Dr. Laura Michelle Doyon, MD, FASMBS is a bariatric surgeon in Concord, MA specializing in bariatric surgery and general surgery. She graduated from Tufts University School of Medicine. Dr. Laura Michelle Doyon, MD, FASMBS is affiliated with Emerson Health, EMERSON PRACTICE ASSOCIATES, INC and Center for Weight Loss.
54 Baker Avenue Extension Suite 101
Concord, MA 01742
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:
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.
Laparoscopic Surgery
Laparoscopic surgery is a kind of minimally invasive surgery using a thin, narrow tube called a laparoscope. Usually performed on the abdomen or the pelvic region, the surgeon makes a few very small incisions instead of one large one.
During the procedure, the surgeon inserts the laparoscope, which contains a light and camera that allows the surgeon to see what is happening inside the body. Then tiny tools are placed through the small openings and used to perform the surgery.
The most common laparoscopic surgery is gallbladder removal, but laparoscopic surgery may also be used for the removal of a kidney or appendix, to treat certain cysts and tumors, for bariatric surgery, for some GERD treatments, or for hernia repairs, among others.
Because laparoscopic surgery only uses a few tiny incisions, the scars are minimal and recovery is easier than with open 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.
Volume of procedures performed by Dr. Laura Michelle Doyon, MD, FASMBS for Medicare patients.
The highest averages for the top procedures that Dr. Laura Michelle Doyon, MD, FASMBS treated as a bariatric surgeon in Concord, MA were gastrointestinal procedures, manometry and minimally invasive procedures.
| 104 | |
| 31 | |
| 26 | |
| 21 |
Information about Medicare patients treated by Dr. Laura Michelle Doyon, MD, FASMBS.
| 8 | |
| 20 |
| 15 | |
| 12 | |
| 8 |
The highest averages of the most common conditions of Medicare patients that Dr. Laura Michelle Doyon, MD, FASMBS treated were hypertension, depression, high cholesterol and diabetes.
| 43 | |
| 39 | |
| 11 | |
| 39 | |
| 11 | |
| 11 | |
| 1 | |
| 16 | |
Dr. Laura Michelle Doyon, MD, FASMBS graduated from Tufts University School of Medicine. She completed residency at Mount Sinai School of Medicine Affiliated Hospitals. She is certified by the Board Certification: Surgery, Obesity Medicine and has a state license in Massachusetts.
Medical School: Tufts University School of Medicine
Residency: Mount Sinai School of Medicine Affiliated Hospitals
Board Certification: Board Certification: Surgery, Obesity Medicine
Licensed In: Massachusetts
Dr. Laura Michelle Doyon, MD, FASMBS is associated with these hospitals and organizations:
Dr. Laura Michelle Doyon, MD, FASMBS does not have any reviews yet, be the first to leave a review of Dr. Laura Michelle Doyon, MD, FASMBS here: Leave a Review
These charts describe general payments received by Dr. Laura Michelle Doyon, MD, FASMBS. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
|
$11,236
LigaSure $152 |
VenaSeal $16 |
$11,069 |
|
|
$1,625
Orbera $1,625 |
|||
|
$1,416
Endoscopy Endocutters $1,385 |
SURGICEL Family of Absorbable Hemostats $17 |
ECHELON FLEX Stapler $14 |
|
|
$302
PHASIX $302 |
|||
|
$268
Surgical Innovations $139 |
Barrx $129 |
||
|
$90
LINX Reflux Management System $48 |
Exparel $22 |
FreeStyle Libre $20 |
| $10,900 | |
| $2,757 | |
| $1,281 |
Dr. Laura Doyon specializes in general surgery and bariatric surgery. Clinical interests for Dr. Doyon include gastric bypass surgery, achalasia, and sleeve gastrectomy. She is affiliated with Emerson Hospital. She is a graduate of Tufts University School of Medicine. She completed her residency training at a hospital affiliated with Mount Sinai School of Medicine.
