Which weight-loss surgery is right for you?
This can be a difficult decision to make, but at Arkansas Bariatric Surgery we provide complete bariatric surgical care and we are here to help you each step of the way. This begins with education. After attending a free bariatric seminar you will be well-informed about your options and feel more equipped to make this decision. Each surgery is unique and has specific pros and cons that must be taken into account for each patient. The most commonly performed surgeries include:
- Realize Band
- Laparoscopic Gastric Bypass
- Open Gastric Bypass
- Revisional Bariatric Surgery
Regardless of which procedure you choose, with your dedicated efforts and our committed team, you can expect successful weight loss and improvement in your overall health. The road back to a healthy life can be a long one but we are ready to help you get started. Take that first step today… because you can have a better life!
LB is one of the most common bariatric procedures today. This surgery works by way of restriction, meaning that it limits the amount of food that can be consumed at one time. In this procedure a soft, flexible ring is placed around the stomach that effectively creates a small stomach pouch, portion sizes are therefore smaller & caloric intake is reduced. When accompanied with regular follow up for adjustments and routine exercise the result is significant weight loss.
Band adjustments are performed in the office using a needle to access the port which is located beneath the skin on the abdomen. LB surgery is best suited for those individuals with a BMI less than 50, fewer associated health problems, and who are able to routinely exercise. Patients can expect to lose to 40-50% of their excess body weight in 2-3 years.
Gastric sleeve is a relatively new procedure that is also preformed laparoscopically. In this operation a significant portion of the stomach is removed, which decreases stomach capacity, provides restriction to certain types of foods, and therefore decreases portion sizes & total caloric intake. This when accompanied with regular exercise allows the patient to achieve considerable weight loss.
Sleeve gastrectomy is best suited for those individuals whose BMI is less than 60, who can routinely exercise, and for those who do not have a significant problem with GERD. Patients can expect to lose to 50-60% of their excess body weight in approximately 2 years. Sleeve gastrectomy is often a good compromise , and is a helpful option for many patients with a higher degree of obesity, significant weight related health problems, or for those who do not desire to undergo gastric bypass.
Gastric bypass is the gold standard procedure in bariatric surgery, and laparoscopic gastric bypass is our most commonly performed procedure. This surgery creates a stomach pouch that is one ounce in size which limits the amount of food eaten during meals. Food that is ingested is inefficiently digested, or malabsorbed, thus allowing for excellent weight loss. In our hands this procedure is safe and very effective.
Patients can expect to lose up to 80% of their excess body weight in 2 years and have much improved overall health. This procedure is particularly well suited for those individuals with a body mass index greater than 60, patients with significant GERD, hiatal hernia, and type two diabetes.
Rarely, patients can experience certain long-term problems related to previous bariatric surgery. Most of these problems are related to older types of surgery, such as vertical-banded gastroplasty (VBG), or older types of “stomach stapling,” and may require revisional surgery. As a bariatric referral center, we offer complete surgical care to patients with these types of difficult problems.
Benefits & Risks
Bariatric surgery has proven to be the only effective method for the long term treatment of morbid obesity. As weight is lost, most patients will note a general improvement in their overall health. Many weight-related health problems improve dramatically and some are cured completely. Diabetes and Gastroesophageal Reflux Disease (GERD) are frequently cured, for instance, immediately following gastric bypass surgery. Other problems improve more slowly over time, including high blood pressure, high cholesterol, obstructive sleep apnea, hormonal imbalances, infertility, and urinary incontinence, to name a few. Long term risks for other health problems decrease greatly as well, including stroke, heart disease, heart attack, arthritis, cancer, and even early death. As weight is lost it usually becomes easier to work and function normally in society. As health problems improve, patients can often stop many of their medications which can certainly help from a financial standpoint as well. Overall we usually find that patients are globally improved, and usually very happy with their result. However, as with any surgery, risks are possible.
The overall risk of complications is less than 5% for any type of bariatric surgery. Fortunately, the most common complications include minor problems such as wound infections, hernia formation, and dehydration. Other more serious risks are less common and include bleeding, gastrointestinal leak, deep venous thrombosis, and pulmonary embolism. Death is also a risk with all types of bariatric surgery, with the overall mortality rate being up to 0.5%. There are also specific risks associated with each procedure that are discussed in detail at our bariatric seminars.