- Osteoporosis
- Arthritis
- Medical Weight LossLosing weight is perhaps one of the hardest things one can do. Many people struggle with weight loss and weight gain throughout their entire lives. Please check out this article on why some people gain weight.
- Nutritional CounselingPain is typically moderate on the day of surgery. You still have your IV for administering pain medication if needed. You may not be allowed to eat or drink anything, although your doctor may allow liquid diet or ice chips one to two hours after your surgery. On the following day, you may undergo blood work and nutritional counseling as well as begin to prepare for discharge from the hospital.
- Primary CareOur office will be able to order the bloodwork for you. However, you can ask your primary care physician to check your bloodwork as well.
- High Cholesterol
- ColonoscopyThe purpose of this procedure is to examine the lining of the large intestine for abnormalities, take biopsies, and remove polyps.
- Constipation
- ElectrocardiogramUndergo pre-surgery tests, endoscopy and receive clearance for anesthesia and a physical from your primary doctor. Pre-surgery tests usually include bloodwork (CBC and Chem 7) as well as EKG. Those tests are usually done at the hospital where you will be having weight loss surgery. Our office will give you a prescription, and you will go to the hospital (no appointment is needed) and have your blood drawn, as well as undergo an EKG (cardiogram). It is best to schedule these tests 30 days prior to your surgery. The endoscopy is a camera evaluation of your stomach to make sure you have no problems that could interfere with surgery. It is usually done under sedation either in a hospital or surgical center, and takes 5-10 min. You will need to visit your primary care doctor to have medical clearance 2-4 weeks prior to your surgery. This is just an office visit with your doctor to make sure you are fit for anesthesia.
- Diarrhea
- Pneumonia
- GlaucomaFinally a friend dragged her to a seminar at Dr. Gritsus's office. At 215 lbs. She no longer had options open to her. On May 5th she underwent a Rouxen Y gastric bypass. That was 4 months ago. She's lost 50 lbs and no longer needs medication for HBP or Diabetes, which was expected. However, the Glaucoma and the Pulmonary Fibrosis are diseases that were diagnosed as only being able to stay the same or become worse, yet they have also improved. The pulmonary Physician and the Ophthalmologist are amazed at the improvement. The Neuropathy is almost gone as well. The other day she looked down and actually saw us again. She polished us in the most beautiful pink color.
- GynecologyThere is no separate specialty of Robotic Surgery. Robotic technology is used by surgeons in many specialties such as urology, gynecology, thoracic, oncology, as well as in bariatric and general surgery. Robotic surgery is a technique, not a specialty.
- Pregnancy
- Urology
- Kidney StonesHydration: While you are healing during the first months after surgery, it can be difficult to consume enough fluids. Your doctor will advise you to drink at least 64 oz. of fluids a day to help prevent dehydration, kidney stones, and constipation. Avoid caffeinated beverages. They are diuretic and can cause dehydration.
- Colon Cancer
- EndoscopyDr. Gritsus typically performs the following procedures at Hudson Crossing Center: cholecystectomy, Lap Band placement, Lap Band removal, sleeve gastrectomy, hernia repair, endoscopy and minor procedures.
- Mental HealthYour mental health can be indicative of your success after surgery. Certain psychological conditions may contribute to your level of obesity, and you may need help to shift to a healthier, happier lifestyle.
- Diabetes CareSusana Mendelson, M.S., R.D., C.D.E., is the nutritionist for Advanced Surgical Solutions, LLC. She has been working with our practice since March, 2004. She has been counseling bariatric surgery patients for the last three years, and has been providing individual and group counseling for the past seven years. She earned her Bachelor's degree from Rutgers University, and her Master's degree in Nutrition from New York University. She is a Certified Diabetes Educator and a member of the following special interest groups: Weight Management, Sports, and Cardiovascular and Wellness Nutritionists, Nutrition in Complementary Care and Diabetes Care.
