What are the surgical options

When all other avenues are exhausted, a surgical weight-loss procedure may be the next step. Emerge Surgical has seen several patients who have tried to achieve weight-loss goals and found a surgical option to be a positive experience.

There are several surgical options available, with the following performed by Dr Gordon Padovan at Emerge Surgical:

Laparoscopic Adjustable Gastric Banding
In adjustable gastric banding surgery (also known as lap band surgery) a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The lap band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

SIPS Procedure
In essence SIPS involves the following:

1. Performing a standard Sleeve Gastrectomy
2. Dividing the duodenum just beyond the stomach
3. Hooking up the small bowel to the duodenum so that over half the bowel is bypassed thereby inducing malabsorption of calories

Sleeve Gastrectomy or Gastroplasty
The sleeve gastrectomy is a type of weight loss surgery that involves removing the outer (lateral) 3/4ths of the stomach. The gastric sleeve surgery is usually done laparoscopically (keyhole surgery) and is not reversible. It basically leaves a stomach sleeve (tube) instead of a stomach sack.

Laparoscopic Roux-en -Y gastric bypass
When we do the Gastric Bypass surgery, Roux en-Y, we want to make a very small pouch out of the upper stomach, to restrict the amount of food which can be eaten. That pouch is separated from the rest of the stomach, which is bypassed, by creating a new pathway into the intestines. This pathway is called a “Roux en-Y” (named after the French surgeon, Dr. Roux, who first described this reconstruction in the 1800’s). The bowel is cut, and reconstructed in a Y configuration, so that two parts of the GI tract can feed into one.

To know which surgical option is best for you, chat to the Emerge Surgical team today.