The types of bariatric surgery you should consider depend on a number of factors, including how much weight you want to lose, which health problems you are looking to improve, risk level, and cost. There is no one-size-fits-all procedure, but if bariatric surgery is right for you, Dr. Tsuda and his expert team can help you determine which ones best fit your goals.
All types of bariatric surgery work in one of 3 ways:
- Restrictive surgeries shrink the size of the stomach which reduces the amount of food it can hold. This makes you feel full when eating much sooner than you did before surgery. The established restrictive procedures include…
- Adjustable gastric banding (lap band surgery)
- Gastric sleeve
- Malabsorptive surgeries rearrange and/or remove part your digestive system which then limits the amount of calories and nutrients that your body can absorb.
- Combination – When surgery combines both restrictive and malabsorptive techniques, it is know as a combination procedure (although some surgeons also refer to this type of surgery as malabsorptive).
Gastric bypass, also called Roux-en-Y or RNY for short, is the most commonly performed bariatric surgery in the United States. The surgery is mainly restrictive in nature, but it also has elements of malabsorption. Most patients have successful long term weight loss with minimal weight regain with gastric bypass.
The second most popular U.S. bariatric surgery procedure is adjustable gastric banding (lab band surgery). Lab band works through restriction.
Vertical Sleeve Gastrectomy (VSG), also called gastric sleeve surgery, is the newest addition to the short list of established and generally accepted types of weight-loss surgery. It is extremely effective and safe as compared with the other procedures. As a result, the popularity of VSG has skyrocketed in recent years, to the point that it appears to be overtaking gastric bypass as the new gold standard procedure.
Biliopancreatic Diversion with Duodenal Switch, or simply duodenal switch, could be classified as a gastric bypass/gastric sleeve combination with a twist. In this procedure, the stomach is shrunk and only a small portion of the intestine has a chance to digest food before it enters the colon; the duodenal switch procedure is both restrictive and malabsorptive, but this surgery is effective mainly because of malabsorption.
Your individual situation will determine which types of bariatric surgery are right for you. Schedule a consultation with Dr. Shawn Tsuda to discuss your options.