- Thyroid
- UltrasoundAdjustments are most often carried out in the office. They are performed with use of X-ray or Ultrasound so the access port can be clearly seen. A fine needle is passed through the skin into the access port to add or subtract saline. This process ordinarily takes only a few minutes. Most patients say it is nearly painless. The X-ray is also used to calibrate the size of opening of the Lap Band for more precise adjustment.
- MRI
- Radiology
- X-Rays
- Computed TomographyPatricia, or Trish as she is known to our patients, joined our staff in January of 2012. She has been working to assist our patients with their Lap-Band Adjustments, endoscopies or radiological examinations such as CT scans and MRIs recommended by Dr. Gritsus. Trish is currently attending college to obtain a degree in Nursing which appears most interesting to her. If you call our office to schedule one of the above examinations, you will have the opportunity to speak to Trish who will gladly assist you!
- General SurgeryThere are two main types of hiatal hernia. One type may be a cause for serious concern, even when no symptoms are present, because complications can arise in which the blood supply is cut off to the stomach. Vadim Gritsus, M.D. is a New Jersey bariatric surgeon certified by the American Board of Surgery with extensive experience in minimally invasive general surgery procedures.
- Minimally Invasive SurgeryVadim Gritsus, M.D. is a board certified general surgeon with advanced laparoscopic training and many years of surgical practice in New Jersey. He is recognized as a leading professional in laparoscopic and minimally-invasive surgery and surgical endoscopy. If you have a medical condition that requires colon resection, you can rely on New Jersey bariatric surgeon, Dr. Gritsus to provide advanced treatment and compassionate care. Get Started
- Robotic SurgeryNo. The actual surgical technique remains the same. Robotic surgery is merely a new instrument used to perform current procedures.
- LaparoscopyIn laparoscopy, the surgeon makes one or more small incisions through which slender surgical instruments are passed. This technique eliminates the need for a large incision and creates less tissue damage. It is usually less painful and allows for a more rapid recovery.
- Plastic SurgeryThis is not always the case. As a rule, plastic surgery will not be considered for at least a year or two after the operation. Sometimes the skin will mold itself around the new body tissue. You should give the skin the time it needs to adjust before you decide to have another surgery. Excessive skin amount after weight loss depends on age, gender, duration of obesity and where most of the weight is carried.
- Laparoscopic SurgeryIn some cases, this condition can be treated with laparoscopic surgery to remove gallstones. In other cases, it may be necessary to remove the gallbladder itself, when it is not functioning properly. If the gallbladder is removed, you will still be able to digest your food. Bile from the liver will still reach the small intestine, even though there is no gallbladder in which to store it along the way.
- Bariatric SurgeryAs an accomplished general surgeon, Dr. Gritsus delivers much more than bariatric surgery. From hernia repair to colon resection, he can help patients with a number of ailments. Learn more about his other surgical offerings below.
- UlcerThe reason the Gastric Balloon has to be removed after six months is that if left in the stomach longer, it can break down and slide into the intestines causing blockage. Additionally it can potentially wear out the lining of the stomach and create an ulcer.
- Calluses
- Burns
- Sports Medicine
- Back Pain
- Calluses
- HammertoesThen it began to get serious. She gained more and more and more. She developed High Blood Pressure (hereafter designated as HBP), and Type II diabetes. She began to take medicine for HBP and Insulin for Diabetes, eye drops for Glaucoma, and Inhaled Steroids for Pulmonary Fibrosis along with many drugs for Rheumatoid Arthritis. We were mostly ignored as she couldn't even see us anymore when she looked down. We tried to let her know; we pinched her, developed calluses, neuropathy and the dreaded "hammer toes." But still, she never heard us crying. We were still size 5-1/2 and never meant to carry the load she put on us. Finally the HBP, Diabetes, Glaucoma, Pulmonary Fibrosis and Rheumatoid Arthritis all joined us in the war against her behavior. She was losing!