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Types of Bariatric Surgery

Bariatric Surgery is the formal medical name for weight loss surgery. Bariatric Surgery is not cosmetic or liposuction. Bariatric surgery changes your digestive system so that your body takes in fewer calories. This changes your body’s energy balance so that you eat fewer calories than you burn, resulting in gradual, long-lasting weight loss.

Typical candidates for weight loss surgery are severely obese at more than 100 pounds overweight. When dieting and exercise alone are not enough, there are other weight loss options. Crittenton’s Bariatric Surgery Program uses a holistic approach to help our patients who’ve suffered from seemingly hopeless situation of living with serious weight issues to begin a new life. In addition to surgery, Crittenton offers:

  • Education around obesity and weight loss
  • Medical support
  • Nutritional therapy
  • Support groups
  • Fitness training
  • Counseling services
  • Financial counseling

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Sleeve Gastrectomy Surgery

Sleeve has a number of advantages over other bariatric procedures.

  • Performed in under an hour and home same day
  • No rerouting of intestines
  • No device implanted with need for maintenance
  • Less nutritional concerns than the bypass patient
  • Patient success is due to detailed patient selection and education, meticulous technique with short operative times, and careful postoperative management. Pain, nausea and scarring have been minimal. Patient satisfaction is quite high. Within days patients are back to usual activity and return to work in one to two weeks
  • The surgery involves removing a portion of the stomach, the fundus. This provides superior restriction when compared to gastric banding, since the restriction extends the length of the stomach. Also, the Sleeve Gastrectomy significantly reduces hunger in part by decreasing the hunger hormone ghrelin. When patients are hungry, appetite is quickly satisfied with a small amount of food. Unlike gastric banding, the Sleeve Gastrectomy does not require the implantation of an artificial device. Patients with the Sleeve Gastrectomy can tolerate denser types of foods than those who have gastric banding
  • Sleeve Gastrectomy is a simpler operation than the gastric bypass, since there is no “rerouting” of the intestines. Weight loss with Sleeve Gastrectomy is very similar to those who have gastric bypass surgery. Patients with lower body mass index (BMI) are losing close to 100% of their excess weight the first year
  • Historically, patients with a body mass index greater than 60 had the sleeve Gastrectomy as the first part of a 2-stage operation (the duodenal switch). Surgeons found that doing the sleeve Gastrectomy alone resulted in significant weight loss and many did not need the second stage (intestinal bypass) of the duodenal switch

Lap-Band Gastric Banding System

As specialists in minimally invasive laparoscopic surgery, you’ll definitely be in good hands when you choose to undergo a Lap-Band procedure at CHMC Bariatric Center. Approved by the FDA in June 2001, the BioEntrics Lap-Band Adjustable Gastric Banding System is an adjustable surgical treatment for morbid obesity. It induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed. Since its clinical introduction in 1993, more than 100,000 Lap-Band procedures have been performed around the world.

Gastric banding is a minimally invasive weight loss procedure. Unlike sleeve Gastrectomy and gastric bypass, the Lap-Band Adjustable Gastric Banding system involves no use of metal surgical staples, no amputation of any part of the stomach, nor any cutting of the intestines.

Data from the Bariatric Outcomes Longitudinal Database showed that sleeve Gastrectomy had a 3 times greater rate of total complications in the first year when compared to gastric banding. Additionally, data from the American College of Surgeons database within the first 30 days showed:

  • 3x greater chance of readmission to the hospital
  • 3x greater chance of reoperation
  • 3x the length of hospital stay following the procedure