If non-surgical methods have not helped you lose weight long-term, you may still have another option. Studies by the American Society for Bariatric Surgery have demonstrated that weight-loss surgery, as compared to non-surgical treatments, yields the longest period of sustained weight loss in patients who have failed other therapies. But keep in mind that a positive attitude, self-discipline, and the ability to plan ahead are key to the success of the surgery. Surgery can help you achieve your long-term goal only if you are ready to make a commitment to losing weight and keeping it off.
Intragastric Balloon Placement (ORBERA™)
ORBERA™ is an incision-less nonsurgical outpatient procedure performed in the endoscopy suite under mild sedation. After you’re given a mild sedative, the physician will insert the deflated balloon through your mouth and into your stomach. It is then filled with a safe saline solution until it’s about the size of a grapefruit. After the placement of the balloon you will be under a custom made program for weight loss design by a team of experts for one year. The balloon will remain in place for six months after which just like its placement, the balloon will be removed through a quick non-surgical procedure.
Laparoscopic Adjustable Gastric Band or LAP-BAND® System
The LAP-BAND System is a purely restrictive procedure that limits solid food intake by surgically inserting an inflatable band completely around the uppermost part of the stomach. This less traumatic reversible procedure does not include cutting or stapling the stomach and there is no bypassing of the intestines.
Laparoscopic Roux-en-Y Gastric Bypass
This highly restrictive and mild malabsorptive operation is the most frequently performed weight loss procedure in the United States. It involves creating a small 1-ounce pouch from the original stomach and thereby limiting food intake. To allow food to pass into the intestine a new connection must be created between intestine and the newly formed small pouch. This connection is created in such a way to limit food absorption aiding in weight loss.
Laparoscopic Sleeve Gastrectomy
The sleeve gastrectomy is a new procedure for weight loss that is particularly suited to those patients at highest risk for surgery, either because of their medical co-morbidities or their weight. The procedure involves removing 60% of the stomach, leaving behind a “banana shaped” sleeve of stomach. This portion of stomach restricts the amount of food that a patient can eat and leads to significant weight loss (up to 30-40% of excess weight).
Dr. Mailapur practices Bariatric Surgery at HH, a MBSAQIP Accredited Comprehensive Center.