The board-certified bariatric surgeons of MultiCare Rockwood Weight Loss Surgery Center perform four different types of weight-loss surgery procedures at MultiCare Deaconess Hospital. Your surgeon will guide you to the option that is right for you.
Gastric banding, which is usually performed in a minimally invasive, laparoscopic procedure, is one of the least invasive approaches to weight-loss surgery because neither the stomach nor the intestine is cut. Placed around the upper part of the stomach, the band divides the stomach into a small upper pouch above the band and a larger pouch below the band. This small pouch limits the amount of food that a you can eat at any one time, and will result in a feeling of fullness after eating a small amount of food. Because the band is adjustable and does not permanently alter the anatomy, it provides an option for patients who may not otherwise consider surgery for treatment of their obesity. Other advantages to this procedure include a shorter hospital stay and no effects on the absorption of nutrients.
A sleeve gastrectomy is a restrictive surgical weight loss procedure that reduces the size of your stomach and, like the gastric band, is usually performed laparoscopically. During this procedure, a thin vertical sleeve of stomach is created using a stapling device, and the rest of the stomach is removed. This procedure limits the amount of food you can eat and helps you feel full sooner. Because food does not bypass any of the intestines, there is no malabsorption of nutrients. Since this procedure removes most of your stomach, the “appetite hormone” created by the stomach is reduced and therefore hunger is reduced.
According to the American Society for Bariatric Surgery and the National Institutes of Health, Roux-en-Y gastric bypass is the current gold standard procedure for weight loss surgery. It is one of the most frequently performed weight loss procedures in the United States. In this procedure, stapling creates a small (15 to 20cc) stomach pouch. The remainder of the stomach is not removed, but is completely stapled shut and divided from the stomach pouch. The outlet from this newly formed pouch empties directly into the lower portion of the small intestine called the jejunum, thus bypassing calorie absorption. This is done by dividing the small intestine just beyond the duodenum — the first section of the small intestine, where most chemical digestion takes place — for the purpose of bringing it up and constructing a connection with the newly formed stomach pouch. The other end of the stomach pouch is connected into the side of the Roux limb of the intestine creating the "Y" shape that gives the technique its name. The length of either segment of the intestine can be increased to produce lower or higher levels of malabsorption.
We perform revisional surgery is on a case-by-case basis depending on the individual’s needs.