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Surgical Weight Loss Options

Our board-certified surgeons have expertise in minimally invasive and laparoscopic bariatric surgery, and routinely perform two weight loss surgery options:  Roux-en-Y Gastric Bypass and Vertical Sleeve Gastrectomy. Read more about these procedures, as well as risks and complications for bariatric surgery below.

    Laparoscopic Sleeve Gastrectomy is a restrictive bariatric surgery procedure, in which approximately 85% of the stomach is removed, leaving a cylindrical, or sleeve-shaped stomach. Unlike other forms of bariatric surgery, the outlet valve and the nerves to the stomach remain intact and, while the stomach is drastically reduced in size, its function is preserved.  The sleeve gastrectomy is not reversible.

    With the sleeve gastrectomy, the new sleeve-shaped stomach is larger than the stomach pouch created during the Roux-En-Y Gastric Bypass, and is about the size of a banana.  Weight loss occurs because the reduced stomach volume only allows for the ingestion of a small  amount of food, which increases the feeling of fullness.  Also, the production of Ghrelin, the “hunger hormone,” is drastically reduced, therefore enabling patients to control hunger and cravings and enhancing weight loss.

    Advantages:

    • Decreased appetite
    • Prolonged sense of fullness after small meals
    • Decreases cravings for sweets
    • Rapid initial weight loss
    • Laparoscopic procedure is minimally invasive

    Disadvantages:

    • Permanent procedure
    • Requires cutting and removing a portion of the stomach
    • Requires patient to follow recommendations for diet, vitamin intake, and clinical follow-up to avoid nutritional deficiencies
    •  No long-term data

     

    Source: American Society of Metabolic & Bariatric Surgery. (2015). Bariatric SurgeryProcedures.  Retrieved from: https://www.asmbs.org/bariatric-surgery-procedures

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