*The laparoscopic sleeve gastrectomy is a restrictive operation, which means it works mostly by reducing the size of the stomach and thus your ability to eat large amounts of food at one time. The stomach size is reduced by about 80%. The part of the stomach that stretches most to accommodate more food is the part that is removed. The surgery does not alter the normal digestive process. Food absorption and digestion remain the same. About six months after surgery, the patient is able to eat about 4 ounces of food per meal, three to four times per day. The weight loss is projected to be 70% of the excess body weight, which is comparable to that of the Roux-en-Y gastric bypass. The weight loss is expected to occur over one to one and half years. Half of the expected weight loss is lost in the first six months after surgery. READ MORE



*The Roux-en-Y gastric bypass remains the gold standard to which other weight loss operations are compared. It is one of the most frequently performed weight loss surgery procedures in the United States. The gastric bypass takes advantage of both restriction and malabsorption to work. The restrictive part of the procedure is the creation of the small stomach pouch with a very small outlet. The malabsorptive part of the procedure involves re-arranging of the small intestine to reduce how much of the intestine is involved in absorbing the small amount of food that is eaten. READ MORE


*Lap-Band surgery is a purely restrictive procedure and works by restricting how much food can be eaten at one time (roughly four ounces). The band is placed around the very top portion of the stomach creating a 'new' stomach about the size of a golf ball. The most appealing feature of the Lap-Band is the ability to adjust it without additional surgery, allowing a proper fit for every patient. By adjusting the Lap-Band, the surgeon can adjust the pouch outlet size. The tighter the band, the smaller the portions become, and the longer the patient stays full. The small pouch and the small pouch outlet work together to control meal portion size, prolong satiety/fullness, reduce hunger and cravings, and thus reduce calorie intake. READ MORE


*The biliopancreatic diversion with duodenal switch works by malabsorption and restriction. It is a significantly more malabsorptive operation than the bypass. The majority of the stomach is removed, and the small intestine is rearranged to induce a large degree of malabsorption by bypassing about half of the small intestinal tract. The last 50-100 cm of the small intestine is where the food mixes with the digestive enzymes and digestion and absorption begin. The length of that bowel can be increased or decreased to change the degree of malabsorption. READ MORE


*Revision surgery can be performed laparoscopically (even if the previous operation was performed open). Often, an extensive workup is required to determine what the real problem is and what can be done to fix, improve or change it. Patients of other weight loss programs are welcome to talk to us about revision surgery. At present, our program is one of the few in Kansas and around the immediate area regularly performing revisional weight loss surgery. READ MORE


*Many people who have lost 100 pounds or more are overjoyed at their success. After losing weight, loose, heavy folds of skin can interfere with walking, balance, hygiene, skin care, and simply getting clothes to fit correctly. Plastic surgery, in most cases, is the only effective long-term solution. Removal of excess skin can improve the fit of clothes, the ability to walk and/or maintain balance, maintain hygiene, and reduce chronic skin irritation and even infections. Improving body self-image is also a great motivator for patients to maintain their efforts in weight loss. There are several things that can be offered to deal with excess skin. Dealing with excess skin after large weight loss is mostly referred to as body contouring (also known as a body lift). Several body areas can be addressed including the abdomen, thighs, buttocks, arms, and breast. READ MORE