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Dr. Juliet Georgia Holder-Haynes, MD

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Specializes in: General Surgery

Wake Forest University School of Medicine

Professional interests include: laparoscopic gastric banding, stomach problems, sleeve gastrectomy, and more.

1200 Binz Street Suite 1470
Houston, TX 77004

(713) 798-2759

Dr. Juliet Georgia Holder-Haynes, MD is a general surgeon in Houston, TX specializing in general surgery. She graduated from Wake Forest University School of Medicine. Dr. Juliet Georgia Holder-Haynes, MD is affiliated with Baylor College of Medicine, Texas Children's and St. Luke's Health.

Office Locations

Address:

1200 Binz Street Suite 1470
Houston, TX 77004

Address:

1977 Butler Boulevard Suite E6.100-1
Houston, TX 77030

Some issues Dr. Juliet Georgia Holder-Haynes, MD can help you with:

Gastric Bypass Surgery

Gastric bypass surgery is a procedure that promotes weight loss by reducing the stomach and altering how the digestive system absorbs and processes food. The procedure treats morbid obesity, where one's weight impairs day-to-day function or poses serious health risks. Gastric bypass surgery is used only after other weight loss treatments are unsuccessful.

Generally, gastric bypass surgery is performed on patients who have a BMI of 40 or greater, or a BMI of 35 or greater with a weight-related health condition such as type 2 diabetes. Bariatric surgeons frequently expect patients to first attempt natural weight loss for about six months to prove to the surgeon that the patient is capable of maintaining a post-surgery diet and exercise regimen.

For obese patients, gastric bypass surgery has many potential health and weight benefits. Gastric bypass surgery restricts the amount of food the stomach contains, as well as:

Reduces the calories the stomach absorbs
Alters gastrointestinal hormones, which help to heal obesity-induced metabolic syndrome
Suppresses appetite
Alleviates conditions caused or exacerbated by obesity, such as obstructive sleep apnea, heart disease, and type 2 diabetes
Contributes to mental health by improving self-esteem

During gastric bypass surgery, the stomach is stapled to reduce its size, and a small hole is created in the stomach and attached to the middle section of the small intestine. This direct connection between the stomach and the middle of the small intestine creates a channel for some food to bypass the normal route. By bypassing the upper small intestine and larger region of the stomach, food is not fully absorbed and patients do not retain the same amount of calories as before. This procedure is also sometimes referred to as "Roux-en-Y" gastric bypass surgery. Some bariatric surgeons may perform a "laparoscopic bypass" which uses a tiny camera (laparoscope) to guide the procedure.

Gastric bypass surgery is performed with general anesthesia and as preparation, a liquid diet is required for two weeks prior to undergoing the surgery. After the surgery, patients will spend about two days in the hospital and may miss work for two to three weeks. In the first month after the surgery, patients are only able to consume small portions of liquid or soft food. Even after reintroducing solid food, patients feel full quickly, sometimes after eating just two or three tablespoons. Some patients experience "dumping syndrome" (rapid processing of food into the small intestine), which is common during the recovery process. Gastric bypass surgery patients must also make permanent lifestyle changes. For example, gastric bypass patients are required to take vitamins for life after surgery and required to forever avoid certain foods, such as alcohol, sugar, and high fat food.

While the gastric bypass recovery process can be challenging, surgery results are usually swift: most gastric bypass surgery patients lose nearly half to two thirds of their starting weight within two years of surgery.

Weight Loss Surgery (Bariatric Surgery)

Bariatric or weight-loss surgery is a surgical procedure performed to help significantly obese patients lose weight when more traditional methods, such as dieting and exercise, have not helped. Depending on the type, these surgeries change the gastrointestinal tract to limit how much food can be eaten and also change how food is absorbed by the body. Of the various bariatric surgeries available, the most common is gastric bypass.

By far the most common of the gastric bypass surgeries is called Roux-en-Y. During this surgery, part of the stomach and small intestine are detached from the gastrointestinal tract, in order to make the tract smaller. The surgeon divides the stomach into two parts. The working stomach, at the end of the esophagus, is now tiny - only the size of a walnut. This makes patients feel full after eating a small amount of food. Then the small intestine is also divided, and after bypassing a section of the small intestine to reduce food absorption, the intestine is attached to the small stomach pouch. The patient now has a working stomach and intestine like before, only much smaller.

