When considering weight loss surgery, it is important to discuss all options with your surgeon. An informed discussion about the long-term results with weight loss, the potential complications and the necessary follow-up is critical to making the right decision.
Bariatric surgery is recognized by the National Institutes of Health for the treatment of severe obesity. The three most common procedures are Roux-en-Y gastric bypass, sleeve gastrectomy and the Lap-Band® procedure.
In Roux-en-Y gastric bypass surgery, a small stomach pouch is created, and then connected to a shorter length of the small intestine. This procedure helps you lose weight in two ways:
Another surgery option is a sleeve gastrectomy. This surgery removes approximately 75 to 85 percent of the stomach, leaving behind a smaller, tube-shaped stomach or “sleeve.” The new smaller stomach significantly restricts the volume of food that can be consumed and also helps control hunger.
Another option for weight loss surgery is the Lap-Band® procedure. The procedure involves the placement of an inflatable ring around the upper stomach, which restricts what you can eat and helps control hunger. The inflatable ring is connected to a port that is placed under the skin. The port is filled with saline to adjust the tightness of the ring around the stomach.
Roux-en-Y gastric bypass, sleeve gastrectomy and the Lap-Band® procedures can be done using laparoscopy. Laparoscopy refers to the minimally invasive surgical technique that is performed through a few small incisions in the abdomen.
With laparoscopy, you have a shorter recovery time and can return to normal activities sooner. Laparoscopy also significantly reduces wound complications including infections, hernias and wound re-openings. Other advantages include less pain after surgery and a shorter hospital stay.
Please note: Not all patients are candidates for laparoscopy and may require a traditional, open procedure.