Weigh Your Weight Loss Surgery Options
Every body is different. Unlike centers that only specialize in one type of weight loss surgery, Balette Bariatric Center specializes in three types surgical weight loss options. Even better, Dr. Balette is board certified, so rest assured your procedure will be performed by certified experts.
It is true that one surgery may be recommended over another based on your personal situation and health concerns. We work with each patient to help them determine what is the best surgery for their body.
What are the Pros/Cons of Gastric Bypass, Sleeve Gastrectomy and Adjustable Banding?
Gastric Bypass is commonly known as the gold standard when it comes to weight loss surgery. Gastric Bypass involves rearranging the gastrointestinal anatomy using surgical staplers. (A small stomach pouch is created). The surgery lasts approximately two hours and usually requires two nights in the hospital.
The weight loss after surgery occurs over one to two years. Because most of the stomach and part of the small intestine is bypassed, patients are at risk for anemia and osteoporosis and must take vitamins and supplements for the rest of their lives.
The vitamins recommended for a bypass patient are: multi-vitamin, calcium, vitamin D, vitamin B and iron. Because the stomach and small intestine is stapled and divided, there is a risk for leaking and bleeding at the staple lines.
Gastric or Vertical Sleeve are the commonly used to describe Sleeve Gastrectomy. A Gastric Sleeve surgery does not involve rearranging the gastrointestinal anatomy, but does use surgical staplers similar to a bypass. A portion of your stomach will be removed to create a very narrow tube in lieu of an entire stomach. The narrow tube resembles a "sleeve", hence the name given to the surgery.
Gastric Sleeve surgery is not reversible. The surgery lasts around 1 to 2 hours and normally requires one night in the hospital. The weight loss occurs after one to two years. Patients do not have the same risk of nutritional deficiency that is found after gastric bypass. Similar to the bypass, there is a risk of leaking and bleeding at the staple lines. Since this is a newer procedure, it is less likely that your insurance company will cover it. Because a portion of the stomach—which aids in the absorption of certain vitamins and supplements—is removed, it is recommended that the following vitamins be taken after the Sleeve Gastrectomy: multi-vitamin, calcium, vitamin D, and vitamin B.
Gastric Banding is commonly referred to as "Lap Band" surgery which is driven by the manufacture of the actual banding device. Gastric Banding surgery involves placing a silicone device around the top of the stomach. The device is connected via tubing to a port that is placed under the skin. Gastric Banding surgery does not require the rearrangement or surgical removal of any of the patients anatomy.
The patient is mormally required to stay in the hospital for one night to monitor progress, although some patients can go home the same day as surgery. The entire surgical process typically takes one hour to complete. The weight loss after Banding occurs over two to three years. By using a special needle to access the port, the band can be adjusted by adding or removing saline solution. The adjustment changes the opening in the stomach at the level of the band and, therefore, controls how much food can be eaten. Banding requires more frequent follow-up visits, where adjustments may be performed. Vitamin recommendations are the same as any non-bariatric patient: multi-vitamin, calcium and vitamin D.
In summary, each of these procedures provides patients with good, sustained weight loss opportunities. It is important that recovering patients adhere to a proper diet and engage in exercise program to obtain the best results. The Sleeve and Bypass surgeries will provide faster weight loss, but there are more risks with the surgery and the recovery process can be more difficult. Gastric Banding is less invasive but does require ongoing adjustments to insure weight loss results.
There are many factors that will influence your choice of procedure, including your medical history and insurance coverage. We strongly believe in allowing you to choose your operation after learning about all of the benefits and risks of each procedure.
Each of our weight loss surgeries provide positive results for each patient, however a "life-style" adjustment to a more healthy lifestyle as part of the surgery recovery is the best way to insure a healthy and weight loss achieving recovery.