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I made an amazing choice
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I've lost 150 pounds
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Types of Bariatric Procedures

Bariatric surgery is the clinical term for weight loss surgery. Roper St. Francis offers three different procedures, gastric bypass, adjustable gastric banding and gastric sleeve resection. The following information will help you learn about and compare the different procedures to determine which option may be right for you.

 

Gastric By-Pass
Gastric Bypass 

(Roux-en-Y Gastric Bypass)

Gastric bypass is the most commonly performed bariatric surgery option. During the procedure, the surgeon creates a smaller stomach pouch which restricts the amount of food that can be consumed (restriction). The surgeon then attaches one end of a Y-shaped section of the small intestine directly to the pouch. This allows food to bypass the remainder stomach and a portion of the small intestine, where the majority of the calories and some nutrients are absorbed (malabsorption). Having the smaller stomach pouch causes patients to feel fuller sooner and eat less food.

Gastric bypass surgery usually takes two to three hours to perform through small incisions. Patients typically stay in the hospital for three days following the surgery for observation during their recovery. If you live more than 90 minutes from the office, you will be required to stay in the area for a 14-day period (unless otherwise directed by your surgeon). Learn about accommodations in the Charleston area.

Life After Gastric Bypass

Excess Weight Loss
Initially, gastric bypass patients lose at least 70-75% of their excess body weight, and in some studies these patients are able to keep greater than 61.6% of the excess body weight off for up to 20 years.

Health Benefits
Studies found that gastric bypass:

  • Resolved type 2 diabetes in 83.8% of patients and often resolved the disease within days of surgery
  • Resolved high blood pressure in 75.4% of patients
  • Improved high cholesterol in 95% of patients


Quality of Life 
Many bariatric surgery patients who have significant weight loss experience:

  • Improved overall quality of life 
  • Improved physical functioning and appearance
  • Improved social and economic opportunities


Recovery
The Bariatric & Metabolic Services team will advise you on when to resume normal activities and when to return to work. You are encouraged to take four weeks away from work. You will need this time to focus on a new way to eat and get accustomed to a new way of life.

Potential Concerns of Gastric Bypass
As with any major medical procedure there are concerns to consider including:

  • A condition known as dumping syndrome can occur from eating high-fat, high-sugar foods. While this isn’t considered a health risk, the results can be unpleasant and may include vomiting, nausea, rapid heart rate, weakness, sweating, faintness and diarrhea.
  • Patients must supplement their diet with bariatric supplements for the rest of their life. Some patients must take supplemental vitamin B-12 and/or iron pending the results of follow-up lab tests.
  • The stomach, duodenum and parts of the small intestine cannot be seen easily using X-ray or endoscopy if there are problems after surgery such as ulcers, bleeding or malignancy, but this is rare.

 

Watch video animation of a gastric bypass surgery.

 


 

Gastric Band
Adjustable Gastric Banding


The gastric band facilitates weight loss by reducing the size of the stomach to restrict food intake. A small pouch is created at the top of the stomach using an adjustable gastric band to delay food from reaching the larger section of the stomach. The band can be tightened or loosened over time to assist patients in achieving optimal weight loss. Patients with a gastric band usually cannot eat as much as those who undergo gastric bypass surgery. Additionally, the adjustable gastric band is reversible, but like all bariatric surgical options, this procedure should be considered a permanent solution.

Gastric banding surgery usually takes about one to two hours to perform. Most patients stay overnight for observation. If you live more than 90 minutes from the office, you will be required to stay in the area for a 14-day period (unless otherwise directed by your surgeon). Learn about accommodations in the Charleston area.

Life After Gastric Banding

Excess Weight Loss
Gastric banding patients typically lose 50-55% of their excess weight in the first two years of surgery.

Health Benefits
Studies found that gastric banding:

  • Resolved Type II diabetes up to 70% of patients within two years of having surgery
  • Resolved high blood pressure in 38.4% of patients
  • Improved high cholesterol in 78.3% of patients


Quality of Life
Many gastric banding patients who have significant weight loss experience:

  • Improved overall quality of life 
  • Improved physical functioning and appearance
  • Improved social and economic opportunities


Recovery
The Bariatric & Metabolic Services team will advise you when to resume normal activities and when to return to work. You are encouraged to take four weeks away from work. You will need this time to focus on a new way to eat and get accustomed to a new way of life. 

 

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              Potential Concerns of Gastric Banding
As with any major medical procedure there are concerns to consider including:

  • Gastric banding can help you feel satisfied sooner and with less food, but it won’t eliminate the desire to eat. You will need to follow your specific diet and exercise guidelines provided by your surgeon to achieve success.
  • Gastric banding requires more intensive follow-up care than most other bariatric surgeries. This is mostly because the band is adjustable. Keep in mind that even after reaching and maintaining your success weight, you may still need to see your healthcare professional for further adjustments.

 

Watch video animation of gastric band procedure.



 

Gastric Sleeve Resection

 
The gastric sleeve procedure permanently alters the size of your stomach by removing about 85% of the lower portion of the stomach, creating a thin, vertical sleeve – about the size and shape of a small banana. 

The gastric sleeve procedure usually takes a little more than an hour to perform. Patients typically stay at the hospital for one to two days following surgery for observation during their recovery. If you live more than 90 minutes from the office, you will be required to stay in the area for a 14-day period (unless otherwise directed by your surgeon). Learn about accommodations in the Charleston area.

Recovery
The Bariatric and Metabolic Services team will advise you of when to resume normal activities and when to return to work. You are encouraged to take four weeks away from work. You will need this time to focus on a new way to eat and get accustomed to your new way of life.

Watch video animation of gastric sleeve procedure.

 

 

Gastric Sleeve

Learn more about the different bariatric procedures.