Treatment Options

During LAGB surgery, the surgeon places a silicone band with a balloon inside around the top of the stomach. This procedure is usually done with minimally invasive (laparoscopic) surgery. A small stomach pouch is left above the band. The band limits the passage of food, which causes the stomach to feel full after small amounts of food are eaten. This is commonly referred to as “restriction.” The tightness of the band can be adjusted during office visits.

Once the band has been properly adjusted, patients should not feel hungry for hours after eating a small meal. Overeating, eating too fast, eating improper foods, or not chewing well may result in discomfort and vomiting.

Weight loss is expected to be gradual – ideally one to two pounds per week. With weight loss, patients experience improvement in weight-related illnesses, such as diabetes, high blood pressure, and joint pain.

Patients are expected to follow up regularly, as often as once a month, in order to track their progress and evaluate the need for a band adjustment. As time progresses, follow-up may be less frequent but still remains important.

Laparoscopic sleeve gastrectomy (vertical sleeve gastrectomy or gastric sleeve surgery) is performed using minimally invasive (laparoscopic) surgery and reduces the amount of food that can be eaten at one time. During this procedure the stomach is cut and stapled along its long axis removing a “sleeve” like portion and leaving only a small tube-like stomach. The part of the stomach that has been cut away is permanently removed. As a result, patients experience fullness with small amounts of foods. This is commonly referred to as “restriction.”

LSG surgery decreases hunger and limits the patient’s eating to small meals. Overeating, eating too fast, eating improper foods, or not chewing well may result in discomfort or vomiting. Similar to LAGB surgery, there is no re-arrangement of the intestine, so that absorption of nutrients remains normal. However, there is no need for adjustments to be made and follow-up visits are less frequent than with LAGB surgery.

Weight loss is more rapid than with LAGB surgery and approaches that of gastric bypass surgery at one year. Patients often experience improvement or resolution of major weight-related illnesses including diabetes, high blood pressure and sleep apnea.

Patients should follow up regularly after surgery in order to track their progress and be evaluated for possible complications. As time progresses, follow-up may be less frequent but still remains important.

During Roux-en-Y gastric bypass surgery, the majority of the stomach is divided from the top of the stomach, leaving a smaller “new” stomach. The intestine is re-routed to the new stomach to bypass the majority of the stomach and part of the small intestine. This is usually done using minimally invasive (laparoscopic) surgery. The small stomach feels full after small amounts of food are eaten. This is commonly referred to as “restriction.” The bypass of the stomach and small intestine also alters absorption of nutrients and is referred to as “malabsorption.” Additionally, changes in the body’s metabolism occur as a result of the surgery.

Gastric bypass decreases hunger and limits the patient’s eating to small meals. Overeating, eating too fast, eating improper foods, or not chewing well may result in discomfort and vomiting. In addition many patients experience “dumping syndrome,” which typically occurs after eating sweets (refined sugars). The symptoms of dumping include sweating, faintness, heart palpitations, and nausea.

Weight loss is expected to be rapid in the first few months (three to five pounds per week), but will taper off as time progresses. Maximal weight loss is usually reached within one to two years. Gastric bypass surgery patients often experience improvement in weight-related illnesses, such as diabetes and high blood pressure, and are often able to stop medications just days after the surgery.

Patients should follow up regularly after surgery in order to track their progress and be evaluated for possible complications. Because of the changes in nutrient absorption, patients require lifelong vitamin and mineral supplementation and careful attention to eating protein-rich foods. As time progresses, follow-up may be less frequent but still remains important.

Body mass index (BMI) is a measure of body size based on height and weight that applies both to adult men and women. A BMI equal to or greater than 30 indicates obesity.

A co-morbid condition refers to any disease or condition that occurs together with a primary condition such as obesity.

The surgical treatment of morbid obesity is a covered benefit under many insurance policies. Coverage depends on what type of policy you have and the terms within the policy. Insurance policies can vary greatly, even when issued by the same company. Your employer dictates the coverage in your policy.

This depends on your insurance provider and the criteria they require, as well as the tests and requirements our team finds necessary.

Having weight loss surgery is a life-changing decision, and we recommend seeking advice from a medical professional such as your primary care physician is recommended. Your doctor and surgeon will be able to provide advice to help determine whether gastric bypass or sleeve gastectomy surgery is right for you. You should also consider the benefits provided from each surgery versus the risks of complications during and following bariatric surgery.