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About NewFit

Located at the Viera Hospital Medical Plaza, NewFit is a one-stop shop for surgical weight-loss, providing one of the area's most comprehensive lists of Bariatric procedures. NewFit is also a local leader in surgical technology and safety, and is led by the only two laparoscopic Fellowship-trained robotics-assisted surgeons in Brevard. More key advantages of NewFit include:

  1. Brevard's only surgical weight-loss program using the da Vinci® robotics-assisted surgical system
  2. A Viera Hospital surgical facility specifically designed for the comfort and wellness of Bariatric patients
  3. A network of doctors and other specialists equipped to handle every step of the patient's weight loss journey
  4. Advanced tools, techniques, and a surgical setup—all working together to provide the best-possible patient comfort, safety and results
  5. Led by the only two laparoscopic, fellowship-trained Bariatric surgeons in Brevard, NewFit is nationally accredited as a Level 1 Facility by the American College of Surgeons

Overview of Procedures

Whether you’re looking for minimal aggressiveness or maximum effectiveness, NewFit offers a wide range of surgical options to help you find the procedure that’s right for you. Quickly compare and contrast NewFit’s three most common procedures with the Surgical Snapshot tab above, then scroll down to find specific information on each procedure.

Surgical Snapshot

Gastric Band

Considered the least invasive weight loss surgery, gastric banding is performed laparoscopically with either the LAP-BAND© or REALIZE© Band. The procedure helps snap weight loss into gear by inserting an adjustable band around the upper part of the patient’s stomach, and creating a small pouch that can only hold a limited amount of food. As a result, patients feel full sooner and have a far weaker appetite between meals. The doctor will also continually customize the level of food restriction needed by periodically adjusting the band.

Advantages of gastric banding include:

  • Adjustability and reversibility
  • The most minimally-invasive surgical weight loss approach
  • No stomach cutting, stapling, or intestinal re-routing
  • The lowest mortality rate of any major weight-loss surgery (less than 0.1%)
  • An extremely quick recovery (usually require less than a 24-hour hospital stay)
  • Low risk of malnutrition
  • Gradual, more 'natural' weight-loss (about 1-2 lbs. per week during the first year)
  • Continued weight loss up to 3-4 years after surgery

Potential risks or disadvantages of gastric banding include:

  • Slippage of the band, or erosion of the band into the stomach wall
  • Device malfunction (tubing disconnection, leaking, etc.)
  • A dilated stomach pouch if the band is too tight for a prolonged period
  • Long-term complications, including band removal
  • Failure to lose weight
  • The fact that it requires more maintenance than other weight loss surgeries, including band tightening and/or other follow-up appointments

Gastric Sleeve

Performed using a laparoscopic camera, the gastric sleeve goes arm-in-arm with weight-loss by creating a much smaller sleeve-shaped stomach in the patient’s upper abdomen with several tiny incisions and a special stapling device—and removing a portion of the stomach. For the patient, this procedure greatly reduces food intake and increases feelings of satisfaction and fullness, without interfering with the body’s normal digestive processes. It also reduces the production of Ghrelin, a hunger hormone, which significantly decreases appetite.

Advantages of the gastric sleeve include:

  • Highly effective long-term weight loss (up to 60-70% of excess body weight) with few complications
  • Low mortality rates (approximately 0.2%)
  • Moderately rapid weight loss of 2-4 lbs. per week
  • Minimal impact on the anatomy
  • Typical recovery period of 7-14 days
  • Normal digestion and absorption of nutrition with low risk of malabsorption
  • No cutting or re-routing of the small intestines
  • No 'dumping syndrome' (compared to gastric bypass)
  • Fewer follow-up appointments and no surgical adjustments (compared to gastric banding)
  • Relatively low maintenance
  • The allowance of conversion to other surgery

Potential risks or disadvantages of the gastric sleeve include:

  • Leaks from staple lines, which although extremely rare, may result in infection or death
  • Staple line strictures, which may lead to obstruction and vomiting
  • Bleeding and reflux issues
  • Lack of long-term data, as it is one of the newer Bariatric procedures

Gastric Bypass

As America's most common and longest established weight-loss surgery, gastric bypass is proven to be an extremely effective solution for long-term weight loss. Gastric bypass enables a patient’s body to bypass unwanted pounds and calories by inserting a laparoscopic camera and other small instruments through several tiny incisions in the patient’s abdomen, and using special staples to create a small upper-stomach pouch that restricts food intake to about one ounce. The procedure also permanently and anatomically resizes the patient’s stomach and reroutes the digestive track, both limiting the amount of food the patient can eat and reducing the amount of calories absorbed by the intestines. And although gastric bypass is viewed as one of the more major and aggressive Bariatric procedures, NewFit's exclusive use of the da Vinci® robot significantly reduces its level of invasiveness.

Advantages of gastric bypass include:

  • Effective, rapid weight loss (about 5 lbs. per week), especially within the first 3-6 months
  • The loss of up to 80% excess body weight
  • Reduced desire to eat, making it extremely easy to achieve feelings of satisfaction and fullness
  • General weight stability between 12-18 months after surgery
  • Continual long-term weight loss
  • Aggressive reduction of serious co-morbidities such as type 2 diabetes, which resolves over 80% of the time
  • A mortality risk of approximately 0.5%
  • A typical recovery period of 7-14 days

Potential risks or disadvantages of gastric bypass include:

  • Leaks from staple lines, which although rare, may result in infection or even death
  • Anastomotic strictures, which may lead to stomach obstruction and vomiting
  • Internal hernias, which can cause small bowel obstructions
  • Marginal ulcers
  • Dumping syndrome, a negative reaction to eating sugar that may result in nausea, abdominal pain, diarrhea, sweating, or physical weakness
  • Nutritional deficiencies as a result of altering the body's normal digestion and absorption processes

Additional Options

As Bariatric tools and techniques continue to evolve and advance, so do the needs of patients. That’s why NewFit has the training and versatility to provide solutions for even the most complex situations, from modifying past procedures to utilizing future-minded techniques today.

