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Surgical weight loss options

Surgical options for weight loss include gastric bypass and LAP-BANDŽ system adjustable gastric banding.


Gastric bypass (also known as Roux-en-Y)

Illustration shows how gastric bypass affects the stomach's capacity to hold food.

Video about gastric bypass (Windows Media Player required)

Gastric bypass is a combination procedure using both restrictive and malabsorptive elements. With this surgery, first the stomach is stapled to make a smaller pouch. Then most of the stomach and part of the intestines are bypassed by attaching (usually stapling) a part of the intestine to the small stomach pouch. The result is that you cannot eat as much and you absorb fewer nutrients and calories.

Advantages of gastric bypass

  • Rapid initial weight loss
  • Minimally invasive approach is possible
  • Longer experience in the United States
  • Higher total average weight loss reported than with LAP-BAND or VBG

Disadvantages of gastric bypass

  • Cutting and stapling of stomach and bowel are required
  • More operative complications than with LAP-BAND
  • Portion of digestive tract is bypassed, reducing absorption of essential nutrients
  • Medical complications due to nutritional deficiencies
  • "Dumping syndrome" can occur
  • Non-adjustable
  • Extremely difficult to reverse
  • Higher mortality rate than LAP-BAND or VBG procedures

LAP-BANDŽ system adjustable gastric banding

Illustration shows how an adjustable gastric band affects the capacity of the stomach.

Animation of adjustable gastric banding (Windows Media Player required)

The LAP-BAND system adjustable gastric banding procedure restricts the amount of food the stomach can hold by placing an inflatable silicone band around the upper part of the stomach. The new, small upper stomach pouch limits the amount of food that can be consumed at one time, and a narrowed stomach outlet increases the time it takes for the stomach to empty. The subsequent reduction in food intake results in weight loss.

Advantages of adjustable gastric banding

  • Lowest mortality rate
  • Least invasive surgical approach
  • No stomach stapling or cutting, or intestinal re-routing
  • Adjustable
  • Reversible
  • Lowest operative complication rate
  • Low malnutrition risk

>Disadvantages of adjustable gastric banding

  • Slower initial weight loss than gastric bypass or BPD
  • Regular follow-up critical for optimal results
  • Requires an implanted medical device
  • In some cases, effectiveness can be reduced due to band slippage
  • In some cases, the access port may leak and require minor revisional surgery

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Unity Hospital Bariatric and Weight Loss Center
Unity Professional Building, Suite 200
500 Osborne Road NE
Fridley, MN 55432
763-236-2045



 

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