Weight Loss Surgery Options: Choosing the One That's Right for You
- 14 November 2016
- Dr. Nidal (Nick) Masri
For people struggling with chronic obesity, weight loss surgery Miami is an attractive option, especially if they have done everything in their power to shed weight through diet and exercise.
Weight loss surgery has become the best way for overweight people to regain control of their lives and commit to a healthier lifestyle.
Restrictive weight loss surgery
Restrictive weight loss surgeries – such as lap band surgery and vertical banded gastroplasty – involves closing off some parts of the stomach to decrease its capacity for food storage.
Adjustable gastric band
Also known as the Lap-Band System, the adjustable gastric band is one of the safest weight loss surgeries available. It involves an inflatable band placed around the upper portion of the stomach. This creates a small stomach pouch above the band, while the rest of the stomach is below the band. Doing so can reduce feelings of hunger and make you feel full easily, which helps you decrease the calories you consume.
To perform this weight loss surgery Miami, you are first placed under general anesthesia. Next, the band is carefully inserted through a small abdominal incision and laparoscopically maneuvered into place. The gastric band is finally fastened securely around a small section of the upper stomach, near the esophagus. Your surgeon will also implant a valve connected to the band just beneath the skin, in which he can inject saline fluid to adjust the gastric band and the size of the stomach pouch to optimize healthy weight loss.
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Vertical banded gastroplasty
As another restrictive weight loss option, vertical banded gastroplasty involves closing off most of the stomach and leaving just a small pouch for food. The pouch severely limits food intake to stimulate weight loss. Unlike the adjustable gastric band, vertical banded gastroplasty produces a permanent surgical change to the digestive tract, as the band cannot be readjusted anymore. This procedure can either be performed as a conventional open procedure or as a laparoscopic procedure.
Even though vertical banded gastroplasty is effective in stimulating weight loss among patients, it has become less popular in recent years with the advent of more superior weight loss surgeries, like the adjustable gastric band and gastric bypass. Still, vertical banded gastroplasty makes patients less at risk to nutritional deficiencies because it is not a malabsorptive weight loss surgery. However, it is still advised that patients should enroll in a nutrition and fitness counseling program to educate them about the nutritional modifications that they need to implement after surgery.
Laparoscopic sleeve gastrectomy
Sleeve gastrectomy involves the removal of 80 percent of the stomach, reducing the organ into a tubular pouch that resembles a banana.
Since the new stomach pouch is considerably smaller than the normal one, sleeve gastrectomy can help significantly reduce the amount of food and calories that you can consume. It also has favorable effects on hunger, satiety, and blood sugar control. It is also an effective procedure for improving type 2 diabetes independent of weight loss.
According to studies, laparoscopic sleeve gastrectomy can result in more than 50 percent weight loss in a span of three to five years, making it comparable to gastric bypass surgery. In fact, it induces rapid weight loss right after the surgery, so you can see immediate results. However, it is a non-reversible procedure that has a potential for long-term nutrient deficiencies, since a large part of the stomach has been removed. It also has a higher complication rate than the adjustable gastric band.
Gastric bypass surgery
Gastric bypass is the most common type of weight loss surgery, as it can help people suffering from obesity lose between 100 and 200 pounds. The following are the various techniques used in gastric bypass surgery.
Roux-en-Y gastric bypass
Considered as the gold standard of weight loss surgery, the Roux-en-Y gastric bypass surgery is a combination of restrictive and malabsorptive techniques that has two components: the creation of a stomach pouch and the rerouting of the small intestine. The first portion of the small intestine is divided, and the bottom end of the divided small intestine is connected to the newly created stomach pouch. The top portion of the divided small intestine is then connected to the small intestine further down so that the stomach acids and digestive enzymes from the bypassed stomach and the first portion of the small intestine will eventually mix with food.
Though the Roux-en-Y gastric bypass produces as much as 80 percent weight loss in the long run, the procedure is more complex compared to other types of weight loss surgeries. Plus, strict adherence to dietary recommendations is critical to avoid long-term nutrient deficiencies.
Biliopancreatic diversion with duodenal switch
The biliopancreatic diversion with duodenal switch (BPD/DS) involves two components: the creation of a small tubular stomach pouch through the removal of a portion of the stomach, and the bypass roughly three-fourths of the small intestine. This limits the calories absorbed by the body, resulting in as much as 60 to 70 percent weight loss in five years while still allowing patients to eat near-normal meal quantities. It can also be an effective surgery for treating diabetes as it affects hormones that control blood sugar levels.
But since the bypassed part of the small intestine carries bile and pancreatic enzymes necessary for the breakdown and absorption of fat and protein, the food does not mix with these enzymes until very far down the small intestine. This can result in a significant decrease in the absorption of nutrients and calories, which might cause protein, mineral, and vitamin deficiencies in the long run.
Extended Roux-en-Y gastric bypass
Abbreviated as the RYGBP-E, this procedure is similar to the Roux-en-Y gastric bypass operation, except that a larger stomach pouch is created and a significantly longer portion of the small intestine is bypassed. Thus, the emphasis is less on restricting food intake and more on inhibiting the absorption of calories.
Mini gastric bypass
The mini gastric bypass is less invasive than other gastric bypass procedures since it is done laparoscopically. Instead of creating a stomach pouch, a small tube is used to bypass a portion of the small intestine, hence restricting the absorption of calories and nutrients.
Before you can undergo any of these weight loss surgeries in Miami, you first have to know if you are a good candidate for any of these procedures. Schedule a Free Consultation with one of Face + Body Cosmetic Surgery’s board-certified surgeons and feel free to ask them any questions that you may have regarding these weight loss procedures.