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Types of Bariatric Surgery

Bariatric surgery is not cosmetic surgery. In fact, the science and medicine of successful weight loss surgery hinges on a number of critical factors. At Santa Rosa Memorial Hospital, we combine these factors into a surgery program that encompasses the entire person in a holistic surgical weight loss program.

At Santa Rosa Memorial Hospital, we provide two of the most successful and effective weight loss surgery procedures now being performed world-wide: Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Adjustable Gastric Band.

Both surgeries are designed to help you succeed in limiting calories and losing weight safely, while breaking the cycle of weight gain that results in less activity.

Laparoscopic Roux-en-Y Gastric Bypass

The Laparoscopic Roux-en-Y Gastric Bypass involves creating a very small “mini stomach” about five percent of the original stomach size. This mini stomach is about the size of a golf ball (two tablespoons). The mini stomach is then connected to the upper small intestine to provide a path for food to pass down the digestive tract, once it leaves the new small stomach.

There are many advantages and some disadvantages to this type of surgery. We will address these with you during the educational seminar that all patients attend as their first step.

Laparoscopic Adjustable Gastric Band

The Laparoscopic Adjustable Gastric Band surgery is performed laparoscopically and involves wrapping an implantable silicone band around the upper part of the stomach. This creates a small stomach “pouch,” similar to the Gastric Bypass, which leads to you feeling fuller faster. The band system then connects to an access port placed under the skin of the abdomen. In the surgeon’s office, fluid can be added or subtracted from the port, which causes the band to tighten or loosen. This allows us to tailor the characteristics of the pouch to achieve the best result.

There are many advantages and some disadvantages to this type of surgery. We will address these with you during the educational seminar that all patients attend as their first step.

Sleeve Gastrectomy

Sleeve gastrectomy is a newer procedure that removes 75 percent to 80 percent or more of the stomach to create a sleeve-shaped stomach. The smaller stomach restricts food intake.

Some patients are only candidates for one of the operations. You and your surgeon will decide together which operation is best for you. Patients who have a choice of operations should keep the following in mind:

  • Trading safety and risk for speed of weight loss
  • Reversibility issues
  • Comfort with continued follow-up with your surgeon

Both operations will help you to arrive at your goal of weight loss and good health, just by different routes.

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