Weight Loss Surgery Options
For more than 35 years, our physicians and staff have provided care for patients who choose weight loss surgery to help them achieve a healthy life. Our center is accredited by the American Society for Metabolic and Bariatric Surgery as a Comprehensive Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Centers who have this accreditation must meet rigorous quality indicators and outcomes to make sure high quality care is provided to patients. At our center, we believe patients are a part of their healthcare team, and we all work together for weight loss success. This begins with the decision about which of the surgical options we offer will be best for you. Please read about these options and let us know what questions you have.
Laparoscopic Adjustable Gastric Banding
Often called simply the Lap-Band®, this minimally-invasive option is usually performed as an outpatient procedure. It requires only a few, small incisions with a fast recovery. Banding works through gastric restriction, and weight loss is slower than with some other procedures. The risk of complications is very low, and the procedure is reversible.
Laparoscopic or Robotic Sleeve Gastrectomy
Often called simply the Gastric Sleeve, this minimally-invasive option removes all but a thin vertical ‘sleeve’ of stomach. This is a newer option in weight loss surgery, and it is gaining in popularity. Unlike the Lap Band (TM), no adjustments are needed after surgery, and patients tend to lose weight more quickly. Less invasive than gastric bypass, it is not reversible, and patients need to understand fully what that means.
There is more than one kind of Gastric Bypass surgery, but Roux-en-Y Gastric Bypass is the most common gastric bypass procedure performed in the nation. Gastric Bypass operations combine gastric restriction with malabsorption, and this translates into both a limitation of food intake and limitation of how your body absorbs nutrients of the food that you do consume. Gastric Bypass makes faster weight loss possible but is a more invasive procedure compared to other weight loss surgery options.
Band Over Bypass
Some patients experience weight regain after gastric bypass. Just like any muscle in the body, the stomach has the ability to stretch significantly, even after it has been reduced in size. This stretching can occur several years after surgery and is usually a result of the patient introducing a more liberal diet than the one prescribed after surgery. In this situation, the lowest risk procedure is the gastric band over bypass.
Endoscopic Weight Loss Procedures
Endoscopic weight loss procedures are performed using a flexible scope through the mouth the same way as a standard outpatient upper scope procedure. With the use of a specialized device we are able to administer full thickness sutures. The most common side effects initially after the procedure are sore throat, upper abdominal discomfort, bloating, cramping and sometimes nausea. These are typically mild and treated with pain relievers and anti-nausea medication. These side effects are more pronounced for the first 48 hours.