Capital Surgical Associates

At Capital Surgical Associates in Reston, Virginia, our expertly-trained team is dedicated to providing patients in the nation’s capital and beyond with the best in surgical and nonsurgical weight loss options as well as general surgery care. Our team, part of the HCA Virginia Physicians network, specializes in the most advanced treatments available, including robotic and minimally-invasive surgical techniques, to treat morbid obesity. In addition, our team is highly-skilled in providing the most advanced general surgical care for conditions of the stomach and abdomen including hernia repair, gallbladder, and reflux/GERD/heartburn.

Patients in the Washington, D.C., Maryland, and Virginia (DMV) area have access to some of the top weight loss specialists in the region. Our bariatric, commonly referred to as weight loss and sometimes called metabolic, surgical team performs surgery at Reston Hospital Center which is accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®) as a Comprehensive Center for bariatric surgery. This accreditation ensures that our patients receive a multidisciplinary approach to their care which improves patient outcomes and ensures the lowest risk of complications. MBSAQIP accreditation also tracks long-term success and signifies that our bariatric surgery program offers preoperative and postoperative care designed specifically for patients with obesity.

Dr. Greene speaks English and Spanish and has proficiency in Hebrew.

Take the first step to a healthier you. Sign up for our free virtual weight loss seminar.
To schedule an appointment, call (571) 910-7878.

Weight loss offerings

Morbid obesity causes many far-reaching health issues and affects every organ in the human body. Working with a weight loss (bariatric) program can help patients who have not found success losing weight in traditional ways a chance to get their life back and potentially reverse obesity-related health issues such as diabetes, sleep apnea, high cholesterol, high blood pressure, joint pain, and more.

We work with patients one-on-one to determine a personalized weight loss plan, ensuring they receive the care that is right for them. Our compassionate team includes a bariatric surgeon, registered dietician, mid-level providers, nurses, medical assistants, mental health providers, bariatric program coordinator, and administrative support staff. We use a multi-modal approach to weight loss utilizing all techniques at our disposal including nutrition, fitness, medications before and after surgery, and surgical procedures to ensure our patients have lasting success.

Weight loss surgery

Dr. Greene specializes in minimally invasive surgical techniques utilizing robotic and laparoscopic methods. This means that all incisions are only about ¼ to ½ inch in size resulting in less scarring, less pain, and a faster recovery. Procedures offered include:

• Sleeve gastrectomy (gastric sleeve)
• Gastric bypass (Roux-en-Y)
• Duodenal switch, including single anastomosis duodenal switch (SADI)
• Revisional and conversion bariatric surgery

Patients who may benefit from weight loss surgery meet the criteria set forth by the American Society for Metabolic and Bariatric Surgery (ASMBS). Patients who typically qualify for insurance coverage include:

• Those with a body mass index (BMI) greater than 40 regardless of other comorbidities
• Those with a BMI over 35 who also have Type 2 diabetes or similar metabolic disease
• Those with a BMI 30-34.9 who do not achieve substantial or durable weight loss or comorbidity improvement with nonsurgical methods, may also be candidates

Patients who undergo weight loss surgery can expect to lose a significant amount of their total body weight and obtain an improvement in obesity-related health conditions such as high blood pressure, Type 2 diabetes, and sleep apnea. Patients will work with our team to develop a nutrition and fitness plan to help meet their goals.

Nonsurgical weight loss options

We provide the tools patients need to help them reach their weight loss goals. In addition to surgery, and for patients who do not desire surgical intervention, patients are provided the tools to help them be successful including nutrition, fitness and lifestyle counseling with our medical weight management program.

Medical weight management program

A medical weight management program is a medically supervised plan for patients with obesity. At Capital Surgical Associates, our program provides patients with the ability to have a collaborative relationship with a healthcare provider and supportive resources in their weight loss journey. Our program also helps patients adapt to lifestyle changes to help them lose excess weight safely and keep weight off long-term. This program can be used as an alternative to surgery or in conjunction with surgery.

The initial consultation involves a thorough assessment of the patient’s overall health and discussion of specific goals. Patients may also be prescribed anti-obesity medication therapies, if they are candidates and it’s deemed appropriate for use. Throughout the program, patients will have consistent engagement with a dietician to ensure nutrition plans fit their individual needs. We also provide comprehensive care through our collaboration with other key care partners including behavioral health, physical therapy/exercise and support groups.

Weight loss and weight management can improve risk factors of diabetes, hypertension, hyperlipidemia, cardiovascular disease and other metabolic processes. It also aids in the improvement of mobility, sleep and energy.

Benefits of our program

• Care providers specializing in weight management
• Lifestyle coaching
• Personalized support
• Anti-obesity medication prescription management
• Overall assistance in the improvement of quality of life

Long-term success and support

Dr. Greene and our weight loss team are dedicated to our patients’ long-term success and provide support from the initial consultation through surgery, recovery, and for the entirety of a patient’s life. Immediately following surgery, patients meet with our team regularly to ensure they can excel at adopting their new lifestyle. One of the biggest challenges that patients face after surgery is hydration, so our team is committed to working with our patients to ensure their health and success.

After the initial post-surgery follow ups, patients will, at a minimum, schedule an annual follow up appointment in which they will be checked for overall nutrition, vitamin levels, cholesterol, and kidney and liver function. Our team will consistently ensure that our patients’ nutrition is met and determine a plan when they need it.

For long-term success, patients are offered support groups, therapy, fitness programs, and nutrition services. Dr. Greene enjoys being active and sharing his physical fitness routines with his patients. He invites his patients to regularly join him in virtual cycling, strength, and cardio classes as part of his support for long-term success.

Meet our registered dietitian

Emily Jacobs, MS, RD, is a registered dietitian with Capital Surgical Associates. Emily graduated from Virginia Tech with a Bachelor of Science in Human Nutrition, Foods, and Exercise and a Master of Science in Nutrition and Dietetics. Emily is an active member of the American Society for Metabolic and Bariatric Surgery and the Virginia Bariatric Society.

In her role with our practice, Emily provides nutrition counseling and education to patients who are preparing for or have had bariatric surgery. This includes working with patients to ensure that they meet their nutritional needs and that they change their lifestyle habits in order to have life-long success.

In her free time, Emily practices Brazilian jiu-jitsu and rock climbs. With her passion for these activities, Emily seeks to help patients find joyful movement in their lives. Emily also enjoys cooking, and believes that food can be both nutritious and delicious.

Take the first step toward a healthier you

The first step in determining whether our weight loss program might be a good fit for you is to attend a free virtual seminar with Dr. Greene. He will outline the services offered by our program and what to expect as a patient. Once you have attended this session, you can then schedule a one-on-one consultation to discuss your goals and options for next steps. Sessions are offered virtually every two weeks and last about 30 minutes.

General surgery services

In addition to bariatric weight loss services, our surgical team is expertly-trained in minimally-invasive, robotic surgical, and fluorescence guided surgical techniques for general surgical procedures to treat a variety of conditions that affect the gastrointestinal system and other conditions within the abdomen. These techniques provide patients with the most advanced options for surgery available today that allow for smaller incisions, less pain, and a shorter recovery. Our team is also experienced in open surgical procedures and will guide our patients through the surgery and recovery to get them back to health.

Our team offers patients access to the most advanced treatments available including:

• Gallbladder surgery
• Hernia repair
  • Inguinal
  • Ventral
  • Umbilical
  • Incisional
• Reflux surgery
  • Paraoesophageal
  • Hiatal
• Stomach surgeries

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