We offer 3 great Bariatric Procedures. Please scroll
down to read related information about each of these
A variation of BPD includes a “duodenal switch,” which
leaves a larger portion of the stomach intact, including
the pyloric valve that regulates the release of stomach
contents into the small intestine. It also keeps a small
part of the duodenum in the digestive pathway.
This weight loss surgical procedure is an improvement of
the BPD. Here again, there is a significant
malabsorptive component which acts to maintain weight
loss long term. The patient must be closely monitored to
guard against severe nutritional deficiencies. This
procedure, unlike the BPD, keeps the pyloric valve
intact. That is the main difference between the BPD and
Weight Loss Surgery - Duodenal Switch Advantages &
More "normal" absorption of many nutrients than with
BPD, including calcium, iron and vitamin B12
Better eating quality when compared to other WLS
Eliminates or greatly minimizes most negative side
effects of the original BPD
Essentially eliminates stomal ulcer and dumping
The DS procedure provides superior weight loss for
super morbidly obese patients (BMI greater than 50).
Greater chance of chronic diarrhea
Significant malabsorptive component
More foul smelling stools and flatus, but less than
with the BPD alone
2) THE LAP-BAND® ADJUSTABLE GASTRIC BANDING SYSTEM
No stomach stapling, cutting, or intestinal
Low perioperative complication rates
Low malnutrition risk
Free of “dumping syndrome”
Adjustable–customized per patient
One-tenth the short-term mortality rates of open
Roux-en-Y gastric bypass
Average patient does not need an overnight stay
Slower initial weight loss than gastric bypass
Regular follow-up critical for optimal results
Requires implanted medical device
Less experience in the United States
The LAP-BAND® Adjustable Gastric Banding System is the
first adjustable medical device approved in the United
States for individualized weight loss. The LAP-BAND®
System was approved by the U.S. Food and Drug
Administration in 2001 for use in weight reduction for
severely obese adults with a Body Mass Index (BMI) of 40
or more, or for adults with a BMI of at least 35 plus at
least one severe obesity-related health condition, such
as Type 2 diabetes, hypertension and asthma. Used in
more than 300,000 procedures worldwide, this simple
medical device has safely helped many seriously
overweight individuals successfully achieve and maintain
significant long-term weight loss to reduce the health
risks associated with severe and morbid obesity.
Worldwide, approximately 1.6 billion adults are
overweight, and it is estimated that obesity affects at
least 400 million adults.1
Designed to be placed laparoscopically (via small
incisions in the abdomen, usually 0.5 - 1.5 centimeters
in length), the LAP-BAND® System does not require
cutting or stapling of the stomach. Instead, an
inflatable band is placed around the top portion of the
patient's stomach, creating a small pouch that limits or
reduces food consumption. The LAP-BAND® System is
adjustable, which means that the inflatable band can be
tightened or loosened to help the patient achieve a
level of satiety while maintaining a healthy diet,
supporting a patient's long-term weight loss success.
GASTRIC BYPASS ROUX-EN-Y
This operation is the most common and successful
First, a small stomach pouch is created to restrict food
intake. Next, a Y-shaped section of the small intestine
is attached to the pouch to allow food to bypass the
lower stomach, the duodenum (the first segment of the
small intestine), and the first portion of the jejunum
(the second segment of the small intestine). This bypass
reduces the amount of calories and nutrients the body
Weight Loss Surgery - Roux-en-Y Gastric Bypass (RGB)
Advantages & Disadvantages
Greatly controls food intake
Reversible in an emergency - though this procedure
should be thought of as permanent
Staple line failure
Narrowing/blockage of the stoma
Vomiting if food is not properly chewed or if food
is eaten to quickly
Gastrointestinal Surgery - "Dumping Syndrome"
Both operations may also cause “dumping syndrome.” This
means that stomach contents move too rapidly through the
small intestine. Symptoms include nausea, weakness,
sweating, faintness, and sometimes diarrhea after
eating. Because the duodenal switch operation keeps the
pyloric valve intact, it may reduce the likelihood of
The more extensive the bypass, the greater the risk for
complications and nutritional deficiencies. Patients
with extensive bypasses of the normal digestive process
require close monitoring and life-long use of special
foods, supplements, and medications.
3) VERTICAL SLEEVE GASTRECTOMY
Laparoscopic vertical sleeve gastrectomy (VSG).
This weight loss surgical procedure generates weight
loss through gastric volume restriction (reduced stomach
volume) and by decreasing Ghrelin (a stomach hormone
responsible for appetite and hunger).
The stomach is restricted by removing more than 75% of
it. The stomach remains in the shape of a very thin
banana and holds between 30 and 150 cc. The pylorus and
nerves to the stomach remain intact, thereby preserving
the function of the stomach.
The laparoscopic sleeve gastrectomy (VSG) is a
restrictive procedure that is indicated as an alterative
to the laparoscopic adjustable gastric banding (lap-band
or Realize band). The laparoscopic VSG (sleeve
gastrectomy) gives comparable weight loss as a gastric
bypass with much lower risk.
Advantages versus gastric bypass
Remove/reduces a major source of Ghrelin (a stomach
hormone that is responsible for appetite and hunger).
Maintains normal function of the stomach, most foods
can be eaten just in small amounts.
Increases feeling of fullness (satiety inducing
Minimal risk of vitamin and/all protein deficiencies.
Better eating quality when compared to a gastric band
or a gastric bypass.
Free of dumping syndrome.
No marginal ulcers.
Minimal risk of intestinal obstruction because there
is no intestinal bypass.
Lower perioperative complications and mortality than a
Minimally invasive surgery.
Good options for those with anemia, Crohn disease and
other complex medical problems.
Advantages versus the lap band
No foreign material in the body, which eliminates the
risk of infection, obstruction, erosions that the
foreign body presents.
No adjustments needed.
Better eating quality when compared to the lap band.
Potential leaks at staple line.
Potential inadequate weight loss or weight regain.
Stomach is removed, so this is not reversible.
Disclaimer: This information is not a substitute for a
consultation with your own physician. You should make your own
decision on whether
to pursue obesity surgery, and which procedure is right for you,
based on a consultation with the doctor of your choice.
Site Copyright 2005-2011 Surgical Associates of Metro Atlanta - Site
Elasticdesigns - An Atlanta Web Design Company