The pancreas is a gland about the size of a hand, tucked between a bend in the upper part of the intestines (the duodenum) and the stomach. One function of the pancreas produces enzymes for the digestive system in the exocrine tissue. The other function of the pancreas creates hormones as part of the endocrine system. Within the pancreas the tissues of both systems intertwine, which makes it difficult to treat the pancreas because things that work on one system very easily damage the other.

One of the functions of the gallbladder is to concentrate the bile produced by the liver. Mainly by removing water, the bile is reduced from a fifth to a tenth of its original volume until reaching the maximum capacity of the gallbladder at about 50 milliliters. This concentration is a kind of balancing act. If the gallbladder doesn’t concentrate the bile, then there may not be enough active ingredients to break down a heavy load of fat, resulting in digestive problems. If the gallbladder performs too much concentration, the lack of water may stimulate the formation of gallstones around impurities in the high saturation of cholesterol.

If you are thinking about bariatric surgery and have doubts about whether it is right for you, you’re not alone. It’s a life-changing decision, and serious contemplation—particularly overcoming concerns and learning how to effectively cope with them—is part of the decision-making process for everyone. Bariatric surgery is a major procedure, and recovery doesn’t happen overnight. It’s normal and natural to fear surgery, anesthesia, or physical changes. Before you let these fears prevent you from having bariatric surgery, you may want to take a few moments to better understand the facts. Bariatric surgery is a lifelong change. Even considering it is a healthy step, because it gives you an opportunity to examine your health and your life.

Significant weight loss can sometimes cure and almost always decrease the risks of developing secondary conditions related to obesity which include, hypertension, diabetes, heart disease and the pressure and pains that accompany supporting excess weight. As a result of weight loss and positive lifestyle changes, you can be better prepared to engage in the physical activities of daily living, improve your mobility and appearance, and extend your years of healthy living with your family and loved ones.

Welcome to the first step in your consideration of weight loss surgery with Dr. Belsley at Mt. Sinai St. Luke’s Hospital Center. We understand that you have a choice in your medical care and will do his best to answer your questions and ensure you a safe, personalized and individual experience throughout your weight loss. You must continue on your new path as it is one that you must walk for the rest of your life. Please keep in mind that bariatric surgery requires continuing positive lifestyle change and is not a substitute for dieting.