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Types of Bariatric SurgeryDr. Moran performs both LAP-BAND System placements and Roux-en-Y gastric bypass procedures. Check our chart comparing LAP-BAND and gastric bypass for more details. Single-Incision Laparoscopic Surgery (SILS) is a minimally invasive procedure performed through one incision rather than the traditional four or more incisions. A small incision of approximately one-half inch is made in the bellybutton through which the surgeon can perform the Lap-Band procedure. The single incision allows for the scarring to be easily hidden, even appearing sometimes as if there is no scarring at all. A reduction in pain after surgery has also been experienced in some patients after having a SILS procedure. Patients that qualify for this type of procedure will be determined at their initial bariatric visit. Criteria such as BMI and previous surgery history may be used to qualify a patient for the SILS procedure. Benefits of Single Incision Laparoscopic Surgery include:
LAP-BAND System Procedure The LAP-BAND System surgery is performed laparoscopically by placing an inflatable band around the upper part of the stomach. The new, small upper stomach pouch and a narrowed outlet limit the stomach capacity and increase the feeling of fullness. The following reduction in food intake coupled with exercise results in weight loss.
Roux-en-Y Gastric Bypass Procedure The Roux-en-Y Gastric Bypass is considered by many to be the current gold standard procedure for weight loss surgery. It is the most frequently performed weight loss procedure in the United States. In this procedure, the upper portion of the stomach is divided off from the lower portion of the stomach, creating a small (1-2 ounce) gastric pouch. Both separated portions of the stomach are stapled and sealed shut. Approximately the first one-third of the small intestine is bypassed, and the beginning of the second portion of the small intestine is connected to the new gastric pouch. Although part of the gastrointestinal tract is reconfigured, the "bypassed" portions remain in place and are not removed. This process speeds digestion and causes less calorie absorption, thus increasing malabsorbtion of some nutrients. Laparoscopic Gastric Bypass v. Open ProcedureIn some patients, the laparoscopic or minimally invasive approach to surgery cannot be used. You may have an open procedure, or Dr. Moran may switch during the procedure from laparoscopic to open if one of these conditions exist: 1. Prior abdominal surgery that has caused dense scar tissue Gastric bypass is the most common type of surgery performed and has been performed for over 30 years in the United States. The lap-band surgery is growing in popularity due to its minimally invasive procedure and comparable results. The chart below shows a comparison of the LAP-BAND and gastric bypass procedures.
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