TABLE OF CONTENTS
NEW RUTGERS PARTNERSHIP
BARIATRIC SURGERY
PREDIABETES
A Publication of
Newark Beth Israel Medical Center and Children’s Hospital of New Jersey
FALL | 2018
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NEW RUTGERS PARTNERSHIP
PREDIABETES
BARIATRIC SURGERY
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TABLE OF CONTENTS
NEW RUTGERS PARTNERSHIP
BARIATRIC SURGERY
PREDIABETES
TABLE OF CONTENTS
NEW RUTGERS PARTNERSHIP
BARIATRIC SURGERY
PREDIABETES
The new partnership means more clinical trials—and cutting-edge care. The RWJBH/Rutgers partnership will improve the ability of researchers to get grants for research and clinical studies. “We have this huge and diverse population—a major strength to bring to clinical trials,” says Brian Strom, Rutgers Biomedical and Health Science Chancellor. The result: better medical and social services for patients, and exciting new opportunities for medical researchers and students.
Clinical Trials, Close to Home
Steven K. Libutti, MD, Senior Vice President of Oncology Services, RWJBarnabas Health, and Director, Rutgers Cancer Institute of New Jersey, explains:
Why particpate in a clinical trial?
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ongoing clinical trials at Rutgers Cancer Institute of New Jersey
ongoing clinical trials at RWJBH
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The RWJBH/Rutgers partnership means more of the best and brightest medical students will be trained and make their careers in New Jersey.
Tomorrow’s Physicians Today
RWJBH has pledged $10 million to encourage Rutgers medical students to remain in New Jersey after they complete their education. At the same time, Monmouth Medical Center (MMC), an RWJBH facility, has become the regional campus for medical education for Rutgers Robert Wood Johnson Medical School. As a result, dozens of students will complete their clinical rotations at MMC. System-wide, RWJBH will work with Rutgers Robert Wood Johnson Medical School to train and educate more than 1,000 medical residents and interns throughout our hospitals each year.
Monmouth Medical Center Welcomes Rutgers Robert Wood Johnson Medical School Students
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at Monmouth Medical Center
Residency programs
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• Dental Medicine • Internal Medicine • Obstetrics & Gynecology • Orthopaedic Surgery • Pathology • Pediatrics • Pharmacy • Radiology (Diagnostic) • Surgery (General)
Residency programs at Monmouth Medical Center
1
$
+
BILLION
10
$
MILLION
5.1
MILLION
5,500
100
1
23,000
1,000
+
By the Numbers
A partnership of this scope involves significant investments of capital, people, space and time. Here’s a look at some key figures that illustrate these dimensions.
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1
$
+
BILLION
To be invested by RWJBarnabas Health in the education and research mission of the integrated academic health system, over 20 years
10
$
MILLION
Committed by RWJBarnabas Health to encourage Rutgers medical students to remain in New Jersey and provide care to its residents
Patient visits conducted by RWJBarnabas Health and Rutgers Health, combined, in 2017
5.1
MILLION
Physicians and providers (2,500) and staff (3,000) under the direction of the new Combined Medical Group
5,500
New high-caliber principal investigators to be recruited by Rutgers over 10 years, doubling its research portfolio
100
The Rutgers Cancer Institute of New Jersey is the state’s only National Cancer Institute-designated Comprehensive Cancer Center
1
Births per year in the RWJBarnabas Health system
23,000
Residents and interns that RWJBH and Rutgers Robert Wood Johnson Medical School will train and educate each year
1,000
+
INTO THE FUTURE, IN GOOD HEALTH
WHAT THE UNPRECEDENTED PARTNERSHIP BETWEEN RWJBARNABAS HEALTH AND RUTGERS UNIVERSITY MEANS FOR YOU.
RWJBarnabas Health (RWJBH) and Rutgers University have formed an exclusive partnership, integrating the vast resources of both institutions to create the largest academic healthcare system in the state. Watch the video and explore the rest of this interactive story to learn how this exciting partnership will improve your healthcare.
More Clinical Trials
Tomorrow’s Physicians Today
BY THE NUMBERS
A Transformational Relationship
Dr. Brian Strom, Chancellor, Rutgers Biomedical and Health Sciences; Barry Ostrowsky, President and CEO, RWJBarnabas Health; and Robert Barchi, President, Rutgers University explain how this new partnership will change the future of healthcare.
WATCH VIDEO
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Next Steps
Bariatric Surgery Options Explained
Am I Eligible for Bariatric Surgery?
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Everything You Need to Know
Bariatric Surgery
The benefits of significant weight loss from bariatric surgery run far deeper than the superficial changes to appearance and clothing size that you might expect. Unchecked, obesity can cause or worsen an array of diseases and conditions. The good news is that most of them can be resolved—in some cases, even cured—thanks to bariatric surgery.
The Health Benefits of Bariatric Surgery
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The Health Benefits of
From head to toe, in both body and mind, obesity can affect your health in a host of secondary—and serious—ways. Here’s a look at just how much improvement can be achieved in those conditions through bariatric surgery and its subsequent weight loss.
Bariatric Surgery
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Depression
55
of patients
%
RESOLVED in
Asthma
82
%
of patients
RESOLVEd or improved in
GERD
74-98
%
of patients
RESOLVED in
Degenerative Joint Disease
41-76
%
of patients
RESOLVED in
Diabetes
83
%
of patients
RESOLVED in
Venous Stasis Disease
95
%
of patients
RESOLVED in
Hypertension
52-92
%
of patients
RESOLVED in
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Whether you’re eligible for one or more of the available weight-loss surgical procedures can be determined only after an individual consultation with one of our board-certified bariatric surgeons. Generally speaking, there are several eligibility criteria: • Age 18 or older • BMI of 40 or more • BMI of 35 or more plus related health conditions, such as type 2 diabetes, sleep apnea, high blood pressure or heart disease • Obesity-related health problems, such as joint disease or infertility • Unsuccessful attempts to lose weight in the past • Weight causes physical problems that interfere with mobility, recreational activities, work or family
Bariatric Surgery?
