Bariatric Weight Loss Surgery

Bariatric surgery in the U.S. typically defines one of four types of weight loss surgeries for the morbidly obese. These include:

• Adjustable gastric banding – Lap-Band surgery falls under this type. It reduces food intake with use of a band across the stomach, which produces a small thumb-sized pouch. A circular balloon inside the band, which can be inflated or deflated with saline solution, adjusts the size of the outlet as needed. Adjustable gastric banding restricts food intake and prolongs the feeling of fullness.

• Gastric bypass – This is a more invasive procedure that restricts food intake and decreases food absorption. Food intake is restricted by a small pouch similar to the pouch used for adjustable gastric banding. Absorption is reduced by routing food directly from the pouch to the small intestines. This is not a bariatric procedure we offer.

• Biliopancreatic diversion with a duodenal switch – This bariatric procedure is more invasive and complex compared to other bariatric surgery options. It includes removing a large portion of the stomach, diverting the food path away from the small intestine to prevent food absorption and enhancing digestion by re-routing bile and other digestive juices that impair digestion. This not a bariatric procedure that we offer.

• Vertical sleeve gastrectomy – This bariatric surgery was formerly only performed as the first stage of the gastric bypass in patients at high risk for complications as a result the bariatric surgery. The procedure reduces food intake through removal of the stomach fundus area, where Ghrelin, the appetite stimulant, is produced. Significant weight loss can occur though a full gastric bypass is not administered.

Which Bariatric Surgery is Right for You?

The first step is to determine whether bariatric surgery in general is a good choice for you. Consider weight loss surgery only after you’ve taken nonsurgical weight loss approaches without success. If any of these apply to you, you should give bariatric surgery more serious consideration:

• You’re unable to lose or keep off weight with nonsurgical methods, including fully committed attempts with healthy diet and exercise.

• You’ve received education on the various weight loss surgical procedures, including the side effects after treatment.

• You’re aware of the adjustments you will need to make after the procedure, including adjustment to side effects, thorough chewing and smaller meals.

• You’re aware of the potential risks and dietary restrictions.

• You can commit to lifelong lifestyle changes, including healthy eating, healthful activity, medical follow-up and vitamin/mineral supplementation.  Keep in mind that healthy weight, regardless of whether or not you undergo surgery, involves a strong effort and commitment on your part for the rest of your life.

To find out more about whether bariatric weight loss surgery is good for you and which surgery would be best suited, consult with respected bariatric surgeon Dr. Collier, or attend one of his free weight loss surgery seminars. Call 281.367.2263 to schedule a consultation appointment or sign up for a seminar.

Dr. Collier serves bariatric surgery patients throughout the Houston area, including The Woodlands, Conroe, Houston, Kingwood, Huntsville, Atascocita, Humble and Spring, Texas.