Laparoscopic Bariatric Surgery
Roux-en-Y gastric bypass (pronounced roo-en-why, or simply RYGB) involves both restrictive and malabsorptive techniques to produce long term weight loss. It is restrictive (due to the creation of a small stomach pouch), and malabsorptive (due to bypassing a variable portion of the small intestine depending on patient's BMI before surgery). RYGB is considered the “gold standard” of weight loss surgery and is the most commonly performed bypass surgery in the U.S. today.
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Laparoscopic Vertical Sleeve Gastrectomy
As name implies Vertical Sleeve Gastrectomy involves removal of 80% of the stomach with creation of narrow sleeve-like tube. With this procedure capacity of the stomach to hold food is greatly reduced thus inducing satiety with small amounts. There is also a hormonal component of appetite reduction produced with this surgery since the removed portion of the stomach is responsible for production of hormone like substances regulating hunger.
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The latest generation of the LAP-BAND® System - the LAP-BAND AP® System - is the most advanced adjustable gastric banding system approved by the FDA and was built on a proven heritage of effective laparoscopic adjustable gastric banding technology.
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The REALIZE™ Band was designed and developed with your safety and comfort in mind. The band is a strong, flexible silicone structure made entirely of biocompatible materials. With the REALIZE Band, weight loss occurs at a natural and healthy rate— ranging from 1- 2 pounds per week.
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This is a new incisionless surgical option to enhance weight loss after failed gastric bypass, duodenal switch or sleeve widening after sleeve gastrectomy. This Natural Orifice Surgery (NOTES) involves no incision and is associated with minimal patient downtime.
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Indications for revision bariatric surgery fall in two broad categories:
1. Insufficient weight loss
2.Complication of initial bariatric surgery.
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