Weight Loss Surgical Procedures Available
Laparoscopic Adjustable Gastric Banding (Adjustable Lap Band)
An inflatable band is placed around the upper portion of the stomach. A smaller stomach pouch is created that restricts the amount of food consumed at one time while increasing the time to empty the stomach.
- Small incisions
- No stapling or cutting of the anatomy
- Low risk of malnutrition and hair loss
- Slower initial weight loss
- Follow-up visits critical for optimal success
- Uses an implanted device
- Subject to issues related to band or port placement
- Hospital stay of 24 hours or less
- Return to normal activity within 7 days
- Full recovery within two weeks
Laparoscopic and Open Roux-en-Y Gastric Bypass
The stomach is stapled to make a smaller pouch. Then most of the stomach and much of the intestines are bypassed, attaching a part of the intestine to the small stomach pouch.
- Minimally invasive approach is available
- Rapid initial weight loss
- Most popular weight-loss procedure
- Cutting and stapling of anatomy is required
- Greater potential for complications
- Nutritional deficiencies can occur
- Very difficult to reverse
- Hospital stay of 48-72 hours
- Return to normal activity within 18 days
- Full recovery within three weeks
Laparoscopic Gastric Sleeve
The laparoscopic sleeve gastrectomy is a procedure in which the surgeon removes approximately 85% of the stomach, shaping the remaining stomach into a tube or “sleeve”. This limits the amount of food that can be ingested at any given time without altering the normal absorption of vitamins and minerals.
- Weight loss tends to be quick after surgery, with 55% to 70% of excess body weight being lost, depending on your circumstances.
- During the laparoscopic gastric sleeve procedure, the nerves of the stomach and the outlet valve are not altered.
- The procedure decreases significantly the hunger by removing the part of the stomach that produces the main stimulating hormones.
- It also preserves the pylorus, the valve that regulates emptying of the stomach. This valve allows food to hold up in the stomach longer, making a person feel full as the food digests.
- possibility of leaks along the staple line
- development of gastroesophageal reflux
- a gastric fistula
- a narrowing stoma
- hiatal hernias
- wound site infections
- formation of blood clots in the leg