Types of Procedures
Lake Huron Medical Center offers three types of bariatric surgery; all
procedures are available using laparoscopic or robotic-assisted surgery.
Laparoscopy is the technical term for minimally invasive surgical procedures,
requiring only very small incisions. With the addition of the da Vinci®
SI Surgical System at Lake Huron Medical Center, robotic-assisted surgery
now available for those undergoing bariatric procedures. Robotic-assisted
surgery provides enhanced vision of the operative field and greater precision
and physical dexterity than the human hand.
Our Bariatric Care offers:
- Sleeve Gastrectomy
- Gastric Bypass (Roux-en-Y)
- Adjustable Gastric Banding (Lap Band™)
Sleeve Gastrectomy is rapidly gaining popularity among patients seeking
permanent weight loss. It involves the removal of approximately 75 percent
of the stomach, leaving your stomach with about a 2-3-ounce capacity.
Your stomach would then be structured as a narrowed tube. The normal continuity
between the esophagus, stomach and small intestine is not changed, as
it is in gastric bypass surgery. Therefore, food (including necessary
vitamins and minerals) is absorbed normally. The small size of the new
stomach limits caloric intake and decreases some of the hormones that
stimulate appetite. Patients feel less hungry, which greatly helps with
Sleeve Gastrectomy is a safe and effective option for patients that have
100 pounds or more to lose. On average, sleeve gastrectomy patients lose
60-70 percent of their excess body weight within 18 months.
Gastric Bypass (Roux-en-Y)
Gastric Bypass involves two components. In this procedure, the stomach
is made into a small pouch to limit food intake then part of the intestine
is bypassed to reduce calorie absorption. The newly created stomach pouch
is considerably smaller and facilitates much smaller meals, meaning less
calories consumed. The rerouting of the food stream does produce changes
in hormones that stimulate appetite and suppress hunger.
Gastric Bypass produces significant long-term weight loss, typically between
60 and 80 percent excess weight is lost. Most patients maintain a weight
loss of 50 percent of excess weight.
Adjustable Gastric Banding (Lap-Band™)
Adjustable Gastric Banding (Lap-Band™) involves placing a synthetic
band around the uppermost portion of the stomach. The band is then tightened
and adjusted to limit intake and curtail hunger. Key benefits of adjustable
gastric banding are that there are no anatomical changes associated with
its placement and no risk that essential vitamins and minerals are not
properly absorbed. The band has several other advantages:
Adjustability. The band allows for an individualized degree of food restriction –
for example, a pregnancy is supported by allowing for increased nutritional
needs. Adjustments are easily performed in the surgeon's office.
Reversibility. The band is removable at any time and anatomy can be restored to its
original form. The band has fewer side effects and fewer risks. Nationally,
there is lower mortality risk and nutritional deficiencies with the lap
band than with other more involved bariatric surgeries.
Lake Huron Medical Center provides non-surgical band adjustments at regular
intervals and close follow up – both of which are needed to optimize
weight loss. For the motivated patient, adjustable gastric banding can
lead to effective weight loss. On the average, lap-band patients lose
50 percent of their excess body weight.