Surgical Treatment Options
Bariatric Weight Loss Surgery
It is important to understand that medical interventions, including weight loss surgery, should not be considered a medical cure. Rather, they are attempts to reduce the serious effects of obesity. Our bariatric surgeons can help you determine if weight loss surgery is right for you, and which surgical option best meets your unique needs.
Roux-En-Y Gastric Bypass
Roux-En-Y Gastric Bypass is the most frequently performed weight loss procedure in the United States. It is performed by creating a small pouch at the top of the stomach by stapling. The lower part is not removed but completely stapled shut and divided from the stomach pouch. The outlet from this newly formed pouch empties directly into a portion of the small intestine, thus reducing calorie absorption.
The Sleeve Gastrectomy involves the reservoir portion of the stomach being removed, thus forming a narrow “tubular” stomach that fills easily. Removal of the large reservoir section of the stomach also has a beneficial impact on hunger, and the metabolic “rebalancing” leads to long-term reductions in hunger level.
Biliopancreatic diversion with duodenal switch is an effective option for patients with severe morbid obesity and BMI in excess of 55. It is also effective for diabetic patients. Key features of this operation include a lengthy bypass of the small intestine as well as decreased stomach volume. The amount of calories absorbed from food is significantly reduced and patients are satisfied with smaller meals.
Laparoscopic Adjustable Gastric Band
Laparoscopic Adjustable Gastric Band is purely a restrictive bariatric surgery that involves placing a band around the uppermost part of the stomach to create a small stomach pouch. The restriction created by the band on the stomach is adjusted over time via a port that is secured within the abdominal muscle.
Revision operations are performed for failed prior weight loss surgery operations. A revision operation may be considered if a weight loss procedure produces complications that will not resolve or is not producing the desired outcome.