Bariatric Surgery Treatment Options

Bariatric Options - Free SeminarRoux-en Y Gastric Bypass (RYGB)
The RYGB combines restrictive and malabsorptive approaches for effective weight loss. This produces an early sense of fullness and reduced absorption of calories combined with a sense of satisfaction that reduces the desire to eat.

The restrictive part of the procedure creates a small stomach pouch with a small outlet, which produces the sense of being full. The malabsorptive part of the procedure, which reduces caloric absorption, involves cutting and then rerouting the small intestine. The national average expected weight loss with the RYGB procedure is approximately 60% to 70% of excess weight. About half of the expected weight loss occurs in the first six months after the operation. The remaining half is lost at a slower rate during the next six months.

This RYGB procedure is performed laparoscopically at Oakwood. Compared to open bypass surgery, a laparoscopic procedure results in a shorter hospitalization, reduced postoperative pain, faster recovery, reduced blood loss during surgery and fewer wound complications.

Besides successful weight loss, the most important benefit of the RYGB is its ability to improve – and often eliminate – the medical diseases associated with obesity. Diabetes, hypertension, as well as other medical problems are cured in a large majority of patients. 
Vertical Sleeve Gastrectomy
The vertical sleeve gastrectomy is another option in weight loss surgery in which over 60% of the stomach is removed, leaving a sleeve shaped stomach that is drastically reduced in size. Unlike many other forms of bariatric surgery, the outlet valve and the nerves to the stomach remain intact and stomach function is preserved. The sleeve gastrectomy is not reversible, or adjustable. The gastric sleeve does not involve any bypass of the intestinal tract.

The sleeve gastrectomy can usually be performed laparoscopically. Sometimes it is performed as the first of a two-part weight loss solution for extremely obese patients, to provide an initial drop in weight which then will make other bariatric procedures easier.

Laparoscopic Gastric Banding
This adjustable band is the least invasive and safest weight loss operation currently available for the treatment of morbid obesity. Many patients choose the laparoscopic gastric banding procedure because it is a simple operation with minimal risks. The laparoscopic gastric banding system is also the only adjustable weight loss surgery available in the United States. The diameter of the band is adjustable to meet your individual needs – needs that can change as you lose weight. The most appealing feature of the system is that these adjustments are made without additional surgery.

The band, which is placed around the top portion of the stomach, induces weight loss by creating a smaller stomach pouch, which restricts the amount of food that can be eaten at any one time. By adjusting the band, the surgeon can adjust the size of the pouch outlet.

Unlike Roux-en-Y gastric bypass, placement of the band does not alter the gastrointestinal tract, and does not reroute or divide intestine or stomach, which reduces potential surgical complications such as leakage, obstruction and infection. Laparoscopic gastric banding is easily reversible with very low re-operative risk. is also a procedure that is easily reversible with very low re-operative risk.