Types of Gastric Surgery
There are three different surgical options performed at The New Image: Laparoscopic gastric bypass surgery, Laparoscopic Adjustable Gastric Band and the open Roux-en-Y gastric bypass. All three surgical procedures are very successful for individuals who require weight loss in excess of 100 pounds. The benefits of our laparoscopic surgeries is that it is less invasive which leads to less pain, easier and faster recovery and improved cosmetic results.
Laparoscopic Gastric Bypass Surgery
Laparoscopic gastric bypass surgery is an operative procedure performed with the aid of a laparoscope (a fiber-optic tube and light source connected to a small video camera which allows the visualization of the abdominal organs on a closed-circuit TV monitor.) During the procedure, surgical instruments inserted through small incisions are used to divide and staple a "new stomach", referred to as a "pouch". This pouch is only about 5-10% of the "old stomach" (a golf ball vs. a football) and holds less food. Sections of the small intestines are stapled and sutured to the new stomach, allowing food to "bypass" portions of the small intestines. With a smaller stomach, you feel full after a few bites and fewer calories are absorbed through the altered digestive tract.
Because this specialized procedure is performed laparscopically, thereby making only tiny incisions, patients can expect better cosmetic results, less pain, shorter hospital stays, quicker recovery times and less chance of wound infection or hernia – two complications that could occur with any major gastrointestinal surgical procedure. Approximately 90% of the gastric bypass surgeries performed at The New Image Surgical Weight Loss Center are performed laparscopically.
Laparoscopic Adjustable Gastric Band
In Laparoscopic adjustable gastric banding, surgeons use a silicone band to create a small pouch out of the top of the existing stomach. This limits food consumption without disrupting the normal progression of food through the digestive tract. The procedure does not involve any intestinal connections and there is no malabsorption component with this procedure. Although excellent weight loss can be achieved, it is generally slightly less than that resulting from a gastric bypass procedure. The band has its advantages. In order to accommodate for a patient’s future needs, such as pregnancy, the band is "adjustable." And hospitalization time is generally limited to approximately 1-2 days, depending on the individual. Recuperation is significantly reduced with most patients returning to work in 7-10 days. Post-operative problems such as nausea, vomiting and reduced energy occur less often with the gastric band compared to the gastric bypass.
Roux-en-Y Gastric Bypass
The Roux-en-Y gastric bypass is a combined restrictive and malabsorptive procedure that moderately limits calorie and nutrient absorption and may also alter food choices (Approximately 50% of patients have difficulty with foods or liquids high in refined sure (table sugar). That delicious looking cheesecake is not what the doctor or your new stomach should order and might be off-limits. The normal amount of sugar in what is not considered desserts or snack food will generally not be a problem post-operatively.
The Roux-en-Y works by decreasing food intake, limiting the amount that the stomach can hold and delaying the emptying of the stomach, thereby maintaining a sense of "fullness", longer. In this operation, the stomach is divided into two separate compartments using 6 rows of staples. A newly created stomach "pouch" initially holds approximately 1 oz., but expands over time to hold 2 or 3 oz. The small intestine is divided, brought up and joined to the new stomach.
Plastic surgery can include reconstructive and cosmetic surgery. It can be utilized by many patients after weight-loss surgery after the weight loss has stabilized (usually 12-18 months). We work closely with a number of various plastic surgeons at the New Image Center.