Surgical Treatment Options
The sleeve gastrectomy, also referred to as gastric sleeve surgery, is a very effective operation that can be done laparoscopically with several small incisions. The size of the stomach is reduced to 60 – 80 cc (70-80% smaller than the normal stomach size) resulting in hormonal changes that reduce hunger. Patients typically lose 50% to 60% of their excess body weight. With sleeve gastrectomy surgery, the pyloric valve that regulates emptying of the stomach is preserved allowing the feeling of fullness after eating to last.
Gastric band surgery is a safe, effective weight loss solution. Gastric banding is performed laparoscopically using several small incisions. It requires no stapling or cutting of the stomach, and the amount of food a patient can eat can be adjusted without the need for further surgery. The gastric band avoids irreversible changes to the stomach and bowel anatomy, and, if for any reason it needs to be removed, the stomach generally returns to its original form.
In the gastric bypass procedure, which is more specifically called the Roux-en-Y gastric bypass, stapling creates a small (15 to 20cc) stomach pouch. The remainder of the stomach is completely stapled shut and divided from the small stomach pouch. The outlet from the newly formed pouch empties directly into the lower portion of the jejunum (part of the small intestines), thus bypassing some of the intestines that take care of calorie absorption. This is done by dividing the small intestine just beyond the duodenum for the purpose of bringing it up and constructing a connection with the newly formed stomach pouch.
Non-Surgical Treatment Options
The Obalon Balloon System is different than any other weight loss balloon because patients do not need to be sedated or have any recovery time. Patients are given up to 3 Obalon balloons to take up space in their stomach. The balloon is deflated and in a pill that the patient can swallow. Once the pill is in the stomach, the doctor fills the balloon through a very thin tube that’s attached to the pill. One Obalon balloon is placed per visit, and each balloon is placed approximately 2 weeks apart. Six months from the time the first balloon was placed, all three balloons will be removed.
The Obalon Balloon System is approved for adults over the age of 22, who have a BMI between 30 and 40. Certain conditions may prevent Obalon from being an option for patients including pregnancy, gastrointestinal abnormalities, and certain digestive disorders.
Precaution: Patients should not plan to undertake scuba diving or travel in an unpressurized airplane cabin as these activities might cause the balloons to deflate.
The Orbera balloon procedure is a non-surgical procedure because it is placed “endoscopically.” This means that a tube is inserted down the throat, into the patient’s stomach and the balloon is placed with that tube. Placing the balloon generally takes under 10 minutes and is performed under light sedation. Once placed, the balloon is filled with saline. The Orbera balloon is filled to about the size of a grapefruit. Approved as a temporary device only, the balloon is removed in a similar procedure, within 6 months of being placed.
Orbera is approved for patients with a BMI between 30 and 40. Candidates must also have one obesity-related health condition such as diabetes or high blood pressure.
Thank you for visiting CHI Memorial Metabolic and Bariatric Care. We are a group of weight loss experts, led by Dr. Jaime Ponce, who focus on a complete program for our patients to lose weight. We are committed not only to a successful procedure - including gastric sleeve, gastric band, gastric bypass, revisions and weight loss balloons - but also in an aftercare program that gives you the best chance for success.