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“This program is the closest thing
there is to a silver bullet for the treatment of obesity.”
 —Dr.
Fox |
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Types of Weight Loss Surgery
Surgery Helps
Some People Lose Weight
Bariatric or weight loss surgery helps some people
lose weight by restricting food intake or interrupting digestive processes.
weight loss surgery is a serious matter. You should clearly understand
the positives and negatives associated with the procedures before
making a decision about what is right for you. Whether you elect to
have surgery or not, it is important to realize that obesity is an
incurable condition that requires continuous treatment.
How the Normal
Digestive Process Works
As food moves along the digestive tract, digestive
juices and enzymes normally digest and absorb calories and nutrients.
When the stomach contents move to the small intestine, absorption
of almost all calories and nutrients is nearly complete. The food
particles that cannot be digested in the small intestine are stored
in the large intestine until eliminated.
Weight loss surgery works by making changes to the stomach and/or
small intestine.
How weight loss Surgeries Work
Bariatric surgery typically uses either a restrictive
approach, which limits the amount of food you can eat, or a malabsorptive
approach, which lets food move through the body in such a way that
fewer calories are absorbed. Some surgeries consist of a combination
of the two.
1. Restrictive weight loss Surgeries
With these procedures, a section of the stomach
is removed or closed which limits the amount of food it can hold and
causes the patient to feel fuller much sooner. The LAP-BAND® and Vertical
Banded Gastroplasty procedures are restrictive types of weight loss
surgery.
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LAP-BAND®
Surgery
The Laparoscopic Adjustable Gastric Band
procedure, more commonly known as LAP-BAND® surgery involves
using a Silastic® band to create a smaller stomach pouch, causing
patients to become full after eating a small amount of food.
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Vertical
Banded Gastroplasty (VBG)
The Vertical Banded Gastroplasty weight loss
surgery procedure staples off a section of the stomach and creates
a smaller stomach pouch. Then a band is used to restrict the
passage of food out of the pouch. After stomach stapling, the
patient cannot eat large amounts of food in one sitting.
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2. Malabsorptive weight loss Surgeries
This weight loss surgery alters the digestive system
to decrease the body's ability to absorb calories. The Biliopancreatic
Diversion and Extended (Distal) Roux-en-Y Gastric Bypass procedures
are malabsorptive types of bariatric surgery.
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Biliopancreatic
Diversion (BPD)
Biliopancreatic Diversion first creates a
reduced stomach pouch and then diverts the digestive juices
in the small intestine. A variation of this procedure called
Biliopancreatic Diversion with "Duodenal Switch." This operation
uses a larger stomach "sleeve" and leaves the beginning of the
duodenum attached. |
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Extended
(Distal) Roux-en-Y Gastric Bypass (RYGBP-E)
This weight loss surgery procedure is a variation
of the Roux-en-Y gastric bypass operation, putting less emphasis
on restricting food intake quantity and more on inhibiting the
body's ability to absorb calories. |
3. The Combined Approach - Restrictive and Malabsorptive Surgery
The Roux-en-Y gastric bypass procedure is a combination
operation in which stomach restriction and a partial bypass of the
small intestine work together to increase its effectiveness as a treatment
for severe obesity.
Open versus Laparoscopic
Surgery
During bariatric surgery procedures, two varying
techniques can be used—open bariatric and laparoscopic surgery.
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Open
Bariatric Surgery
Open bariatric surgery requires an incision
that begins directly below the patient's breastbone and ends
just above the navel. It usually requires a longer recovery
period. |
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Laparoscopic
Bariatric Surgery
Laparoscopic bariatric surgery involves making
several small incisions in the stomach area and performing the
operation by video camera. A laparoscope, the device used to
capture the video, is inserted through an abdominal incision.
This provides the bariatric surgeon a magnified view inside
the abdomen. The advantages of the laparoscopic approach include
less post-operative pain, a shorter recovery period, and less
extensive scarring than with open bariatric surgery.
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Weight Loss for Post Surgery
Patients and Those Who Don’t Have Surgery
Whether you elect to have weight loss surgery or
not, you can reach your goal weight more quickly and easily with support
from a compassionate physician. Dr. S. Ross Fox has helped over 6,500
women and men to lose weight. Dr. Ross has the expertise, compassion,
and desire to help patients through the life changing experience of
weight loss. LAP-BAND® procedure patients receive band adjustments
during their office visits at no additional charge. Learn how you
can receive a free, no-obligation, 30-minute
weight loss consultation with Dr. Fox. |
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