What are the benefits of different forms of weight loss surgery?


Once you and your doctor determine that weight loss surgery is the right plan for you, there are several options to choose from in Texas. Knowing what the risks and benefits of each procedure are key to making an informed decision.

There are three types of restrictive procedures which control how much food your stomach can consume:

●       Laparoscopic adjustable gastric banding
●       Vertical banded gastroplasty
●       Sleeve gastrectomy

Laparoscopic adjustable gastric banding

In this procedure, small incisions are made in the abdomen through which the surgeon places a silicone adjustable band over the upper portion of the stomach to form a small pouch that holds only about an ounce of food at a time.

The band is tightened or loosened by adding or removing saline through a plastic tube connecting the band to a port beneath the skin. This controls side effects and weight loss.

Gastric banding is the least popular option as it has a high rate of failure, but post-op patients tend to experience few side effects, with the most common being:

●       Nausea and vomiting
●       Minor surgical complications (<10%)
●       Banding doesn’t interfere with food absorption, so vitamin deficiencies are rare


Vertical banded gastroplasty

This procedure also uses a band around the stomach. The difference with this one is that the stomach is stapled into a smaller pouch above the band. This type of surgery has lower weight loss and is less common.

Sleeve Gastrectomy

Unlike the other surgeries, this procedure is not reversible. The surgeon takes over half of your stomach out, leaving behind a thin vertical sleeve. This surgery is the most popular option. Sleeve Gastrectomy has both the highest rate of success and a lower rate of complications. Patients recover in about 4-6 weeks.

Mixed surgery
This procedure involves both a restrictive procedure and a malabsorptive one. A gastric bypass involves the surgeon stapling the stomach and then reconnecting the new pouch to a portion of the small intestine farther down. This procedure ensures that less food is eaten and less food can be absorbed.

No matter which you choose, be sure to consult your doctor first, and be prepared for all possible outcomes.

Location: Plano, TX, USA

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