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Gastric Bypass

Most common worldwide

Process:

1. Small stomach pouch created by seperating the top portion of the stomach from the rest.

2. Small intestine is seperated and the lower half is connected directly to the new small stomach portion.

3. Top half of small intestine is connected back to lower half of small intestine for stomach acids to remix with food.

Advantages:

  • Longterm good weight loss (60-80% excess weight)

  • FoodRestriction

Disadvantages:

  • Complex operation

  • Not reversible

  • Life long vitamin/ mineral supplement needed

Do not feel Alone

Sleeve Gastectomy

Often called "The Sleeve"

Process:

1. Removing about 80 precent of the stomach and when recloser is completed the remaining stomach looks like a banana.

Advantages:

  • Food Restriction

  • No Bypass or re-routing of small intestine needed.

  • Good gut hormone changes that reduce appetite and suppress hunger.

Disadvantages:

  • Non-reversible

  • Patient may have long-term vitamin and mineral deficiences

Adjustable Gastric Band

Sometimes called "Lap Band"

Process:

1. An inflatable band is placed around the upper portion of the stomach, creating a small pouch above the band.

2. Inflation of the band is done over a period of time, which slowly reduces the size of the stomach above the band.

Advantages:

  • No cutting of the stomach or re-routing of the intestine required.

  • Food Restrictions

  • Reversible and adjustable

  • Low risk of vitamin deficiencies

Disadvantages:

  • Slower early weight loss

  • Foreign object in body

  • Mechanical problems with band 

  • Highest rate of re-operation

Bilio pancreatic Diversion with Duodenal Switch Gastric Bypass

Abbreviated BPD/DS

Process:

  1. Removal of a large portion of stomach and remaining stomach is closed, which then resembles a banana.

  2. A large portion of small intestine is bypassed.

    1. 1st portion of small intestine is cut just past the stomach outlet.

    2. Last portion of small intestine is connected to the new outlet at the bottom of the stomach. 

    3. The bypassed portion of the small intestine is then reconnected to the last portion of the small intestine in order to mix bile and pancreatic enzymes with food.

Advantages:

  • Greatest weight loss of all bariatric surgeries.

  • Reduces fat absortbed by 70% or more.

Disadvantages:

  • ​Long hospital stay

  • Greater chance of causing vitamine and mineral deficiences

  • Very strict need to follow dietary and vitamin supplement rules as well as go to all follow-up visits.

Canidates

Adults

  • Body Mass Index (BMI) - > or equal to 40

  • Body Mass Index (BMI) - > or equal to 35 with obesity related health problems.

  • Sleep Apnea

  • Type 2 Diabetes

  • Heart Disease

Childern

  • Body Mass Index (MBI) - > or equal to 40

  • Childern with obesity related health conditions

 

 

References:

Bariatric Surgery Procedures - ASMBS. (n.d.). Retrieved October 27, 2015, from http://asmbs.org/patients/bariatric-surgery-procedures

Bariatric Surgery fro Severe Obesity. (2009, March 1). Retrieved October 27, 2015, from http://www.niddk.nih.gov/health-information/health-topics/weight-control/bariatric-surgery-severe-obesity/Pages/bariatric-surgery-for-severe-obesity.aspx

Weight Loss Surgery Statistics and Definitions.(n.d.). Retrived November 30, 2015, from http://www.nawls.com/publics/102.cfm

Considering having Surgery?

If you meet the above requirements, the next step is to consider which type of surgery is best for you.

There are a few different types of sugery to pick from. Below is an explanation of some different types of Bariatric Surgeries.

 

*Always talk with your doctor before making any final decisions regarding surgery.*

Types of Bariatric Surgery

Bariatric surgery is a surgery for people who suffer from severe obesity. The surgery helps people lose weight by resticting how much food they can eat and thus restricting their caloric intake.

Bariatic surgery is not meant to be a first option and it is usually only offered to patients that:

 

  • have not been able to lose weight by other means.

  • suffer from weight related heath conditions

 

What is Bariatric Surgery

You may be considering having weight loss surgery because you feel loss in your struggle to lose weight. Do not feel alone. 30.5% of the population is considered to be obese, which means there are more people who are also considering weight loss surgery. According to the National Association for weight loss surgery, "There has been a huge increase in the number of weight loss sugeries performed in the past 3 years."

One important step to think about when considering surgery is to know as much as possible about the surgery you are considering getting.

 

To  begin:

  • Weight loss surgery is als called Bariatric Surgery

  • Know if you would be considered a canidate for surgery

  • Know the different types of surgery options available

Things to consider

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