Bariatric surgical procedures are typically performed laparoscopically. When a laparoscopic procedure is performed, several small incisions are made in the abdominal wall instead of one, large incision as with traditional surgery.
The surgeon then inserts a thin telescope into the abdomen through one of the incisions. The telescope’s view is projected onto a video monitor, allowing the surgeon to perform the procedure using narrow instruments inserted through the other incisions.
There are many advantages to the laparoscopic approach. Because the procedure is less invasive, studies show that patients experience less pain after surgery, have a shorter hospital stay, and recover faster. Other benefits include less risk of complications such as infection and hernia.
Not all patients are candidates for laparoscopic surgery; patients must be evaluated individually to see if this is an option for them. If it is not, the procedure may still be possible with the traditional “open” approach.
In an adjustable gastric banding procedure, an inflatable silicone band is placed around the uppermost part of the stomach, dividing it into two parts: a small upper pouch and a lower stomach. The upper pouch can hold only about 2 ounces of food, limiting the amount of food you are able to eat at one time, and as a result, making you feel full sooner and satisfied longer. As you lose weight, the band can be adjusted by injecting more saline into a port placed underneath the skin on your abdomen. This helps to maintain the band’s effectiveness. Adjustable Gastric Banding is a reversible procedure.
This procedure involves removing approximately 85% of volume of the stomach of the stomach, leaving a slender stomach “sleeve”. This new stomach has a total capacity of just three to five ounces, which means patients feel full or satisfied after eating only a small amount
of food. This surgery also causes changes in hormones that work to further promote a feeling of fullness. Sleeve Gastrectomy permanently reduces the size of the stomach, limiting the amount of food you can eat and helping you to feel full faster, and longer.
This procedure involves stapling an upper portion of the stomach to create a smaller stomach pouch. The surgeon then connects the pouch to a section of the lower intestine, bypassing the majority of the small intestine where calories and nutrients are absorbed. This surgery also causes changes in hormones that also work to promote a feeling of fullness.
For a variety of reasons, patients may experience the need for revisions, corrections or conversions of their original operation. Your surgeon can evaluate your situation and recommend appropriate treatment.
Non-Surgical Intra-Gastric Balloon Procedure
This procedure is typically used to help individuals starting a diet-and-exercise regimen who want assistance controlling their hunger and limiting their food intake. It can also be used to help patients who want to lose weight prior to bariatric surgery to reduce their risk of complications.
The Intra-Gastric Balloon is a soft, expandable silicone balloon that is inserted in the stomach to reduce its capacity, thus creating a sense of fullness.
The balloon is inserted via the mouth during a 20-minute endoscopy procedure. The first week after placement, the patient is prescribed a liquid and puree diet. After the first week, a solid diet can be incorporated with instructions from a dietitian, who will continue to advise and monitor the patient during the six-month period the balloon is in place
All surgeries carry some risk. Your bariatric surgeon will review the potential complications and risks with you well before your surgery. Pneumonia, blood clots, infection, bleeding, leaking at staple lines, as well as ulcers, hernia and gallstones may occur, but are infrequent. Generally, the risks associated with weight loss surgery are significantly less than the risk of remaining morbidly obese.
Patient results may vary. Consult your physician about the benefits and risks of any surgical procedure or treatment.
Crestwood Medical Center
One Hospital Drive
Huntsville, AL 35801