Procedures Overview
• What kind of bariatric surgeries are available?
• What are the Complications?
• Which one is most indicated for you?
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When considering obesity surgery, pick a surgeon who has extensive experience in Bariatric Surgery and is certified by the American Board of Surgery. The results of the operation, the number of complications, and mortality are related to the experience of the surgeon and the institution where these procedures are performed. It is very important that the surgery be performed in a hospital that has an active bariatric surgical program and that has a team approach to the care of its patients.
There are several surgical operations for the treatment of severe obesity, and there are new procedures on the horizon. Some of procedures have been around for many years, others are evolving, and others are new to the field. At this time, these are the two most popular procedures:
• Roux-en-Y gastric bypass (open or laparoscopic)
• Lap-Band (Laparoscopic Adjustable Banding)
The Roux-en-Y gastric bypass and Lap-Band procedures are very good procedures that are applicable to most patients. However, other surgeries are available, including the gastric sleeve, the Biliopancreatic Diversion with Duodenal Switch (BP-DS), and combined procedures. These procedures may also be considered for failed previous weight loss procedures.
No matter what surgery a patient chooses, he/she must have realistic expectations and must be prepared to make some lifestyle changes.
Our Procedures
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The Roux-en-Y Gastric Bypass is the most commonly performed weight loss surgery in the United States. It involves the complete partition of the stomach, creating small pouch, which is connected to the small bowel through a tiny orifice. All of the stomach and about 2-3 feet of the intestines is completely bypassed (see diagram).
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Approved by the FDA in 2003, this procedure is rapidly gaining in popularity in the US. It has been a widely accepted surgery in Europe & Australia for more than 10 years, this procedure is gaining acceptance here due to the highly promoted safety of this procedure. This is a purely restrictive surgery, combined safety and reversibility with all the benefits of a minimally invasive approach.
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The Biliopancreatic Diversion with Duodenal Switch (BP-DS) is a restrictive and malabsorptive surgery. Therefore, it restricts food intake and reduces calorie absorption. The first part of the operation involves removing a large part of the stomach, leaving behind a smaller stomach that resembles a long tube (gastric sleeve).
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Although the gastric sleeve is a relatively new procedure in the United States, it has been performed in Europe for many years. The gastric sleeve is rapidly gaining acceptance in the United States for its safety; however, not all insurance companies will pay for it.
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