The Lap-Band surgery procedure places an inflatable and adjustable band around the upper portion of your stomach, to restrict the amount of food you can consume. This device is placed laparoscopically. A small port is placed under the skin and a thin tube connects the port to the inflatable band.
You will be required to periodic follow-ups for adjustments to the band, as you lose weight, to help curb hunger feeling. The device is inflated to restrict drainage of food from the small pouch. These adjustments are usually performed during a short office visit with little discomfort. The band is placed on an outpatient basis with most patients returning to work within one week.
Gastric Sleeve Procedure
The Sleeve Gastrectomy (vertical gastrectomy, gastroplasty) is perhaps the latest surgical option for weight loss. It is a restrictive surgery that facilitates weight loss by reducing the amount of food a person can eat at one time. The "sleeve" is the stomach portion of the procedure where 85% of the stomach is removed and the remaining portion is in the shape of a shirt sleeve-hence its name.
Since this operation does not involve any "rerouting" or reconnecting the intestines, it is a simpler operation than the gastric bypass or the duodenal switch. Unlike the Lap-Band procedure, the Sleeve Gastrectomy does not require the implantation of an artificial device. Also unlike the Lap-Band, the Sleeve Gastrectomy cannot be reversed. If for some reason the Sleeve Gastrectomy is not "aggressive" enough, typically for those with BMI>50, it can simply be converted to either a Gastric Bypass-why have the addition risks of intestinal surgery if you don't need to? This procedure is typically preformed laparoscopically with a 1 day hospital stay. Most patients will return to work with in two weeks.
Roux-en-Y Gastric Bypass Surgery
Roux-en-Y (roo-en-why) Gastric Bypass surgery uses staples to divide the stomach into two parts, a small upper pouch and a larger, lower section. The small upper pouch, which is the size of a golf ball (about half an ounce), will become the only part of your stomach to receive food.
The surgeon will attach a segment of your small intestine to the small pouch, effectively bypassing the larger section of your stomach. All though food does not enter the larger section of stomach, it still participates in the digestive process by secreting the stomach juices that combine with food during digestion. This procedure is typically preformed laparoscopically with a 1 day hospital stay. Most patients will return to work with in two weeks.