  • NewFit offers multiple conversion capabilities and procedures involving the gastric band, gastric sleeve, and gastric bypass
  • All revisions are done laparoscopically, using the most advanced and exclusive robotics technology

NewFit Advantages

In addition to being a one-stop-shop for surgical weight loss, NewFit’s combination of minimally invasive technology and highly advanced brainpower is designed to put patient safety and success front and center. Read on for a more in-depth look at NewFit’s many advantages.

Exclusive Surgical Technology

NewFit is Brevard's only surgical weight-loss program using the da Vinci® robotics-assisted surgical system. This provides:

  • The next phase of surgical safety, recovery, and results
  • Greater surgical control via high-definition 3D vision with a magnified 360-degree view, superior precision and dexterity, and more—putting the highest caliber of capabilities at your surgeon's fingertips
  • Superior patient outcomes and fewer complications, including less pain and scarring, lower risk of infection, reduced blood loss and a quicker return to normal activities

Level 1 Facility

Led by the only two laparoscopic, fellowship-trained Bariatric surgeons in Brevard, NewFit is nationally accredited as a Level 1 Facility by the American College of Surgeons. Other experienced and specialized NewFit team members include:

  • Bariatric-trained nurses
  • Expert nutritionists
  • Psychologists
  • Exercise physiologist
  • And a wide range of other physicians

Bariatric Designed Facility

Located in Viera Hospital, NewFits’s state-of-the-art Bariatric facility works to optimize comfort and safety while proactively meeting the needs of Bariatric patients. Advantages include larger beds and bed lifts, customized bathrooms, weight-appropriate wheelchairs and a wide range of other features designed specifically for Bariatric patients.

Cost-Savings

NewFit doesn’t charge patient administration fees or other 'extra costs', which can potentially save you thousands. Other examples of cost-saving advantages include:

  • Waived enrollment fee (up to $100 value), plus $35 per month reduced membership fee prior to surgery for Health First's Pro-Health & Fitness Center
  • Free 3-month membership post surgery upon receipt of medical clearance from the program member’s NewFit physician
  • Free one-day fitness pass just for attending our education seminar!



NewFit Process

Medical Weight-Loss Management

By helping you hone in on the right weight-related habits both before and well after your procedure, NewFit’s medical weight-loss management program is about more than helping you get to your goal weight. It’s about helping you stay there. This highly personalized, extensively comprehensive approach includes:

Diet—NewFit’s dietary team will work with you to develop a personalized meal plan that helps you kick cravings, fight fat, and get the nutrients you need to stay nourished.

Exercise—Our exercise physiologists will customize a program according to your specific weight-loss needs, workout wants, and fitness level. (Personal training and physical therapy sessions are also available.)

Behavior Modification—Part of achieving long-term success is changing the way your think about food and fitness. And from support groups to individualized counseling, our team of psychologists will provide tools and techniques to help keep you ‘emotionally equipped’ at every stage of weight loss.

Additional Methods—While we strive to stick to the basics (diet, exercise, and behavior modification), we are more than willing to explore additional methods when needed. From weight-loss medications to continual medical monitoring, see how NewFit can provide the best medical management plan for you.

What To Expect At Every Step

NewFit's comprehensive, multi-disciplinary team can usually perform 100% of your needed pre-op treatment and testing—saving you the time and hassle of jumping from place-to-place. While our surgical weight-loss process may differ by patient, procedure and other factors, here are some general guideless to give you a better idea of what to expect at every step.

After Your Initial Visit

  • Psychological, nutritional, & exercise physiology consultations
  • Standard lab tests, including chemistry, blood count, lipid profile, liver profile, urine analysis, thyroid profile, and diabetic profile
  • Medical testing and evaluations as needed for those with existing cardiac, pulmonary, diabetic, and other conditions
  • Some patients must participate in three to six months of medically managed weight loss in order to be approved for the procedure by their insurance
  • We ask that you abstain from smoking and alcohol

In the Weeks Before Surgery

  • We'll put you on a strict weight-loss diet, which usually requires you to cut out all refined carbs, sugar, and soda
  • We'll correct nutritional deficiencies and other concerning lab results as needed before providing surgery
  • Your pre-op visit will provide the chance to go over tests, answer questions, perform a final pre-surgical evaluation, discuss preparation for the procedure, and more
  • Receive pulmonary, cardiology, and other evaluations as needed

Initially Following Your Procedure

  • Remember to stay hydrated
  • Walking is encouraged, but avoid any strenuous physical activity or lifting
  • Please shower rather than bathe until after your initial post-op visit
  • Follow a graduated 6-week-long post-surgery diet
  • Attend follow-up visits with NewFit team members as instructed
  • Return to work and normal activities as soon as a week after surgery

Long-Term

  • You can expect to lose anywhere between 40-80% of your excess body weight during up to a 24-month time span following your surgery
  • Your quality of life and physical capabilities will greatly improve
  • You'll experience drastic improvement or resolution for existing medical conditions, such as type 2 diabetes, high blood pressure, and more
  • In order to maintain your weight loss, you will need to exercise, attend follow-up visits, and remain committed to your medical management program
  • If you find yourself falling back into old habits, former temptations, and poor self-esteem issues, our psychologists and support group will be there to help you resolve potential setbacks and find the mental strength needed to continue your weight-loss success