Surgical weight loss procedures work through restriction, malabsorption or a combination of the two. Our experienced staff will advise you about the procedure that is best for your individual situation.
Laparoscopic Gastric Sleeve Resection
The laparoscopic sleeve gastrectomy is a bariatric procedure in which the surgeon removes approximately 2/3 of the stomach, which provides for a quicker sense of fullness and a decrease in appetite. It shapes the stomach into a "tube" or "sleeve" and can be used as a first stage operation prior to a gastric bypass or as a definite procedure. Ultimately losing 40 to 60 percent of excess weight over one-and-a-half years.
Gastric Bypass (Roux-en-Y Gastric Bypass)
If a patient requires even greater weight loss than banding techniques allow, a gastric bypass operation is considered. Gastric bypass restricts both food intake and the amount of calories and nutrients the body absorbs. Patients who have bypass operations generally lose 70 percent of their excess weight within one-and-a-half years.
Roux-en-Y Gastric Bypass (RGB) is the most common gastric bypass procedure, where a small (30ml) stomach pouch is created by stapling to separate it from the rest of the stomach. Then, a section of the small intestine is attached to the new pouch allowing food to bypass the first portion of the small intestine, reducing calorie and nutrient absorption. The limited quantity of food, combined with reduced absorption of calories, results in faster and perhaps more pronounced weight loss than is normally achieved by the gastric banding procedure.
This procedure usually requires a two-to three-day hospital stay, and normal activities can be resumed in four to five weeks.
Revisional Bariatric Surgery
Bariatric Surgery is very successful as a long term treatment for Morbid Obesity. However, on some occasions patients can experience weight regain. There are multiple causes for weight regain, including dietary and anatomical reasons. Revisional Bariatric Surgery can be very complex and requires an individual approach. Our surgeons will investigate the cause for weight regain and the need for revision, and then tailor a plan to fit each individual patient.
Gastric banding, usually done laparoscopically, is a less invasive procedure, which may require frequent office visits to maintain the band tightness level. During this procedure, surgeons place an inflatable silicone band around the upper stomach to create a new, tiny pouch that will limit the amount of food that can be consumed, slowing its progression into the stomach and intestine. The patient feels full sooner and is satisfied with smaller amounts of food, ultimately losing up to 40 to 60 percent of his or her excess weight, over a three year period. This procedure is usually done on an outpatient basis and normal activities can be resumed in one week.