3-4 oz. per meal

Start this diet at Post-Op Day 22 and continue for 3 weeks. You are still learning about your new body. Let your pouch be your guide on portion sizes. Stop eating BEFORE you feel full. Remember to use a food scale to weigh your food. Overeating and not chewing your food thoroughly can lead to nausea, vomiting, and stretching out your stomach. *Start with softer foods like yogurt then transition into soft solid foods like ground turkey by the 3rd week. It is recommended to introduce new foods at dinner time.

Key Points for Healthy Eating Habits

Eat slowly: Immediately after surgery, the pouch is swollen and needs time to heal. Eating too quickly may cause you to overfill your new pouch and cause discomfort, nausea, and vomiting.
Drink small amounts: Learn to sip slowly. Try not to fill your entire mouth with fluid. Use a 1-ounce (30ml) medicine cup to help determine a safe amount.
Stop eating before you feel full: Do not overeat. Listen to your body by eating slowly and mindfully. If you are unable to recognize fullness, eat only the recommended amount and no more at one sitting. Eating and drinking too much will eventually stretch your pouch and prevent you from reaching maximum weight loss.
Maintain hydration by consuming at least 64 ounces of fluid during the day. Try to consume protein-rich fluid (1% or skim milk, protein drinks, etc.) as half of your fluid intake between meals. Avoid carbonated beverages for the rest of your life. Increase fluid intake until urine is clear.
Protein: Protein is needed by the body to build and maintain tissue, promote wound healing, and fuel the metabolic engine that burns fat. Over the long term, protein will help preserve muscle tissue so weight can be lost as fat. Foods like lean red meat, pork, chicken and turkey without skin, fish, eggs, beans, and low-fat cottage cheese are high in protein and low in fat.

Foods to Avoid

There are different kinds of foods that you should avoid after having bariatric surgery:

All raw fruit
All raw veggies, including lettuce and tomato
Cooked or raw asparagus, celery, corn, or peas
Cooked or raw potatoes, sweet potatoes, winter squash and plantains
All nuts
All high carbohydrate/sugary foods like bread, pasta, rice, crackers, tortillas, chips, dry cereal, cake, cookies, ice cream, etc.
Caffeine
Alcohol
Limit artificial sweeteners

It’s important that you follow the post-op diet instructions and deter from eating certain foods to ensure that you receive the maximum amount of nutrition after your surgery.

While the surgery can help you limit the amount of food you eat, you must be ready to change lifestyle habits that led to weight gain. After surgery, you need to follow the nutritional recommendations and exercise regularly (150 minutes per week of physical activity is recommended). Participation in a support group could help you stick with new habits. It’s also important to keep follow-up medical appointments to monitor the effects of surgery.

About Author
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, Gastric Balloon and Revisions.

Patients’ most common question is, “How soon will I lose weight after bariatric surgery?” And this always depends on the patient’s age, starting weight, post-operation activity, and how well they adhere to the after-surgery diet. Every individual is different, but right away, bariatric patients will start to lose significant amounts of weight, and this will continue for the first few months. However, the dietary guidelines provided following surgery are essential for success. First and foremost, they are meant to allow the patient’s body to heal from surgery. Going forward, they are meant to help patients lose weight appropriately. Any deviation from the dietary guidelines can result in a slowdown in weight loss.

The amount of weight that a patient can lose and the amount of time it takes to lose the weight depends on a number of factors including the type of weight loss surgery and how committed the patient is to maintaining a healthy lifestyle after the surgery.

With LAP-BAND surgery, an average patient loses 50% excess body weight after 1-5 years.

With sleeve gastrectomy or gastric sleeve surgery, an average patient sees up to 70% of excess weight loss at one year.
With gastric bypass, an average patient experiences 70% to 80% excess weight loss at one year.

Those seeking bariatric surgery in Texas can call the Nicholson Clinic and set up a consultation where they can discuss and learn about each procedure and decide which one will be right for them. The procedure decided upon can also influence how quickly weight is dropped post-operation.

