At St. Vincent, we know that being overweight is not a matter of willpower. It is a treatable medical condition. We offer proven, medically based solutions and provide a full range of support services for our patients because we care—not only about success in our facilities, but also about our patients’ continued success at home.
The St. Vincent Bariatric Center of Excellence is by far the most active and most experienced bariatric program in Indiana, offering both surgical and non-surgical weight loss options.
As a result of our approach, many of our patients experience more than just long-term weight reduction: they experience notable improvement in their health. Concerns—including diabetes, hypertension, respiratory problems, heart disease and depression—often improve after weight loss, and patients gain a new, more positive outlook on life and are given the opportunity to pursue a lifestyle that before they only dreamed of having.
Through methods including dietary counseling, behavior modification, exercise, support groups and bariatric surgery, we do more than help reduce weight. We change lives.
For more information call 317-582-7088, option #1 for assistance.
Ready for weight loss surgery but you don’t know where to begin? We’re here to help you every step of the way.
One of our bariatric associates will call you to schedule a consult and information session, but first tell us about yourself.
Please access the Patient Portal and complete your Patient Profile. To enter your information, you will be required to enter the password given to you at the time you scheduled your appointment.
The password is the first three letters of your last name and the last four numbers of your social security number (all in lower case, no spaces). Please review the data that we entered for you when you made made your appointment then complete the required medical history.
To avoid any delays on the day of your visit, please be sure that you list all medications you are presently taking as well as provide full contact information for your referring, primary and specialty physicians.
Thank you for choosing the St. Vincent Bariatric Center of Excellence!
We can help. Everyone needs lots of answers when considering a major step toward a lifestyle change like bariatric surgery. This is the place to find detailed answers to common weight loss questions. For additional bariatric FAQs, click any of the Tags at right, or click here. Our team is also available to help with any other questions you might have. Just give us a call at 317-582-7088.
It is possible after any weight loss procedure to gain weight, surgery is just a tool. If you find yourself back into old behaviors and not making good food, fluid and exercise choices then we strongly encourage you to work with your bariatric dietitian. This will give you some accountability, get you back on the meal/vitamin plan, and then make it a priority to get involved in your local support group regularly to be around other like-minded people. Click here for more information.
This is a very common symptom after weight loss surgery. There are several contributors: surgery, increased protein, calcium and iron, high demand for liquids and low intake of fibrous fruits and veggies. You can work with your bariatric dietitian or follow these handouts to help correct the problem. Constipation Fiber Probiotics
It is not normal for your body to lose “pounds” of weight every single day for months on end. Once you get past the first 1-3 months you may notice changes in how consistent and rapidly you lose weight, and typically around 6-8 months you will notice another shift, possibly making you lose even slower. We encourage you to look at not just the number on the scale but also the inches you are losing as both are indicators of success. Talk with your bariatric dietitian if you have concerns about your weight loss goals.
Weight loss surgery can easily put your body into ketosis because of the high protein/low carbohydrate diet combined with small quantities of food. Early on this can create some pretty severe symptoms like: bitter/metallic taste, bad breath, lightheaded/dizziness, loss of appetite, nausea and fatigue. It is important to treat this so that you can get in adequate nutrition and hydration or you may need medical intervention with IV fluids. Work with your bariatric dietitian for more information.
It is not uncommon to have hair loss 3-6 months after weight loss surgery. This can be attributed to rapid weight loss and just having surgery in general. There are also nutritional deficiencies and medical conditions that can contribute as well. It is important to follow up with your bariatric dietitian and/or surgeon to identify the root cause.
It is common for patients to lose muscle with rapid weight loss after surgery. Starting a resistance training program can help you maintain strength. Our website provides some basic information on strength training you can do at home with very little equipment. Attending our exercise class or talking with one of our fitness instructors can help you find the right exercise program for you.
Support group is a great way to get the support you need. Our staff and fellow group members can provide encouragement and your adult family members are welcome to attend. Our weekly exercise class is a great way to meet new people and get a workout at the same time!
Our staff has worked with many therapists over the years to help people with these types of difficulties. We have compiled a list of therapists that are familiar with bariatric patients and can share those names with you. It is important that you check with the therapist to make sure he or she accepts your insurance.
A variety of factors such as age, amount of weight loss, smoking history, sun damage and genetics influence how much excess skin you will have after surgery. The only proven approach to get rid of sagging skin is plastic surgery. This is costly and often not covered by insurance. The good news about having loose skin is it is generally a by-product of hard work and weight loss. If you want to have loose skin removed, or cope with negative thinking about your body, the team at St. Vincent can provide you with helpful resources.
Bariatric Weight Loss Center of Excellence
St.Vincent Carmel Hospital
13430 North Meridian, Suite 168
Carmel, IN 46032
Contact the St.Vincent Bariatric Center of Excellence via web message here:
Call us at 317-582-7088 to learn more about bariatric surgery
”It’s a happy surgery. It’s amazing that one operation (like gastric bypass or sleeve gastrectomy) can make such a dramatic impact on treating diseases like diabetes that we never thought could be managed this way.” – Dr. David Diaz, General Surgeon and Bariatric Specialist
Obesity-related medical conditions may significantly benefit from bariatric surgery and lifestyle modification.
