Surgical Techniques

Robotic Sleeve Gastrectomy

During a robotic sleeve gastrectomy, surgeons make a few small incisions in the abdomen and are assisted by a robotic platform to help perform the surgery. A camera enables the surgeon to see inside the body while using tools to cut the stomach vertically into two sections. The larger section is removed and the remaining stomach is stapled shut, which creates the sleeve shape. In a sleeve gastrectomy, there is no surgery needed on the small intestine and food progresses naturally through your digestive system.

This procedure is typically performed using the da Vinci® Robotic Surgical System. Robotic-assisted surgery provides surgeons with much improved visualization and greater dexterity, and it's a less invasive approach compared to traditional open surgeries. Benefits to the patient can include smaller incisions, less blood loss and quicker recovery.

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.

Non-Surgical Technique

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.

Jenny BrownPlease contact our Bariatric Coordinator and Clinical Reviewer, Martha Benton, RN, BSN, for more information at 941-708-8055.