For many that have tried traditional dieting methods and exercise, it may not be enough. Bariatric or weight loss surgery is designed to treat obesity. The surgery involves making adjustments to the digestive system to restrict the amount of food going into the stomach and decrease appetite.

Laparoscopic Roux-en-Y Gastric Bypass

A small pouch is created to limit the amount of food that can ingested, bypassing the stomach and duodenum, creating profound metabolic changes that leads to resolution of diabetes in >85% of patients.

How Is Roux-en-Y Gastric Bypass Performed

The Roux-en-Y gastric bypass (RYGB) is the most frequently performed weight loss procedure in the USA.

During the first part of RYGB, a small pouch is created in the stomach with staples. This step restricts the amount of food the patient can consume to approximately one ounce. The remaining, larger part of the stomach is then separated from the pouch, but is not removed.

The next step of this procedure involves dividing the small intestine just below the duodenum, the first section of the small intestine. The second section of the small intestine, the jejunum, is brought up and is connected to the newly created pouch.

The duodenum is then reconnected to the new intestinal limb giving the intestine the "Y" shape for which the procedure is named. By bypassing the duodenum, absorption of nutrients and calories is prevented, resulting in significant weight loss.

Benefits of Roux-en-Y Gastric Bypass include

  • Performed laparoscopically (Small Incisions)
  • Low long term complication rate
  • Improvement or resolution of diseases such as diabetes
  • Loss of 65-85% of excess weight in 12-18 months

Advantages vary from individual to individual. It is important to discuss all surgical and non-surgical weight loss options with your physician.

The stomach is reduced by 90% and results in a major reduction in the hormone which gives us hunger.

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size.

A physician removes a large portion of the stomach following the major curve. The open edges are then attached together (often with surgical staples) to form a sleeve or tube with a banana shape. The procedure permanently reduces the size of the stomach.

Benefits of Laparoscopic Sleeve Gastrectomy include:

  • Reduces stomach capacity but tends to allow the stomach to function normally so most food items can be consumed
  • Eliminates the portion of the stomach that produces the hormones that stimulates hunger
  • Appealing option for people who are concerned about the foreign body aspect of banding procedures.
  • Can be done laparoscopically

Advantages vary from individual to individual. It is important to discuss all surgical and non-surgical weight loss options with your physician.

An adjustable, inflatable belt is placed around the upper portion of the stomach to restrict the amount of food that can be swallowed.

A laparoscopic adjustable gastric band, commonly referred to as a lap band, is an inflatable silicone device placed around the top portion of the stomach to treat obesity by reducing excess body fat.

Benefits of Gastric Banding

  • Safe - gastric band surgery is a low risk procedure with a good surgeon
  • Fully reversible - The anatomy of the stomach is not altered in any way
  • Successful - 50-60% excess weight loss (most in first year)
  • Fast recovery - 30-45 minute procedure with one night stay in hospital. Most patients are back to work in a week

Advantages vary from individual to individual. It is important to discuss all surgical and non-surgical weight loss options with your physician.

Most patients achieve success with their first bariatric surgery. However, patients may seek revisional bariatric surgery if they are experiencing significant side effects or complications from an earlier bariatric surgery, they do not achieve the expected rate of weight loss, may cease to shed pounds before reaching their target weight, or may be losing weight at a rate that they find alarmingly rapid.

If you are considering revisional bariatric surgery, Brandon Regional Hospital’s Bariatric Center of Excellence can help. We offer free seminars offered by experienced and knowledgeable bariatric surgeons. You can also request a referral to one of our surgeons and they will answer your questions and perform a preliminary evaluation of your initial bariatric procedure.

Benefits of Surgical Weight Loss

Surgical or bariatric weight loss offers you the opportunity to live a healthier life.

  • Enables you to feel satisfied with small amounts of food
  • Eliminates or significantly reduces many medical conditions such as Type II Diabetes, resolve reflux or GERD, resolve sleep apnea and lower cholesterol and blood pressure
  • Allows you to live the life you want to live!

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