The LAP-BAND® procedure is a weight-loss surgical operation that relies on a silicone band to restrict food intake. During this procedure the band is positioned around the upper end of the stomach – a technique that establishes a small upper pouch which is linked to the larger bottom portion of the stomach by a narrow passageway. The purpose of the procedure is simply to create a “full” feeling in the patient, which can help to reduce the intake of food.
The key to the LAP-BAND’s® effectiveness is an adjustable collar that can be expanded or deflated for best results with each individual patient.
After connecting the LAP-BAND® to a reservoir via a tube specifically engineered for this purpose, the reservoir is positioned beneath the upper abdomen. After that, the stomach-collar can be adjusted by adding or removing needle-delivered saline solution at the doctor’s office.
The LAP-BAND® procedure usually requires only a 24 hour hospital stay. The procedure itself takes less than an hour and results in very little post-operative pain. In fact, most patients who undergo the lap-band procedure do not need to take prescription pain medicine - Tylenol or Advil usually is enough.
One of the best things about this approach is that it preserves the natural sequence of steps in digestion and absorption . . . so that the only food restriction involved comes from the mechanical lowering of the stomach’s capacity. In most cases, the procedure is very low-risk – although success does depend on maintaining both the small-pouch volume and the correct outlet diameter.
GASTRIC BYPASS Michigan: Roux-en-Y
It’s a fact: the most frequently conducted weight-loss surgical procedure in America today is known as “Roux-en-Y Gastric Bypass Surgery.”
Why? It’s simple. According to both the National Institutes of Health and the American Society for Bariatric and Metabolic Surgery, Roux-en-Y is currently considered to be the “gold standard” for weight-loss surgery – because of the way it offers patients a high average rate of weight-loss success and a low average risk of complications.
Another reason for the popularity of the procedure is its double-barreled approach to controlling the intake and absorption of nutrients. Roux-en-Y is both “restrictive” (meaning that it restricts food intake) and “malabsorptive” (meaning that it reduces the body’s absorption of nutrients from that food).
This procedure begins with a step in which the stomach is divided – an outcome that creates a pouch about the size of a medicine cup. The “restrictive” strategy greatly reduces the amount of food that can be stored at any one time, since feelings of “fullness” begin once the small pouch is filled during eating.
During this first step, the rest of the stomach is left intact, however, so that the risk of infection from invasive trauma remains low.
Next comes the “malabsorptive” part of the procedure, which is designed to reduce the intestines’ ability to absorb nutrients from digesting food. Here the small bowel is divided at a point about four inches from where it begins. Next, the divided portion of the bowel is connected to the “pouch” area of the now-restricted stomach. This section is then sutured back into place, but farther down the bowel. (In medical parlance, this artificially created digestive zone is now known as the “Roux limb.”)
After these steps have been completed, newly ingested food can move directly to the “common channel,” where food and digestive enzymes mingle so that nutrients and calories can be absorbed.
The bottom line: once the Roux-en-Y procedure has been completed, patients who receive it will be relying on less than half of their small intestine in order to absorb nutrients from the food they take in.
The good news for those patients, of course, is that most will now experience significantly diminished “food cravings” – even as they begin to rapidly lose weight.
Also known as “Vertical Sleeve Gastrectomy,” this highly effective bariatric surgical procedure is conducted by only a small number of highly skilled surgeons in the world – several of whom practice at DMC Harper University Hospital.
In this operation, the surgeon removes the left side of the stomach, which reduces the overall size of the body’s food-storage organ and thus helps the patient to lower food-intake. And the good news here is that the surgery doesn’t rely on “rerouting” or “reconnecting” of intestines. Simpler and easier to perform than Gastric Bypass, the Gastric Sleeve procedure also doesn’t depend on implanting any artificial devices within the abdomen.
