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Bariatric Surgery Options

Weight loss surgery is major surgery. Although most patients who experience successful results from weight loss surgery enjoy an improvement in obesity-related conditions such as mobility, self-image and self-esteem, these results should not be the overriding motivation for having the procedure. The goal is to live better, healthier and longer.

It is important to remember that there are no guarantees in any kind of medicine or surgery. There can be unexpected outcomes in even the simplest procedures. What can be said, however, is that weight loss surgery will only succeed when the patient makes a lifelong commitment. Ultimately, the decision to have the procedure is entirely up to you. You must decide if the benefits outweigh the side effects and potential complications. Your ultimate success depends on strict adherence to the recommended dietary, exercise and lifestyle changes.

Surgery Options

Restrictive – Limits the size of the stomach

Most people will eventually lose 40-to-60 percent of their excess body weight, usually within two to three years.

  • Gastric Banding is performed laparoscopically. The operation involves placing a Silastic "belt" around the upper part of the stomach, which limits the amount of calories a person can take in.
  • Sleeve Gastrectomy is performed laparoscopically. During this procedure, around 75-80 percent of the stomach is removed, helping patients fell "full" when eating small amounts of food.

Restrictive and Metabolic – Limits the size of the stomach and bypasses part of the small intestine

Weight loss from these procedures may exceed 100 pounds or anywhere from 60-t0-80 percent of excess body weight.

  • Laparoscopic Duodenal Switch involves a sleeve gastrectomy and Roux-en-Y biliary diversion. This procedure has been demonstrated to have the greatest amount of weight loss and best long-term weight loss maintenance.
  • Roux-en-Y Gastric Bypass is a the most popular form of bariatric surgery today and can be done both conventionally and through the use of laparoscopy.
  • Laparoscopic Roux-en-Y Gastric Bypass (performed with only 6 1-inch incisions)