Advanced Procedures for Permanent Weight Loss
University Hospitals Digestive Health Institute’s Bariatric Surgery, Metabolic & Nutrition Center offers four types of weight loss procedures – all performed using laparoscopy. Laparoscopic surgeons operate through small incisions with the aid of a video camera. This type of surgery results in a faster, more comfortable recovery, less pain and less scarring. Our goal is to get patients home and on their way to better health as quickly as possible.
Roux-en-Y Gastric Bypass
Roux-en-Y gastric bypass involves separating the stomach into two chambers, one of which is about the size of a ping-pong ball.
The small intestine is connected to the small stomach chamber. This operation utilizes a two-pronged approach to weight loss: restriction and malabsorption. After undergoing the gastric bypass, patients feel satisfied after eating smaller food portions.
The advantages of laparoscopic gastric bypass include an improvement in general health, faster healing and rapid initial weight loss. On average, Roux-en-Y patients lose 50 to 75 percent of excess body weight and maintain it.
Adjustable Gastric Banding
Adjustable gastric banding involves fastening an adjustable band around the upper portion of the stomach to create a small stomach pouch.
The band is connected to an access port placed under the skin’s surface. This port allows for easy adjustment of the gastric band in the doctor’s office. After the procedure, patients feel satisfied with consuming smaller amounts of food.
Patients may select this surgery because it does not involve cutting the stomach or intestine, vitamin deficiency is rarely a concern and the recovery process is relatively fast. On average, lap band patients lose 40 to 50 percent of excess body weight.
The gastric sleeve procedure is the newest technique in weight loss surgery. The procedure involves dividing the stomach into two parts: one large section and one small, “sleeve shaped” section. The surgeon removes the large stomach portion, eliminating approximately 80 percent of the stomach.
Following the gastric sleeve procedure, patients report an average loss of 50 to 70 percent of excess body weight in the first two years because they are only able to eat small amounts of food. This procedure does not involve rerouting the intestine. The procedure does not affect absorption of food, medications or vitamins. Vitamin deficiency is rarely a problem.
Patients who have had weight loss surgery in the past and have gained their weight back may be in need of revisional surgery. Our surgeons will evaluate each patient’s individual case and offer the most appropriate and leading-edge solutions.