Because gastric bypass is used to treat extreme obesity, it can reduce the risk of some of the problems associated with obesity. Gastric bypass can help treat or reduce the risk for such conditions as heart disease, high blood pressure, sleep apnea, and type 2 diabetes. However, it is a major surgery and also carries risks itself. Any surgery can lead to infection, bleeding, or blood clots, and weight loss surgery in particular carries risks of leaks in the gastrointestinal system, malnutrition, bowel obstructions, and vomiting.

Typically patients are considered candidates for gastric bypass surgery if they have a BMI greater than 40, or sometimes if they have a BMI between 35 and 40 but are suffering from obesity-related illnesses such as diabetes. The outlook is generally good, with most patients losing between 50-75% of their excess weight in 1-2 years. However, patients must follow strict diet guidelines so that the stomach can heal, starting with no food at all, then followed by a liquid diet for some time. For many severely obese patients who have tried strict diets before without success, gastric bypass surgery is the tool that allows them to finally achieve their weight loss and health goals.

In The News

“Cardona's bariatric surgeon at Baylor, Dr. Juliet Holder-Haynes, said patients are often worried about managing meals after the procedure -- especially for their first holiday. "”—"How to celebrate the holidays after weight-loss surgery", Houston Chronicle, December 2020

**Gender**
Male	47
Female	79

**Ethnicity**
Non-Hispanic White	38
Black	62
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	35
From 75 to 84	0
85 and over	0
Less than 65	68

Hypertension	75
High Cholesterol	55
Stroke	10
Ischemic Heart Disease	51
Depression	33
Chronic Kidney Disease	60
Asthma	13
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	38
Chronic Obstructive Pulmonary Disease	20
Diabetes	70
Dementia	13
Cancer	0

doctor visit	104
hospital care	48
inpatient care	48

**Gender**
Male	45
Female	69

**Ethnicity**
Non-Hispanic White	41
Black	43
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	44
From 75 to 84	0
85 and over	0
Less than 65	50

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	50
Depression	37
Chronic Kidney Disease	52
Asthma	11
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	32
Chronic Obstructive Pulmonary Disease	18
Diabetes	55
Dementia	16
Cancer	17

doctor visit	140
hospital care	71
inpatient care	71

**Gender**
Male	136
Female	148

**Ethnicity**
Non-Hispanic White	130
Black	100
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	96
From 75 to 84	0
85 and over	0
Less than 65	134

Hypertension	75
High Cholesterol	61
Stroke	8
Ischemic Heart Disease	41
Depression	30
Chronic Kidney Disease	56
Asthma	20
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	33
Chronic Obstructive Pulmonary Disease	20
Diabetes	55
Dementia	11
Cancer	10

doctor visit	123
hospital care	64
inpatient care	64

**Gender**
Male	55
Female	79

**Ethnicity**
Non-Hispanic White	56
Black	52
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	44
From 75 to 84	13
85 and over	12
Less than 65	65

Hypertension	75
High Cholesterol	60
Stroke	0
Ischemic Heart Disease	40
Depression	33
Chronic Kidney Disease	65
Asthma	22
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	39
Chronic Obstructive Pulmonary Disease	16
Diabetes	59
Dementia	11
Cancer	0

doctor visit	109
hospital care	58
inpatient care	58

**Gender**
Male	60
Female	81

**Ethnicity**
Non-Hispanic White	70
Black	49
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	0
85 and over	0
Less than 65	73

Hypertension	75
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	38
Depression	39
Chronic Kidney Disease	62
Asthma	13
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	35
Chronic Obstructive Pulmonary Disease	23
Diabetes	52
Dementia	14
Cancer	9

doctor visit	144
hospital care	14
inpatient care	14

**Gender**
Male	47
Female	69

**Ethnicity**
Non-Hispanic White	43
Black	48
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	34
From 75 to 84	0
85 and over	0
Less than 65	62

