Bariatric Surgery: Know your Options

Dollarphotoclub_49398133If you are considering weight loss surgery, you’ll want to learn about the various types of procedures. What’s best for you depends on your goals, your health, your surgeon’s recommendations, and which surgeries your health insurance covers. The types of bariatric surgery you should consider depends 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.

All types of bariatric surgery work in one of 3 ways:

  • Restrictive
    • These 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.
    • Types of restrictive surgeries include:
      • Adjustable gastric banding (lap band surgery)
      • Gastric sleeve
      • Intragastric balloon (gastric balloon)
    • Malabsorptive
      • These surgeries rearrange and/or remove part of your digestive system, limiting the amount of calories and nutrients that your body can absorb.
      • Treatments with a large malabsorptive component result in the most weight loss but tend to have higher complication rates.
      • There are no longer any purely malabsorptive operations being performed.
    • 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).
      • Most types of bariatric surgery carry at least a small element of both components, but the following established surgeries achieve a notable portion of weight loss from each:
        • Gastric bypass (more malabsorption than the restrictive procedures listed above, but works primarily through restriction)
        • Duodenal switch (more malabsorption – the sleeve stomach is the restrictive portion and the intestinal bypass (duodenal switch) is the malabsorptive component)

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Weight loss surgery can be lifesaving, but you need to be dedicated to making dramatic and permanent changes to how you eat, exercise, and live. Schedule an appointment with Dr. Shawn Tsuda. He can help you find the right treatment for your unique situation.


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