Surgical options available
Laparoscopic Vertical Sleeve Gastrectomy
- Performed laparoscopically
- Several (5-6) small incisions in abdomen
- 1 or 2 day hospital stay
- Fast weight loss similar to a Gastric Bypass
- Removal of hunger causing hormone centers in the stomach
Open Roux-en-Y Gastric Bypass
Open gastric bypass are safe surgeries and each has advantages. Your surgeon will individualize what is the best option for you after evaluating your past medical history. Both techniques result in the same anatomy and nearly identical long term weight loss.
Open Gastric Bypass
- Incision from breastbone to belly button
- Faster surgery resulting in less time under anesthesia
- 2 day hospital stay minimum
- Equivalent risk of leaks as compared to Laparoscopic Gastric Bypass
- Similar risk of internal hernia as compared to Laparoscopic Gastric Bypass
- Easier to treat any other problems such as scar tissue in abdomen
- Longer recovery time
- Increased risk of incisional hernia or wound problems as compared to Laparoscopic Gastric Bypass
Which Surgery is Right for Me?
Roux-en-Y Gastric Bypass, Sleeve Gastrectomy
It is important to remember that each of these surgeries is effective at weight loss. Some people will do better with one or the other, but you must carefully consider which surgery is right for you. Our team will help counsel you about each surgery in order to try to find the best surgery for you.
The vertical sleeve gastrectomy is the newest bariatric procedure available. It was originally performed in higher risk patients intended as a first step toward a later more complex procedure such as a gastric bypass. It became a single step procedure in 2003 and has improved weight loss. The amount of weight loss falls between the lap band and the gastric bypass. The weight loss is rapid like the gastric bypass and patients reach their weight loss goals in 12-18 months. It has excellent cure of weight related disease like diabetes and obstructive sleep apnea. There is no device requiring adjustments or device related complications. The risk of vitamin problems is lower than the gastric bypass because there is no malabsorption or bypassed intestine. This surgery cannot be reversed. It can be converted to a gastric bypass if necessary. There is not long-term data. Current data is 7 years. Risk of long-term weight regain is not known.
The Roux-en-Y gastric bypass has been the most common operation for weight loss for over 15 years. The weight loss is typically very rapid after this surgery with most patients losing their expected weight within 12-18 months. It also has a rapid resolution of comorbidities such as diabetes which may resolve within weeks to months. This surgery has the potential for greater weight loss if you start at a heavier weight prior to surgery as compared to a laparoscopic adjustable gastric band. This surgery is safe with major complications occurring infrequently. The changes to your stomach are lifelong and very difficult to reverse or adjust. You often have more food intolerances with a Gastric Bypass.
Our team is committed to finding the best surgical approach for you. We will answer all questions about each surgery to help you determine which surgery will produce the best results for you. Remember, every person is different and you must carefully evaluate all benefits and risks prior to deciding which surgery is best for you.