Weight Loss Surgery Options
Several factors determine if you are a candidate for bariatric surgery or non-surgical weight loss guidance. During your first consultation, they will discuss options that are appropriate for you.
Roux-en-Y Gastric Bypass
A laparoscopic procedure in which a small stomach pouch (15-20mL) is divided from the original stomach pouch. The newly formed pouch has an outlet that empties directly into the lower portion of the jejunum, thus bypassing calorie absorption.
Advantages: Rapid initial weight loss, decreased hunger, resolution of comorbidities.
Disadvantages: Stomach cutting, stapling and intestinal rerouting required, Risk for nutritional deficiencies requiring lifelong monitoring, Dumping Syndrome can occur when too much refined sugar or high fat is consumed.
Health Improvements: Sleep apnea, Heart Disease, Diabetes, Acid Reflux, Asthma, Arthritis, Depression, PCOS
Vertical Sleeve Gastrectomy
A Vertical Sleeve Gastrectomy is a laparoscopic procedure that generates weight loss solely through gastric reduction (reduced stomach volume by approximately 85%).
Advantages: Rapid initial weight loss with lower malnutrition risk, decreases the hormone ghrelin which will help better control your appetite, no intestinal rerouting, resolution of comorbidities, and can be converted to gastric bypass or SADI-S.
Disadvantages: Stomach stapling can pose potential for leaks (1%) and since the stomach is removed, it cannot be reversed.
Health Improvements: Sleep Apnea, Hypertension, Diabetes, Hyperlipidemia, Asthma, Depression, Arthritis
Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy (SADI-S)
After reducing the size of the gastric body, the first part of the small intestine is divided just after the stomach. A loop of intestines is measured several feet from its end and is then connected to the stomach.
Advantages: Highly effective long-term weight loss. Simpler and faster to perform (one surgical bowel connection) than gastric bypass or duodenal switch. Great option for conversion for patients who have already undergone a sleeve gastrectomy.
Disadvantages: Risk for nutritional deficiencies requiring lifelong monitoring, Risk of more frequent bowel movements, Potential to worsen or develop new-onset acid reflux
Health Improvements: Sleep apnea, Heart Disease, Diabetes, Asthma, Arthritis, Depression
Duodenal Switch
A laparoscopic procedure where almost 70% of the stomach is removed as well as the duodenum and rerouted to the digestive tract.
Advantages: Substantial weight loss, restricts high-fat, greasy foods (only about 20% of the fat you would normally intake), improvements in blood glucose levels (many patients experience remission of Type 2 Diabetes), Unique
Disadvantages: Stomach cutting, stapling and intestinal rerouting required, Risk for nutritional deficiencies requiring lifelong monitoring.
Health Improvements: Sleep apnea, Heart Disease, Diabetes, Acid Reflux, Asthma, Arthritis, Depression
Revisional Bariatric Surgeries
If you have had a previous bariatric surgery completed and are struggling with weight regain or worsening acid reflux, we invite you to make an appointment with our bariatric team who can review your case and guide you through potential scenarios that may or may not necessitate revision.
The majority of obesity-related health issues and comorbidities can be greatly reduced, if not eliminated with bariatric surgical intervention.