ORBERA™ combines a clinically tested and proven medical device, with your own customized plan and support team, to effectively manage weight loss. The comprehensive, two-part program starts with a soft balloon placed in your stomach for six months to encourage portion control. A team of support experts will then help guide you through a diet and exercise program. At six months, the balloon is removed and your support team will continue to guide you toward making healthy lifestyle choices. They will help you retrain your appetite, adopt new nutritional habits, and establish a reasonable exercise routine that will be essential to your long-term success.
After six months with the ORBERA™ two-part program, people lost an average 3.1 x the weight patients lost with diet & exercise alone.
Custom support provided by a team of experts.
Learn healthy habits to help you keep the weight off even after the balloon is removed.
A more than 20-year history of helping thousands of people lose weight.
#1 in global market leader. More than 220,000 devices implemented worldwide in over 80 countries.
With the FDA approval of ORBERA™, patients now have a safe and effective treatment option.
Is ORBERA™ Right For Me?
While ORBERA™ does not require surgery, any medical procedure requires careful thought and consideration.
To qualify for ORBERA ™:
Bariatric medical studies with 10 or more years of data have demonstrated that the Roux-en-Y gastric bypass (RYGB) procedure has the best, overall, long-term excessive weight loss rate (nearly 75%) in men and women. On average these individuals were 100 pounds or more overweight and most had obesity-related health conditions [such as diabetes, high blood pressure and out of control blood lipids (cholesterol and triglyercides)]. In comparison to on and off again self-dieters, bariatric patients far exceeded the dieting average: 2-5 lbs. of sustained weight loss. The bariatric approach combines medical supervised weight loss, proven surgical procedures, lifestyle behavior modification and consistent dietary guidance and support.
Note: The rate of sustained excessive weight loss will vary based on the type of bariatric surgery, patient compliance with behavioral modification, and existing co-morbidities.
At St. Vincent Bariatric Center of Excellence we are giving men and women a hold onto a brand new life.
The gold standard of bariatric surgery is Roux-en-Y Gastric Bypass (RYGB) surgery, a minimally invasive procedure. RYGB represents a majority of the procedures that we do at the center.
A much smaller stomach pouch is created by bypassing most of the stomach and three feet of the small intestine. The digestion physiology does not change, however, more importantly dietary sugars (sucrose, lactose, fructose, etc.) are not digested and this contributes to significant weight loss over time. Since the nerves and hormones that stimulate hungry and appetite are bypassed, these individuals feel less hungry. RYBG is a malabsorptive procedure, as a result RYGB patients must take B12 supplements for life and maintain a healthy balance of vitamins and essential nutrients.
The second most common procedure is Vertical Sleeve Gastrectomy (VSG), also performed laparoscopically.
A majority of the stomach is removed so that a long narrow tube the diameter of your thumb is left. As a result, your food intake is restricted, you eat much smaller volumes of food, and feel fuller faster. Since the part of the stomach that craves foods and growls when you are hungry is removed, obese individuals tend to better manage their food intake because cravings are down. These patients also need to take a B12 vitamin supplement for life.
A variation is called vertical banded gastroplasty (VBGB), also referred to as stomach stapling. In this procedure the stomach is banded and stapled in order to create a smaller stomach pouch. The restrictive effect limits the amount of food that can be consumed at one meal. In the bottom of the pouch is an approximate one-centimeter hole that enables the contents of the smaller pouch to flow into the remainder of the stomach and onto the rest of the GI tract. Like other restrictive procedures, close attention must be made to food choices and portion sizes.
Our surgeons are also highly trained in all types of bariatric procedures, including laparoscopic stomach banding.
Banding is a restrictive procedure that also is reversible. The band includes a port that needs to be properly filled with saline to maintain an optimum band pressure on the stomach neck in order to create a smaller stomach pouch. These patients also need to chew their food much longer than most, and avoid breads that can easily get stuck. The calories that pass through the band (dietary sugars and fats) are yours to keep so adapting small portion sizes, a healthy diet and behavior modification is very important. The restrictive nature of this procedure generates weight loss, typically at a slower rate initially.
For some individuals who are morbidly obese, Duodenal Switch (DS) may be an option. This procedure may be done laparoscopically, or as an open surgery. The length of the surgery is much longer and more complex. Sometimes DS is referred to as having a combination of gastric bypass and gastric sleeve with a twist.
A large section of the stomach and small intestine is removed. For this reason DS is both restrictive and malabsorptive. Less food volume is eaten because you feel fuller, and fewer calories are absorbed by the body. The result is a higher rate of weight loss. However, this procedure is associated with more surgical complications and the recovery time is generally longer. Taking vitamin B12 supplements and other vitamins and nutrients are essential, and must be taken for life.
