WEIGHT LOSS SURGERY OPTIONS
Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, and by causing malabsorption of food, or by a combination of both gastric restriction and malabsorption. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery). The most common bariatric surgery procedures performed today are the gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with or without duodenal switch. Each surgery has its own advantages and disadvantages.
REVISIONS OF PREVIOUS WEIGHT LOSS SURGERY
Revision bariatric surgery is the repair, modification, or conversion of a previous weight loss operation. Revision surgery started as surgery for the later complications that can develop with weight loss operations. As more and more people are undergoing weight loss surgery, and as we learn more about it revision surgery has become a second chance at weight loss. READ MORE
*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
Biliopancreatic Diversion (BPD) Gastric Bypass
The Biliopancreatic Diversion (BPD), originally developed by Dr. Scopinaro in Italy, employs a pre-dominantly malabsorptive technique to induce long-term weight loss. This extensive gastric bypass operation was once a commonly performed procedure; however, today it is not widely used due to the risk of nutritional deficiencies. READ MORE
Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Gastric Bypass
The Biliopancreatic Diversion with Duodenal Switch – abbreviated as BPD/DS – is a procedure with two components. First, a smaller, tubular stomach pouch is created by removing a portion of the stomach, very similar to the sleeve gastrectomy. Next, a large portion of the small intestine is bypassed. READ MORE
PLASTIC SURGERY (AFTER WEIGHT LOSS)
*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.