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Weight Loss Surgery

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The Lap Band Procedure

This procedure is done laparoscopically. An adjustable band is placed around the upper stomach. It creates a tight "waist" in the stomach that causes you to feel full on a small amount of food. The "waist" is made tighter or looser in the office or in the radiology department every few months as needed to provide a balance between enough tightness and too much (called restriction). This is the safest of all bariatric procedures, however, it is also the easiest to cheat. Cookies, cakes, candy and milkshakes are not physically restricted by the procedure so avoiding these is important for success.



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Roux-en-y Gastric Bypass

This is the most common bariatric surgery done in the United States. It can be done "open" or "laparoscopically". A small stomach pouch is made with staples and a piece of intestine is used to drain the pouch. Food is not absorbed until digestive juices mix with the food later in the GI tract. It combines a restriction (or volume) limiting component with a mild malabsorption component. With the malabsorption, you will not absorb all of the calories you eat. In addition, sweets are not well-tolerated with this procedure. Eating more than one or two bites of sweets will cause "dumping" - which is sweating, flushing and diarrhea. this is a reminder not to cheat!

This procedure is done laparoscopically in most of the cases. It is only if you weigh more than 200 lbs over your ideal body weight that there is a chance that you will need to have surgery done by the "open" method. The length of stay in the hospital is about the same with the open or laparoscopic method. The complication rate is higher than with a Lap Band but the weight lost and the long-term success is much better.



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Biliopancreatic Diversion with Duodenal Switch

This is almost a purely malabsorptive procedure. Many calories you eat will not be absorbed. It is similar to a Roux-en-y gastric bypass as far as complications and hospital stay. Currently, it is offered only as an "open" procedure but will be offered in the future as a minimally invasive procedure.

The stomach is stapled and a large pouch is made, and it is drained by using a long piece of intestine. The food does not see digestive enzymes until it reaches the small intestine thus, less absorption of calories.

The patient must be very diligent with the nutritional requirements. The weight loss for this procedure is the best. This procedure was offered by our practice starting in March of 2005.

If you are interested in more information, complete the Contact Us form. This is in no way a commitment on your part. the bariatric office will contact you to set up a consultation. At this consultation you can attend an information session, meet the surgeon and discuss surgical options.


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