Finding the Weight-loss Surgery Best for Your Needs


Weight-loss (bariatric) surgery helps many lose weight and lower their risk of medical problems associated with obesity. If it is determined that bariatric surgery is a good alternative for you, there are still options and decisions to make. Which kind of surgery should you have? What will work best in your unique situation? Prepare yourself by learning as much as possible about the different procedures available to you, and talk it over with your doctor so you can make an informed decision.

Weight-loss surgery works in two main ways – through restriction and malabsorption. Restrictive surgery reduces the stomach size and physically limits the amount of food the stomach can hold, which limits the number of calories one can eat. An example of this type of procedure is adjustable banding. Malabsorptive surgery combines stomach restriction with a partial bypass of the small intestine. In these procedures, a direct connection is created from the stomach to the lower segment of the small intestine, bypassing portions of the digestive tract that absorb calories and nutrients.

The “Gold Standard” for bariatric surgery today is the Roux-en-Y Gastric Bypass Surgery which combines both restrictive and malabsorptive procedures tending to produce more weight loss than either type of procedure does on its own. Depending on the amount of weight you need to lose and other associated conditions, Dr. Tsuda can guide you regarding which procedure is right for your unique situation.

Four common types of weight-loss surgery are:

  • Roux-en-Y gastric bypass
  • Laparoscopic adjustable gastric banding
  • Sleeve gastrectomy
  • Duodenal switch with biliopancreatic diversion

What’s best for you will depend on your needs, your health, and your goals. All surgery has risks, and bariatric surgery is no different. Dr. Tsuda and his team can provide you with all the information you need so that you can consider your options carefully and make the right decision for you.

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