Your Surgical Options
Choosing Your Best Weight Loss Surgery Option
Making the right choice for surgery depends on many things. Your best option should meet your health and safety needs, as well as your personal goals. Together, you and Dr. Ben-Meir will select the weight loss approach you feel is right for you. We will look at indicators such as body mass index (BMI), associated medical conditions and prior history of abdominal surgery, along with anything else specific to your needs.
Is Weight-loss Surgery Right for You?
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1. Roux-en-Y Gastric Bypass
The surgeon will create a small pouch at the top of the stomach. The pouch reduces the amount of food and liquid you can consume at one time. This method can be done either as an open surgery or a laparoscopic surgery. The open technique is performed through a six- to eight-inch incision that extends from the breastbone to the naval. The laparoscopic technique is performed with a small video camera and small surgical instruments that are inserted inside the abdomen through five, 1/4 to 1/2-inch incisions. Most patients (99%) are candidates for laparoscopic surgery.
Below is a simple explanation of the Roux-en-Y gastric bypass surgery:
- The surgeon begins by dividing the stomach into a small upper pouch (holding about 1/2 ounce of food) and a large bypassed stomach.
- The small intestine is divided and the "Roux Loop," is connected to the small stomach pouch.
- The bypassed stomach is reconnected to the Roux Loop 100 centimeters below the pouch. The bypassed stomach will continue to secrete stomach acid to aid in the digestive process.
2. Laparoscopic Vertical Sleeve Gastrectomy
This surgery involves removing 80-85% of your stomach through five, 1/4 to 1/2-inch incisions in the abdomen. After the procedure your stomach will be 1/2 inch in diameter and five to six inches long, creating a 'sleeve' that can hold 1/2 to one cup of food. The gastric sleeve procedure does not involve any intestinal surgery and nothing is placed in or around the stomach. You are simply left with a sleeve of stomach that helps you feel full with a small amount of food.
3. Laparoscopic Adjustable Gastric Banding, or Lap Banding, Surgery
The surgeon will place a silicone band around the top of your stomach to create a small pouch and to limit how much food can go into your stomach. The band is attached to a port that is placed under the skin. It allows the band to be adjusted as needed to help you feel full with a small amount of food. This procedure is done laparoscopically.