Kettering Bariatric specializes in weight-loss surgery for morbidly obese patients in Dayton, Ohio, and the surrounding communities. There are a variety of surgical options available today for the treatment of obesity. Before drawing any conclusions on what is best for you, it’s important to understand that all weight loss surgeries are not alike. Each one carries its own set of risks and benefits. Each of the surgeries we currently perform is listed below with some information. By learning more about each of the options, you will have a better understanding of which surgery might be right for you and what to expect.
- Biliopancreatic Diversion with duodenal switch: is also called BPD/DS of “duodenal switch.” This surgical weight loss procedure removes a large portion of the stomach, reroutes the normal food path, and changes the way bile and digestive juices break down food. This makes the patient feel full more quickly so less food is eaten reduces the calories absorbed into the body, which in turn helps create long-term weight loss. BPD/DS differs from other gastric bypass procedures by leaving more of the stomach and the valve that regulates the flow of stomach contents into the small intestine. This procedure is considered one of the most effective gastric bypass weight-loss procedures. However, by reducing the absorption of food into the body, BPD/DS can be associated with an increased of the risk of malnutrition. It’s important that a patient be monitored closely by a physician to ensure proper absorption of vitamins and minerals.
- Roux-en-Y Gastric Bypass: pronounced roo-en-why, or simply called RYGB, creates a small stomach pouch using staples or vertical banding and bypasses a major portion of the small intestine to restrict the amount of food consumed and absorbed by the body. RYGB can be performed as a laparoscopic (minimally invasive) procedure or as an open procedure based on what you and your surgeon decide is right for you. This procedure is considered the “gold standard” of weight loss surgery and has become the weight loss surgery of choice for many patients due to its superior weight loss results and resolution or elimination of co-morbidities (i.e. medical conditions that exist in addition to obesity). In addition, most patients have minimal, controllable side effects when they follow the appropriate post-surgery care program.
- Sleeve Gastrectomy: is a relatively simply surgical procedure in which the stomach is surgically reduced in size to a long narrow tube-like pouch, and the remaining portion is removed from the abdomen. Unlike the BPD/DS and RYGB, no intestinal bypass is performed. The patient loses weight through restricted food intake alone. Studies indicate that patients who have this procedure lose an average excess body weight of 55 percent in a 6-12 month time interval. Sleeve Gastrectomy is an irreversible procedure.
- Laparoscopic Adjustable Gastric Banding: or LAGB, is restricts food intake by securing a band around the upper portion of the stomach, separating it into a small section and a larger section. Unlike other weight-loss surgeries, LAGB does not remove any part of the stomach or small intestine. In addition, digestion takes place naturally. The gastric band is adjustable and can be loosened or tightened to change the rate of weight loss. This is the least invasive weight loss procedure. Revisional Bariatric Surgery: is a procedure to alter or repair an earlier weight-loss surgery.
The most common reasons for revisional surgery are medical complications, excessive weight gain after the initial operation or to increase the rate of weight loss. To be considered for revisional bariatric surgery, a patient must have regained a substantial amount of their original weight, experienced poor weight loss in general and/or had complications from their original operation. Because revisional bariatric surgery can be a complex operation, it must be carefully considered against the health hazards of morbid obesity. For all our procedures, our doctors are there to discuss any concerns and help you make the most informed treatment decision.