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      <image:title>Home</image:title>
      <image:caption>Care, Quality, Innovation</image:caption>
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      <image:title>Home</image:title>
      <image:caption>Address your reflux with up to date technology</image:caption>
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      <image:title>Home</image:title>
      <image:caption>Comprehensive bariatric care at MBSAQIP Certified Center</image:caption>
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      <image:title>Home - Joey Jarrard, MD. FACS, FASMBS</image:title>
      <image:caption>My name is Joey Jarrard.  I am a board certified general surgeon and fellowship trained bariatric surgeon. I grew up on a farm in a small town in South Georgia.  I completed medical school at the Medical College of Georgia, then general surgical training in Macon, Georgia.  Gaining a passion for minimally invasive approaches to surgery during residency, I decided to complete an additional year of advanced minimally invasive and bariatric surgical training in Kansas City, Missouri.   I am a first generation physician in my family.  I truly love practicing general surgery and am happy to offer minimally invasive approaches for my patients.  My areas of expertise include bariatric surgery, reflux surgery, robotic surgery, advanced abdominal wall reconstruction, gastroesophageal cancer, as well as a broad spectrum of general surgery.</image:caption>
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      <image:title>Home - Make it stand out</image:title>
      <image:caption>Affiliations</image:caption>
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    <loc>https://www.tallahasseebariatricsurgery.com/bariatric-surgery</loc>
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    <lastmod>2026-01-31</lastmod>
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      <image:title>Bariatric Surgery</image:title>
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      <image:title>Bariatric Surgery</image:title>
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      <image:title>Bariatric Surgery</image:title>
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      <image:title>Bariatric Surgery - Vertical Sleeve Gastrectomy</image:title>
      <image:caption>A surgical stapler is used to reduce the size of the stomach. This reduces the amount of calories that can be taken in at once.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/61e483eab0589e595a3be29a/b9704a9a-e224-4df3-9a28-2f87992bae4c/gastric+bypass.jpeg</image:loc>
      <image:title>Bariatric Surgery - Roux en Y Gastric Bypass</image:title>
      <image:caption>The stomach is made into a small pouch. The small intestine is then rerouted to this pouch. This will reduce the amount of calories that can be taken in, as well as skip the first part of digestion</image:caption>
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    <loc>https://www.tallahasseebariatricsurgery.com/contact</loc>
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    <loc>https://www.tallahasseebariatricsurgery.com/reflux-surgery</loc>
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    <lastmod>2025-06-08</lastmod>
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      <image:title>Reflux Surgery</image:title>
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      <image:title>Reflux Surgery</image:title>
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      <image:title>Reflux Surgery</image:title>
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      <image:title>Reflux Surgery</image:title>
      <image:caption>Medical illustration of a human stomach with a surgical staple line closing a gastric bypass.</image:caption>
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      <image:title>Reflux Surgery</image:title>
      <image:caption>Diagram of a ring-shaped structure with labeled components: titanium beads, independent titanium wires, magnetic cores, and a multi-directional locking clasp.</image:caption>
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      <image:title>Reflux Surgery</image:title>
      <image:caption>A person's hand holding a small, circular silver beaded object with a piece of string attached.</image:caption>
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    <image:image>
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      <image:title>Reflux Surgery</image:title>
      <image:caption>A metallic circular object with interconnected segments next to a United States quarter dollar coin for size comparison.</image:caption>
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    <image:image>
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      <image:title>Reflux Surgery - Failure of the LES</image:title>
      <image:caption>The esophagus transitions to the stomach just below the level of the diaphragm. The lower esophageal sphincter (LES) is a valve that naturally relaxes to allow food into the stomach, but contracts to prevent stomach contents from returning to the esophagus. If this valve fails, stomach acid can enter the esophagus and cause symptoms.</image:caption>
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      <image:title>Reflux Surgery - Hiatal hernia</image:title>
      <image:caption>A hiatal hernia occurs when the stomach herniates through the diaphragm and into the chest. This is the most common anatomic cause for the lower esophageal sphincter to fail. Many patient’s are tied down by their hiatal hernia for years and get frustrated by constant medication adjustments. This can be easily remedied with an operation.</image:caption>
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      <image:title>Reflux Surgery - Fundoplication</image:title>
      <image:caption>A fundoplication or “wrap” is considered the traditional approach to reflux surgery. This includes the Nissen and the Toupet. These procedures are performed with a minimally invasive technique. Most patients are discharged same day or day after surgery.</image:caption>
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      <image:title>Reflux Surgery - Roux en Y Gastric Bypass</image:title>
      <image:caption>No, you didn’t accidentally click on the bariatric section! Believe it or not, the gastric bypass is an excellent operation for reflux. This procedure is typically reserved for obese patients, but can be offered to patients with any BMI, particularly if they have already failed a different reflux procedure.</image:caption>
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      <image:title>Reflux Surgery - Magnetic Sphincter Augmentation</image:title>
      <image:caption>The LINX® procedure is a newer technology that uses a ring of magnetized beads to recreate your lower esophageal sphincter, or “reflux valve”. This can be placed as an outpatient procedure.</image:caption>
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    <loc>https://www.tallahasseebariatricsurgery.com/robotic-surgery</loc>
    <changefreq>daily</changefreq>
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    <lastmod>2026-03-14</lastmod>
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    <loc>https://www.tallahasseebariatricsurgery.com/hernia-surgery</loc>
    <changefreq>daily</changefreq>
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    <lastmod>2026-01-31</lastmod>
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  <url>
    <loc>https://www.tallahasseebariatricsurgery.com/other</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-08</lastmod>
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