Types of Bariatric Surgery
Butler Health System (BHS) Bariatrics performs three types of bariatric surgery:
- Gastric Bypass
- Sleeve Gastrectomy
- Lap Band placement
Due to various factors such as your height, weight, and current health
status, not all of these procedures may be right for you. Your surgeon
will review your medical history and decide what procedure will be best
for you. For answers to commonly asked questions about bariatric surgery,
Frequently Asked Questions page.
Lap Band Placement
The lap band is intended to be used for weight loss in adults who have
not lost weight using nonsurgical weight loss methods. The newly-approved
indication is limited to patients with a BMI of 30 to 34 at high risk
of obesity-related complications, however this has not yet been approved
by all insurances, and therefore our staff would need to verify coverage
within your policy.
The lap band works best if your body mass index is below 39 and if you
are not limited in any way from a very active lifestyle. An adjustable
gastric band is placed around the upper part of the stomach creating a
smaller pouch. This limits the amount of food that can be eaten at one
time and increases the amount of time it takes for food to be digested,
to help people eat less.
Laparoscopic Sleeve Gastrectomy
During the Sleeve Gastrectomy, the surgeon will remove approximately 70%
to 80% of the stomach. The remaining stomach looks like a sleeve, hose,
or tube. It holds about 70-120 cc or 3-4 ounces. The typical stomach holds
2 liters or 2000 cc/65 ounces. Unlike Gastric Bypass, which rearranges
the intestinal tract and changes stomach openings, the sleeve gastrectomy
leaves the GI tract intact. With this surgery you will have little risk
*If you have acid reflux disease, Barrette's esophagus or have had
a Nissen Fundoplication, this surgery will not be a good choice for you.
This procedure is a combination of restrictive and malabsorptive elements.
The stomach is stapled to make a smaller pouch. Most of the stomach and
small intestines are bypassed by attaching a part of the intestine to
the small stomach pouch. As a result you cannot eat as much, and you absorb
fewer nutrients and calories. The normal stomach can hold 6 cups of food-with
this surgery, the small pouch can only hold 1 cup or less of food.