About Author
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Sleeve Gastrectomy, Gastric Bypass, Gastric Balloon and Revisions.

Dr. Nick Nicholson, minimally invasive abdominal surgeon and founder of Nicholson Clinic.

Plano, Texas, April 8, 2022 – Abdominal surgery specialist, Dr. Nicholson, is one of the top bariatric surgeons in the country, leading nationally acclaimed clinics in Dallas and Plano, Texas. Recognized for his educated treatment of obesity, Dr. Nicholson trains surgeons all over the world on bariatric procedures. He is dedicated to providing patients with the latest, most advanced options for obesity treatment. Patients have traveled from all 50 states and several countries to seek his care. Specializing in gastric bypass, gastric sleeve, gastric banding (Lap-Band), and bariatric revisions, he also offers other non-surgical treatments for weight loss and minimally invasive abdominal surgeries such as gallbladder removal, hernia repair and hiatal hernia repair to treat acid reflux.

“There is nothing more rewarding than seeing our patients transform into healthier, happier versions of themselves”, says Dr. Nicholson.

Dr. Nicholson carefully designed a highly experienced, compassionate team to make up the Nicholson Clinic to ensure each patient receives the experience and outcome that they deserve during their weight loss journey. Dr. Nicholson proudly leads his clinic and team toward helping their patients achieve their goals and reclaim happiness and quality of life.

Dr. Nicholson understands how important it is for individuals to have an educational guide before and after undergoing a procedure such as bariatric surgery. That’s why he co-authored the book “Weight Loss Surgery – The Real Skinny.”

Those considering weight loss surgery in North Texas should consider scheduling a consultation at the Nicholson Clinic. Dr. Nicholson and his team will help determine the best option for each individual, undergoing a full assessment to ensure they receive the most effective treatment for their individual needs.

About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Sleeve Gastrectomy, Gastric Bypass, Gastric Balloon and Revisions.

Sleeve surgery, also known as vertical sleeve gastrectomy, is becoming an increasingly popular choice to combat obesity. This minimally invasive surgery has two main mechanisms of action. First, it reduces how much food fits in an individual’s stomach, making them feel fuller in a shorter amount of time. Second, it’s a hormonal operation as it blunts appetite.

The surgery revolves around a large portion of the stomach being divided vertically and removed. This is the non-reversible part of the procedure. The remaining stomach – now reduced to about 25% of its original size – is shaped like a banana and resembles a tube or sleeve, thereby decreasing the capacity of calories you can consume. More importantly, we are resecting the part of the stomach that secretes a hormone called ghrelin, which is responsible for appetite, therefore you see excellent appetite suppression after a sleeve.

Gastric sleeve surgery is becoming more common for a number of reasons. With this type of procedure, professionals are seeing better overall results in terms of total weight loss. Another popular reason gastric sleeve surgery is chosen is often due to the reduction in the number of complications.

In gastric band surgery, it is common to replace or remove the band. Oftentimes, a person will become intolerant to a lap band or experience complications such as band erosion, band migration/slippage, band infection, gastric prolapse, esophageal and/or pouch dilation, issues which are avoided by choosing vertical sleeve gastrectomy.

IMPORTANT NOTE: In your research for weight loss surgery options, you may have come across new ReShape Lap-Band advertising. Some people are suggesting that this procedure is just as effective as other weight-loss surgeries available and that it’s less invasive than surgical stapling procedures. However, most health professionals would agree that this procedure is not the best choice for weight loss surgery.

The Final Weigh-In
There are a few critical takeaways to remember when researching weight loss surgery in Texas and across the country.

This surgery provides fewer complications than gastric band surgery.
In most cases, a gastric sleeve is just as effective as a gastric bypass which accounts for its rise as one of the fastest growing options for weight loss surgery in the U.S.
Gastric sleeve is less invasive than gastric bypass – and therefore, a lower risk – surgery.