Bariatric Surgery

Shaping A Better Future Through Bariatric Surgery

Sleeve GastrectomyFor some individuals struggling to lose weight, no amount of dieting, exercise or lifestyle modification can significantly impact severe obesity. It is a reality that can lead to frustration, depression, and in many cases, serious health issues. Fortunately, weight loss through bariatric surgery may be an effective option where other approaches have failed. Determining whether you may be a candidate for bariatric surgery is a process that requires a serious and honest discussion with your doctor and your family. It is a decision that should not be taken lightly. Within the following pages you will learn more about the choices in bariatric surgery, how they will impact your body and your lifestyle, and what you will need to do to take control of your weight and your life.

For more weight loss information, contact:

Bay Bariatric Surgery
960 7th Ave N
St. Petersburg, FL 33705 USA
Phone: (727) 755-0007
Fax: (727) 825-1357

Sleeve Gastrectomy

This procedure involves surgery on the stomach only (a restrictive procedure) and does not involve the intestine (which would make it malabsorptive). It basically consists of making a stomach that originally looked like a pouch into a long tube or “sleeve.” The sleeve gastrectomy procedure removes approximately 2/3 of the stomach, which provides for quicker satiety (sense of fullness) and decreased appetite. The smaller stomach sleeve restricts food intake by allowing only a small amount of food to be consumed in a single sitting.

  • A small sleeve (or narrow tube) is created with a surgical stapler along the inside curve of the stomach, from the pylorus of the stomach up to the esophagus.
  • After the creation of the sleeve is completed, the remainder of the stomach is removed.
  • The valve at the outlet of the stomach remains and provides for the normal process of stomach-emptying to continue, which in turn allows for the feeling of fullness.
  • Incisions are typically closed with absorbable sutures (stitches that do not need to be manually removed)

Procedural Considerations

Pros

  • Does not require the implantation of a foreign body, such as a silastic ring used in gastric banding.
  • The procedure both mechanically decreases the size of the stomach and also decreases the secretion of the hormone, ghrelin, which is responsible for the feeling of fullness, by removing the part of the stomach that produces this hormone.
  • There is no malabsorption.
  • There are no anastomoses or rerouting of the intestinal tract.
  • Fewer vitamin deficiencies when compared to gastric bypass.
  • Less long-term maintenance than gastric banding because no band fill is needed.
  • No vitamin or mineral deficiencies due to malabsorption.
  • More weight loss than Adjustable Gastric Banding.
Cons

  • Potentially slower weight loss than Roux-en-Y Gastric Bypass or Duodenal Switch.
  • Not as much clinical data available when compared to gastric bypass and adjustable gastric banding.
  • Potential for gastric leaks due to stapled resection of the stomach (less than 1%).

Lap Band Surgery

This procedure utilizes an adjustable band that is placed at the top of the stomach to create a small pouch. With its reduced size, this pouch provides a sense of satiety after a very small meal. The opening to the rest of the digestive tract is adjustable through an epidermal port. Weight loss is slower than alternative weight loss procedures, but with appropriate aftercare and routine band adjustments, it has been shown to ultimately result in comparable long-term weight loss three or four years after surgery.

  • A band is placed around the top of the stomach, creating a small pouch that limits food intake.
  • Additionally, a small port is affixed inside the body that allows the band to be adjusted later to make the pouch smaller or larger.
  • Internal incisions are typically closed with absorbable sutures (stitches that do not need to be manually removed) while external incisions are closed with sutures, steri-strips or staples; based on surgeon preference.

Procedure Considerations

Pros

  • No resection of the stomach.
  • No vitamin or mineral deficiencies due to malabsorption.
  • There are no anastomoses or rerouting of the intestinal tract.
  • No protein-calorie malabsorption.
Cons

  • Less weight loss than Gastric Bypass and Sleeve Gastrectomy.
  • Risk of slippage or band erosion, which may result in re-operation.
  • Risk of mechanical failure, due to port or tubing leakage.
  • Routine follow-up adjustments required.
  • Requires the implantation of a foreign body.

More Lap Band Information

The physicians of Bay Surgical Specialists offer the most advanced surgical procedures and the highest quality of care. Contact us and schedule an appointment today by calling (727) 456-8882.