Jon R. Pirrello, MD, FACS, is committed to providing compassionate care and giving our patients the tools to improve their health and quality of life. We offer a comprehensive, multidisciplinary, bariatric weight loss program featuring new-patient bariatric seminars once a month; pre and postoperative support groups and on-site nutrition services. We look forward to partnering with our patients to help them achieve a healthier lifestyle through long-term weight loss success.
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Presbyterian Bariatric & General Surgery provides minimally-invasive surgical options and a high level of compassionate care through each step of the surgical weight loss journey.
Biopsy
Laparoscopic Adjustable Gastric Banding
Laparoscopic Surgery
Nutrition Counseling
Revisional Weight Loss Surgery
Roux-En-Y Gastric Bypass
Surgery to Treat Heartburn/Reflux
Vertical Sleeve Gastrectomy
Weight Loss Consult
Weight Loss Surgery Education
BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. BiopsyA biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present. Laparoscopic Adjustable Gastric BandingLaparoscopic adjustable gastric banding (AGB) involves attaching an inflatable band around the top portion of the stomach and tightening it like a belt to form a small pouch that serves as a new, much smaller stomach. After the procedure, the diameter of the band around the stomach can be adjusted by a physician by adding or removing saline (salt water). Laparoscopic Adjustable Gastric BandingLaparoscopic adjustable gastric banding (AGB) involves attaching an inflatable band around the top portion of the stomach and tightening it like a belt to form a small pouch that serves as a new, much smaller stomach. After the procedure, the diameter of the band around the stomach can be adjusted by a physician by adding or removing saline (salt water). Laparoscopic SurgeryLaparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope. Laparoscopic SurgeryLaparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope. Laparoscopic SurgeryLaparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope. Laparoscopic SurgeryLaparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope. Laparoscopic SurgeryLaparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Nutrition CounselingDeveloping a heart-healthy eating plan can help you reduce your cholesterol and maintain a healthy body weight, both of which are important in the prevention of heart disease. Nutrition counseling provides individual consultations with a nutritionist designed to create a healthy eating plan that is right for you. The nutritionist will review your blood lipid profile, discuss your current eating patterns and provide you with educational materials on foods that will lower your cardiovascular disease risk. Revisional Weight Loss SurgeryPatients who have had weight loss surgery in the past may require other procedures to correct the complications or undo the ill effects of their original operation. These types of operations are called revisional weight loss surgical procedures. Roux-En-Y Gastric BypassRoux-en-Y gastric bypass (RGB), the most commonly performed bariatric procedure, is both malabsorptive and restrictive. The procedure involves stapling the stomach to create a small pouch that holds less food and then shaping a portion of the small intestine into a "Y." The "Y" portion of intestine is then connected to the stomach pouch so that when food is being digested it travels directly into the lower part of the small intestine, bypassing the first part of the small intestine (called the duodenum) and the first part of the second section of the small intestine (called the jejunum). The effect of bypassing these sections of the intestine is to restrict the amount of calories and nutrients that are absorbed into the body. Roux-En-Y Gastric BypassRoux-en-Y gastric bypass (RGB), the most commonly performed bariatric procedure, is both malabsorptive and restrictive. The procedure involves stapling the stomach to create a small pouch that holds less food and then shaping a portion of the small intestine into a "Y." The "Y" portion of intestine is then connected to the stomach pouch so that when food is being digested it travels directly into the lower part of the small intestine, bypassing the first part of the small intestine (called the duodenum) and the first part of the second section of the small intestine (called the jejunum). The effect of bypassing these sections of the intestine is to restrict the amount of calories and nutrients that are absorbed into the body. Surgery to Treat Heartburn/RefluxHeartburn is caused by a condition known as gastroesophageal reflux, which is the backup of stomach acids into the esophagus. Gastroesophageal reflux may occur frequently when the valve-like mechanism between the esophagus and stomach does not fulfill its function of keeping the stomach acids in place. Several surgical options are available to treat this condition. Surgery to Treat Heartburn/RefluxHeartburn is caused by a condition known as gastroesophageal reflux, which is the backup of stomach acids into the esophagus. Gastroesophageal reflux may occur frequently when the valve-like mechanism between the esophagus and stomach does not fulfill its function of keeping the stomach acids in place. Several surgical options are available to treat this condition. Surgery to Treat Heartburn/RefluxHeartburn is caused by a condition known as gastroesophageal reflux, which is the backup of stomach acids into the esophagus. Gastroesophageal reflux may occur frequently when the valve-like mechanism between the esophagus and stomach does not fulfill its function of keeping the stomach acids in place. Several surgical options are available to treat this condition. Surgery to Treat Heartburn/RefluxHeartburn is caused by a condition known as gastroesophageal reflux, which is the backup of stomach acids into the esophagus. Gastroesophageal reflux may occur frequently when the valve-like mechanism between the esophagus and stomach does not fulfill its function of keeping the stomach acids in place. Several surgical options are available to treat this condition. Surgery to Treat Heartburn/RefluxHeartburn is caused by a condition known as gastroesophageal reflux, which is the backup of stomach acids into the esophagus. Gastroesophageal reflux may occur frequently when the valve-like mechanism between the esophagus and stomach does not fulfill its function of keeping the stomach acids in place. Several surgical options are available to treat this condition. Vertical Sleeve GastrectomyThis procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces, depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. Vertical Sleeve GastrectomyThis procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces, depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. Weight Loss ConsultIndividualized consults with a cardiovascular lifestyle specialist. Patients will receive assistance developing a healthy, individualized weight loss program.
Weight Loss ConsultIndividualized consults with a cardiovascular lifestyle specialist. Patients will receive assistance developing a healthy, individualized weight loss program.
Weight Loss Surgery EducationInformation sessions to help you understand the criteria for weight loss surgery and each surgical technique, what to expect during your stay at the hospital, and what lifestyle changes to expect after surgery to achieve and maintain weight loss success. Weight Loss Surgery EducationInformation sessions to help you understand the criteria for weight loss surgery and each surgical technique, what to expect during your stay at the hospital, and what lifestyle changes to expect after surgery to achieve and maintain weight loss success. Presbyterian Bariatric & General Surgery Ballantyne
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