Is Sleeve Gastrectomy right for you? For some patients with lower BMI, there are several potential advantages to consider:
---the long-term side effects are often reduced, since no intestinal bypass is required;
---no foreign bodies are implanted in the abdomen (this could be important for patients who are also considering a gastric band);
---Sleeve Gastrectomy can help patients with other medical issues, including such conditions as Crohn’s disease, asthma that requires frequent steroids, anemia or extensive prior surgery;
---Sleeve Gastrectomy can be effective for patients who must take anti-inflammatory medications.
Remember, also, that for patients with a BMI above 60, Sleeve Gastrectomy can be the first part of a two-step bariatric procedure that’s custom-tailored to each patient’s individual needs.
Bariatrics at DMC Harper University Hospital
specializes in several bariatric surgery options including:
Roux-en-Y Gastric Bypass Surgery
REALIZE™ Adjustable Gastric Band
Laparoscopic Sleeve Gastrectomy
In addition, Harper BMI also provides patients with the option of Robotic-Assisted Surgery. Surgeons at Harper BMI use the daVinci® si HD Surgical System, the first in Southeast Michigan with a dual console configuration.Harper BMI specializes in robotic-assisted Gastric Sleeve and Gastric Bypass surgeries.
This advanced state-of-the-art robotic technology allows weight loss surgeons to use robotic arms and 3-D cameras to perform elaborate, high-tech bariatric surgeries. Sitting in an ergonomically designed control console, doctors manipulate surgical tools through robotic arms with hand and foot controls only a short distance from their patient. The robotic arms hold tiny instruments with 360-degree movement capabilities which allow for greater precision.
Robotic-assisted surgeries typically last no longer than three hours and call for general anesthesia. Post-op recovery commonly requires one night in the hospital and patients experience considerably less pain and discomfort than with traditional surgeries. Small incision sites (usually 1-2 cm) and shorter recovery times aren’t the only advantages of robotic-assisted surgery. Patients also benefit from the following:
● Minimized surgeon fatigue
● Elimination of physiological tremors
● Small incision sites
● Less pain and scarring
● Reduced risk of infection
Take the first step!
Take the first step on your journey to a healthier you, by attending one of our free informational seminars. Our informational seminars are intended to provide you with the knowledge you need to decide if bariatric surgery is right for you. We provide two seminar attendance options: In-Person or Online.
To view our calendar of free in-person informational sessions, please click here.
To view our free online seminar, please click here.
Non-Surgical Weight Management
Developing your own balance of smart eating, attitude and activity is key to successful weight loss and management. The Harper BMI non-surgical weight management program combines nutrition, behavior and fitness assessments to develop individualized plans that will help you achieve weight loss success. To learn more about Harper BMI Non-Surgical Weight Management, click here.
Harper BMI has support groups in place to assist patients with short-term and long-term questions and needs. Ongoing post-surgical support helps produce the greatest level of success. Click here for a calendar of upcoming support groups.
To learn more about the bariatric/weight loss program at DMC Harper University Hospital, visit their website. For an appointment, a second opinion or more information, please call 1-877-362-9898.
Bariatrics at DMC Huron Valley-Sinai Hospital
DMC Huron Valley-Sinai Hospital specializes in several bariatric surgery options including:
Roux-en-Y Gastric Bypass Surgery
Laparoscopic Sleeve Gastrectomy
DMC bariatric surgeons at DMC Huron Valley-Sinai Hospital offer The LAP-BAND® procedure, Roux-en-Y Gastric Bypass Surgery and Laparascopic Sleeve Gastrectomy.
The process at all DMC bariatric surgery sites usually begins with an informational seminar and a pre-operative visit with your surgeon. At the seminar, you will receive more information about the process and have a chance to ask the surgeon any questions that you may have.
Non Surgical Weight Management
The bariatric surgeons of DMC Huron Valley-Siani Hospital offer a physician-supervised weight loss program and also see post-operative patients to address weight re-gain after bariatric surgery.
DMC Huron Valley-Sinai Hospital hosts monthly post-operative support groups for anyone who has undergone bariatric surgery. These support groups are open to the community.
For an appointment, a second opinion or more information, please call (248) 937-4300.