Bariatric Surgery

Obesity - Rapidly Expanding Problem

In the past 20 years, obesity has doubled to the point at which three in five Americans are either overweight or obese. This has led to more than 300,000 premature deaths each year. Obesity has widespread medical, psychosocial and economic impacts.

Unfortunately, the response to medical treatment options including diet, exercise, behavior modification and medication is poor. Most people regain nearly 67 percent of weight lost is regained in five years. Surgery is the only proven modality for long-term, sustained weight loss and resolution of associated conditions like diabetes, high blood pressure, sleep apnea, reflux and back/joint pain.


Laparoscopic Sleeve Gastrectomy

Labaroscopic sleeve gastrectomy achieves weight loss by restricting the amount of food that the stomach can hold.Intestinal bypassing is not done. A staple line divides the stomach and a "sleeve" of a stomach is left that reduces the stomach to less than one third of its original size (about the size of a banana). The other two-thirds of the stomach is removed.

The data at three years indicates that 65-75 percent of excess body weight is lost. The resolution of associated conditions is relative to the amount of weight loss.

Appointments

We offer two convenient locations and make every effort to schedule patients to see our surgeons within the week.

Please plan to arrive 15 minutes early for all your appointments to allow our staff time to update your medical records. Please bring your insurance card and co-payment, if required. We also encourage you to bring a list of any questions or concerns you would like to be addressed by our physicians.

A physician is on call 24/7. In case of a medical emergency, please go to the nearest hospital or call 9-1-1. You may call our office after-hours and leave a message with your name, the nature of your concern and a call-back number. The physician on call will be paged and will return your call.

Locations and Hours

930 Carondelet Drive
Building C East • Suite 201
Kansas City, MO 64114
T: 816-941-2222
F: 816-941-2282
Monday - Friday
8 a.m.-5 p.m.

Our Physicians


Our board-certified general surgeons specialize in bariatric surgery, breast surgery, hiatal hernia surgery, gastrointestinal/ abdominal surgery, laparoscopic/ minimally-invasive surgery and skin/soft-tissue surgery.


Mohsin Soliman, MD, FACS
Dr. Soliman earned his medical degree and completed his residency in general surgery at the University of Nebraska Medical Center.


Christopher T. Cummings, DO
Dr. Cummingsearned his medical degree at Kansas City University of Medicine and Biosciences. He completed his residency in general surgery at the University of Illinois College of Medicine at Peoria.


Vincent C. Narciso, MD, FACS
Dr. Narciso earned his medical degree from the University of Kansas School of Medicine. He completed his residency in general surgery at the University of Kansas School of Medicine-Wichita.

Obesity A Rapidly Expanding Problem


In the past 20 years, obesity has doubled to the point at which three in five Americans are either overweight or obese. This has led to over 300,000 premature deaths per year, a number which is on the rise. Obesity has widespread medical, psychosocial and economic impacts.

Unfortunately, the response to medical treatment options (including diet, exercise, behavior modification and medication) are poor. Most people regain nearly 67 percent of weight lost within a year, and regardless of the medical intervention, 90-95 percent of weight lost is regained in five years. Surgery is the only proven modality for long-term, sustained weight loss and resolution of conditions such as diabetes, high blood pressure, sleep apnea, reflux and back/joint pain.

Laproscopic Sleeve Gastrectomy


This operation achieves weight loss by restricting the amount of food the stomach can hold. No intestinal bypassing is done. A staple line divides the stomach and a “sleeve” of stomach is left that reduces the stomach to less than one-third of its originalsize (about the size of a banana). The other two-thirds of the stomach is removed. The data at three years indicates that 65-75 percent of excess body weight is lost. Resolution of conditions is relative to the amount of weight lost.

Insurance Requirements

Greater than 70 percent of insurance companies currently cover bariatric operations because they are beginning torecognize obesity’s association with conditions such as those mentioned above and when patients undergo these operations, they are significantly improving their health. For example, 52 percent of patients undergoing sleeve gastrectomy and 28 percent of those undergoing LAP-BAND placement are cured of their diabetes.


Approved Indications for Surgery

• BMI of 40 or >100 pounds over ideal body weight
• BMI of 30 with one or more obesity-related
comorbidities
• Patients who have failed conservative weight
reduction alternatives
• Must be > 17 years old