PMC Weight Loss Surgery Center Surgeon, Dr. Amy Johnson offers several surgical weight loss options. For information on these surgeries, please see the video below and the three sections immediately below that.
Sleeve Gastrectomy is a restrictive surgery that permanently reduces the size of the stomach by about 85 percent. This procedure is helpful for patients who wish to lose weight but have health conditions that make other procedures less safe.
During a Sleeve Gastrectomy, a surgeon removes the larger, rounded part of the stomach. The remaining portion of the stomach looks like a sleeve that holds 15 percent as much food as the original stomach. This is the only bariatric surgery that part of the stomach is actually taken out of the body. Unlike Gastric Bypass, which changes stomach openings, Sleeve Gastrectomy leaves the openings intact.
Gastric Bypass is the “gold standard” of operations for the treatment of morbid obesity. The procedure is split into three parts: portioning of the stomach into two sections – an upper (small) pouch and the stomach remnant along with the creation of a Y-connection into the small bowel.
Long-term weight loss: About 80 percent of excess body weight is lost in the first year (which is typically quicker than banding results). Studies show that the weight loss stayed at 80 percent four years following the procedure.
BPD-DS is a well established weight loss surgery procedure in which approximately 50 percent of the stomach is removed and a significant amount of the small bowel is re-routed to increase malabsorption of calories. This operation is reserved for patients with BMIs greater that 50.
The reduction in size of the stomach by 50 percent results in restriction of food being taken in and much of the effect of the operation is caused by the shortening of the bowel involved in the absorption of calories. This leads to excellent durable weight loss in patients with BMIs over 50. The duodenum is one of the portions of small bowel bypassed leading to the resolution of diabetes. The feeling of hunger normally disappears for some time.
Two – three hours
BPS-DS is typically done laparoscopically and requires general anesthesia.