LAP-BAND ADJUSTMENTS & REVISIONS

We Provide Lap-Band Adjustments & Monitoring. 

Many patients fail to lose greater than 50% of their excess weight.  

SLEEVE GASTRECTOMY SURGERY

This procedure is rapidly becoming the most commonly performed version of weight loss surgery.  In this surgery, approximately 80% of the stomach is permanently removed, leaving behind a small tubular stomach resembling a banana (or a miniature shirt “sleeve”). 

Weight loss occurs through this procedure by multiple mechanisms.  First, the smaller stomach reduces the amount of food that can be eaten at any given time, thereby restricting the calories consumed, which makes this a restrictive procedure.  Equally, if not, more importantly, this surgery causes a change in the gut hormones.  With the removal of the stomach, the hunger hormone, known as Ghrelin, located in the stomach, is also removed.  Hunger reduction and improved satiety is a result.  Sleeve Gastrectomy also produces positive changes in the hormones of other portions of the gut, which lead to improved glycemic control and weight loss.

KEY ADVANTAGES

  • Results in significant and comparable weight loss to that of Roux-en-Y Gastric Bypass (>50% of excess weight).
  • Long-term maintenance of weight loss also comparable to Gastric Bypass (>50% of excess weight).
  • Does not use foreign bodies like Gastric Banding, and does not rearrange gut anatomy like Gastric Bypass.
  • Has a low complication rate in the short and long-term, with the hospital stay frequently lasting only 1-2 days. Some insurances even consider this an outpatient procedure.
  • Produces positive changes in gut hormones that lead to reduced appetite and increase satiety, as well as improved control of blood sugar levels and Type 2 Diabetes.

DISADVANTAGES

  • This procedure is non-reversible.
  • May produce vitamin deficiencies, most commonly iron and vitamin B12.
  • May produce acid reflux in a small number of patients.