Am I eligible for
For those who meet the eligibility criteria, bariatric surgery is a safe and effective treatment for obesity. There are several effective surgical options, each with its own advantages and considerations. Here are some important differences among them for you to consider.
Bariatric Surgery
OPTIONS EXPLAINED
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Gastric Bypass
Laparoscopic Sleeve Gastrectomy
Gastric Banding
A portion of the stomach is converted into a small pouch and connected to the small intestine. Pros: This procedure usually delivers the greatest and most profound results in terms of both weight loss and improving or curing secondary medical conditions. Cons: Relative to the other options, gastric bypass is the most invasive, and cannot be reversed. Because food goes through the digestive track quickly, fewer nutrients are absorbed so patients must take vitamin supplements for life.
Gastric Bypass:
Laparoscopic Sleeve Gastrectomy:
Gastric Banding:
Similar to gastric bypass, but the pouch is a bit larger, and the procedure is done using a minimally invasive, laparoscopic approach. Pros: Often a good option for patients who may be at higher risk for complications during surgery, while still providing faster results than gastric banding. Cons: Like gastric bypass the procedure is irreversible. If proper post-surgical diet is not maintained, the remaining part of the stomach can stretch and increase in size, leading to possible re-gaining of weight.
An adjustable, inflatable band is placed around the stomach, dividing the stomach into a smaller upper section and a larger lower section. Food passes through the smaller section first, causing patients to feel fuller faster. Pros: Procedure is completely reversible, less invasive and offers quicker recovery times. The band can be adjusted to modify treatment as needed, via saline injections. Cons: Weight loss is slower compared to more invasive approaches, and therefore so, too, is the resolution of any existing medical complications from being overweight.
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is it for you? Learn more
Bariatric surgery is not about quick weight loss—it's about staying healthy over time. Newark Beth Israel's Bariatrics and Metabolic Surgery Program has a multidisciplinary team of specialists who collaborate to address patients' weight loss and health needs.
Steps…
Next
join healthy lifestyle classes
meet the director
Bariatrics specialists share their top 10 tips for keeping pounds off—for good.
The Weight
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TABLE OF CONTENTS
NEW RUTGERS PARTNERSHIP
BARIATRIC SURGERY
PREDIABETES
is Over
YOUR NEXT STEPS
Conditions that lead to diabetes can be managed, monitored and minimized. Education and management are the keys.
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EASY, TASTY CARB SWAPS
If you’re trying to control your blood sugar, try these healthier carbohydrate choices.
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Oatmeal vs. granola:
Granola often contains a lot of added sugar from mix-ins such as dried fruit and from ingredients such as corn syrup, regular sugar, and honey. Opt for regular oats cooked in water or fat-free milk, topped with fresh fruit or a small drizzle of sweetener.
Thin whole grain bagel vs. bagel shop bagel:
One bagel from the local bagel shop can have a whopping 65 grams of carbs, which is equivalent to four slices of toast. With a thin whole grain bagel, you'll also reap the benefits of extra fiber.
Apple slices vs. apple juice:
Choosing apple slices will not only save you carbs; you'll also get the benefit of fiber and nutrients found in the skin and pulp from the apple that juice does not provide.
Brown rice or quinoa vs. white rice:
For added fiber and protein, swap out white rice for brown rice or quinoa (or combine both) in any recipe. Because of their nutrient density, they will be more satisfying.
Sweet potatoes will cause less of a rise in blood sugar and provide a rich source of potassium and Vitamin C.
Sweet potatoes vs. white potatoes:
Overweight
45 years or older
Have a parent or sibling with Type 2 diabetes
Physically active fewer than three times a week
Have had gestational diabetes (diabetes during pregnancy)
RISK FACTORS
OF THOSE WHO HAVE THE DISEASE DON’T KNOW IT
1 out of every 10 Americans has diabetes
MILLION
7.2
diagnosed with diabetes each year
MILLION
1.5
DIABETES by the numbers
Usually diagnosed in adults. Either cells have become resistant to insulin or the body can’t produce enough of it.
TYPE 2 DIABETES
Usually diagnosed in children and young adults. The body is unable to produce insulin. People typically rely on insulin injections or pumps to keep healthy blood glucose levels.
TYPE 1 DIABETES
TYPES OF DIABETES
OF DIABETES CASES
%
95
OF DIABETES CASES
%
5
TYPES OF DIABETES
DIABETES BY THE NUMBERS
RISK FACTORS
WHAT IS PREDIABETES?
Prediabetes means your blood glucose (sugar) is higher than normal, but not at the level to qualify for diabetes—yet. Left unchecked, it will likely develop into actual diabetes. People with prediabetes are also at higher risk for heart attack and stroke.
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easy, tasty carb swaps
your next steps
What is prediabetes?
YOU CAN PREVENT THE DISEASE—AND GET EXPERT MEDICAL HELP IN DOING SO (FOR FREE) AT newark beth israel Medical Center
HOW TO NIP DIABETES IN THE BUD
TABLE OF CONTENTS
NEW RUTGERS PARTNERSHIP
BARIATRIC SURGERY
PREDIABETES
nbi's diabetes prevention program
How one doctor tries to get the word out—and saves lives.
Diabetes
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What You Should Know About
MILLION PEOPLE
THAT'S ABOUT
30.3
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BARIATRIC SURGERY
PREDIABETES
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