Hypertension	75
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	37
Depression	48
Chronic Kidney Disease	60
Asthma	12
Osteoperosis	0
Atrial Fibrilation	9
Heart Failure	31
Chronic Obstructive Pulmonary Disease	14
Diabetes	55
Dementia	14
Cancer	12

doctor visit	129

**Gender**
Male	29
Female	50

**Ethnicity**
Non-Hispanic White	31
Black	36
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	27
From 75 to 84	0
85 and over	0
Less than 65	40

Hypertension	75
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	42
Depression	38
Chronic Kidney Disease	48
Asthma	16
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	23
Chronic Obstructive Pulmonary Disease	14
Diabetes	52
Dementia	0
Cancer	0

doctor visit	56

**Gender**
Male	24
Female	41

**Ethnicity**
Non-Hispanic White	0
Black	31
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	36

Hypertension	75
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	38
Depression	37
Chronic Kidney Disease	54
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	25
Chronic Obstructive Pulmonary Disease	0
Diabetes	49
Dementia	0
Cancer	0

doctor visit	81
hospital care	46
inpatient care	46

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Juliet Georgia Holder-Haynes, MD for Medicare patients.

The highest averages for the top procedures that Dr. Juliet Georgia Holder-Haynes, MD treated as a general surgeon in Houston, TX were hospital care, inpatient care, minimally invasive procedures and diagnostic procedures.

diagnostic procedures	12
doctor visit	121
gastrointestinal procedures	11
hospital care	45
inpatient care	45
minimally invasive procedures	23
weight management	11

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Juliet Georgia Holder-Haynes, MD.

**Gender**
Male	44
Female	61

**Ethnicity**
Black / African American	42
Asian / Pacific Islander	0
Non-Hispanic White	40
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	1
85 and over	1
Less than 65	52
65 to 74	32

Average of Total of Conditions of Medicare patients treated by Dr. Juliet Georgia Holder-Haynes, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Juliet Georgia Holder-Haynes, MD treated were hypertension, chronic kidney disease, high cholesterol and diabetes.

Hypertension	60
High Cholesterol	46
Stroke	1
Ischemic Heart Disease	33
Depression	29
Chronic Kidney Disease	45
Asthma	10
Osteoporosis	0
Heart Failure	25
Chronic Obstructive Pulmonary Disease	12
Diabetes	44
Atrial Fibrillation	6
Cancer	4
Dementia	7

Education & Training

Dr. Juliet Georgia Holder-Haynes, MD graduated from Wake Forest University School of Medicine. She completed residency at Texas A & M Health Science Center and Affiliated Hospitals. She is certified by the American Board of Surgery and has a state license in North Carolina.

Medical School: Wake Forest University School of Medicine

Residency: Texas A & M Health Science Center and Affiliated Hospitals

Board Certification: American Board of Surgery

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Juliet Georgia Holder-Haynes, MD is associated with these hospitals and organizations:

Baylor College of Medicine

Texas Children's

St. Luke's Health

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General Payments

These charts describe general payments received by Dr. Juliet Georgia Holder-Haynes, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Intuitive Surgical, Inc.	$12,360 Da Vinci Surgical System $12,360
Covidien Sales LLC	$1,374 LigaSure $1,051	Sonicision $305	Synthetic Mesh $19
Medical Device Business Services, Inc.	$933 ECHELON FLEX Stapler $933
ACell, Inc.	$905 $905
Ethicon US, LLC	$195 Endoscopy Endocutters $168	Energy Enseal $27
Other	$583 Spinal Cord Neurostimulation - Neuro $120	Signia $109	SURGICAL $56	EVICEL $55	STRATTICE LAP $28	Other $214

**Types of Payments**
Travel and Lodging	$13,328
Food and Beverage	$2,272
Education	$750

Biography

Dr. Juliet Holder-Haynes is a general surgery specialist in Houston, TX. Dr. Holder-Haynes's education and training includes medical school at Wake Forest University School of Medicine and residency at a hospital affiliated with Texas A & M Health Science Center. She is affiliated with Texas Children's and Baylor College of Medicine.