To determine if you are candidate for bariatric surgery, the physician will do a comprehensive evaluation of your health and recommend a treatment plan that is designed specifically for you. The Bariatric team also include: Nurse practitioner, nurse/patient educators, registered dietitians, exercise specialists and behavior modification counselors.
These minimally invasive procedures involve making several small incisions (the size of the pen), and with the use of a very small camera, the surgeon is able to expertly navigate the surgical tools through the abdomen to perform the surgery. Overall post-operative recovery is much faster than an “open” surgery and most patients are doing normal work and household tasks within two weeks. The time in the hospital will vary, generally 1-2 days.
Bariatric procedures have been performed since 1991. One of our surgeons, Dr. Diaz, has been on the frontline of bariatric medicine improvements since the 80s. The combined surgical expertise of all of our physicians spans several decades and benefits our patients in many ways.
Medically supervised weight loss options are available to help men and women make the physical and mental adjustments to attain a healthier lifestyle. The “Call to Life” 30-week program includes 20 sessions with our Bariatric Internal Medicine physician, registered dietitian, psychologist, and certified exercise specialist.
The primary focus of the St. Vincent “Call to Life” program
Before surgery can be scheduled, each patient needs to attend in person (or participate online) the Bariatric Center’s Introductory Weight loss Seminar “My Brand New Life” and have had a consult with one of our bariatric surgeons. At this consult your medical history is reviewed and body mass index (BMI) is established..
Within one year from the time of your attendance at the seminar/consult, health insurance pre-certification will need to be verified through the surgeon’s office.
For some, medically supervised weight loss program spanning 3-6 months may be a requirement prior to surgery. If so, the Bariatric Center of Excellence is full service, and our Bariatrician, a primary care physician specializing in bariatric medicine, is available to work with you to coordinate each step of the supervised weight loss documentation process.
TIP: If you prefer for your family physician to provide the consultation and do the monthly supervised weight loss appointments, please coordinate the documentation with our Bariatric Center staff so that all of the information is recorded as needed on a monthly basis. This coordination makes getting surgical approval from your health insurance provider much more seamless process.
Prior to a scheduled surgery, a session with our clinical psychologist must be completed. This session aims to identify potential barriers to success and to better understand why you eat the way you do. A Weight Loss Behavior Modification plan will be created to help you learn how to sustain the weight loss moving forward. The dietitians provide all types of nutritional guidance (1-1 consultation, recipes, cooking classes) so you can start to adapt your new diet into your lifestyle. They will also review the evolutionary meal plans that support sustain weight loss.
Every patient will do a comprehensive pre-op education session with the nurse practitioner and staff so that all of your questions are addressed prior to surgery.
If at any time you have a question, do not hesitate to call the St. Vincent Bariatric Center of Excellence at 317-582-7088. Our physicians and staff are committed to taking all the time you need to answer all of your questions and help coordinate the various pre-op checkpoints. This is a journey and we’re with you every step of the way.
Our Bariatric Surgeons are all board certified general surgeons and specialize in all types of bariatric surgery. They are passionate about helping every patient achieve a “brand new life.” Our Medically Supervised Weight Loss physician leads the non-surgical “Call to Life” program. All of our physicians and staff embody the St.Vincent “Caring Spirit”. We know that our holistic approach to healing body, mind and spirit is a more complete and long-term solution for sustained weight loss. We are known for bringing our educational programs and support groups to communities throughout Indiana.
Before a bariatric surgery can be scheduled with any of our Bariatric Surgeons, you will first need to attend the information Weight Loss Seminar and physician consultation (class and online webinar available). To take the next step, call 317-582-7088 or toll-free 1-877-831-1582.
Your Bariatric team includes the expertise of several physicians (surgeons and internal medicine specialists), nurse practitioner, nurses, registered dietitians, exercise specialist, clinical psychologist, cooking class instructor and our community outreach coordinator. Ask for our outreach calendar.
Board certified in Internal Medicine, specializing in nonsurgical bariatric care
Board certified in Internal Medicine, Dr. Fondoble is a graduate of the University of Kansas and University of Kansas School of Medicine. She completed her internal medicine residency at St.Vincent Hospitals and Health Services in 2003. Since 2015, Dr. Fondoble has provided non-surgical bariatric care including pre-surgery medically supervised weight loss (as specified by health insurance). She leads the St.Vincent Bariatric Call to Life program — a 30 week/ 20 session non-surgical weight loss program designed for long-term weight management. As an Internal medicine physician, Dr. Fondoble has extensive primary care experience, specializing in care for veterans and older adults. Her interests include geriatric /elder care medicine and preventive health medicine, including helping her patients achieve a healthier lifestyle.
Be assured, your weight loss journey doesn’t end with surgery. It’s just the beginning. We do more bariatric procedures than any other program in Indiana. These patient photos and videos tell a lot about each person’s dedication and commitment.
*Disclaimer: Please note that weight loss surgery results and benefits are unique to each individual and as such the St. Vincent Bariatrics program cannot guarantee specific weight loss goals as results for each surgery can vary.