Laparoscopic Roux-EN- Y Gastric Bypass
A small pouch is created from the upper portion of the stomach. This pouch is connected to the small intestine, separating the consumed foods from the digestive juices for the first five feet. This restricts the quantity of food that can be consumed and decreases the absorption of calories and nutrients.
- Results in a higher average loss of excess body weight
- No adjustments are required or artificial materials implanted
- Enhanced treatment of Type 2 Diabetes Mellitus
- Decreased vitamin and nutrient absorption (B12, calcium, iron and zinc)
- Mandatory lifelong vitamin and mineral supplementation
- Dumping syndrome
Laparoscopic Sleeve Gastrectomy
A surgical stapler is used to divide the stomach. 85 percent is removed the remainder forms a small "banana" sized stomach. The outlet valve and the nerves to the stomach remain intact and regular function is preserved.
- Does not require re-routing of the intestines so that vitamin and mineral malabsorption is minimized
- No implanted artificial material is required as well as no adjustments
- Possible increased heart burn or reflux after surgery
- Possible staple line leak or narrowing of the sleeve
Laparoscopic adjustable Gastric Band
An adjustable band is placed laparoscopically around the upper part creating a small pouch. This restricts the volume and type of foods the patient is able to consume.
- Does not require cutting or rerouting of the intestines
- It is adjustable and need be, removeable
- Can be performed as an outpatient surgical procedure
- Weight loss is slower than other procedures
- Multiple office adjustments are required
- The band can slip or erode into the stomach requiring additional surgery