The Gastric Sleeve, also known as Vertical Sleeve Gastroectomy, is an innovative procedure commonly chosen by potential bariatric patients because it has fewer long-term risks and doesn't require any foreign objects to be placed inside the body. Out-of-town patients also favor this procedure because of the minimal follow-up care required. The sleeve procedure continues to become more frequently chosen as more insurance plans cover it for their members. Patients undergoing the sleeve procedure can typically expect an overnight stay in the hospital and the ability to return to work or other commitments within one week of surgery. Sleeve patients who practice the principles of behavior change can expect, on average, 60-70 percent excess weight loss within two years of having surgery. Additionally, patients tend to have fewer long-term risks such as ulcers, hernias and nutritional deficiencies.
Adjustable Gastric Band
Gastric banding surgery is performed laparoscopically by placing an inflatable band around the upper part of the stomach. The new, small upper stomach pouch and a narrowed outlet limit the stomach capacity and increase the feeling of fullness. The band is adjusted by filling it with saline, which is injected through a port placed under the skin. The following reduction in food intake results in weight loss.
Roux-en-Y Procedure (Gastric Bypass)
In the Roux-en-Y procedure, a small stomach pouch is created (approximately one ounce or about the size of a golf ball) by dividing the top of the stomach from the rest of the stomach. Surgeons then connect the new stomach pouch to the small intestine. This reduces the amount of food eaten and decreases absorption of the food that is consumed.
Obalon® Balloon System
The Obalon® Balloon System is a swallowable, non-surgical treatment option for weight loss that includes light-weight balloons that occupy space in the stomach so patients eat less. This weight-loss option is intended to be used as an adjunct to a moderate intensity diet and behavior modification program. Adult men and women may be candidates for this procedure if they are about 30 to 100 pounds overweight, depending on their body mass index. The balloons are delivered as capsules swallowed by the patient. Once in the stomach, a thin inflation catheter fills the balloons with air. Up to three balloons are placed in the stomach over three months to maximize patient tolerability and facilitate progressive weight loss. All balloons must be removed in an endoscopic procedure six months after the first balloon is placed. After the balloons are removed, patients will continue to be seen for another six months to check their progress.
Individual results may vary. There are risks associated with any surgical procedure. Talk with your doctor about these risks to find out if bariatric surgery is right for you.