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Obesity Surgery | San Antonio General Surgery

Obesity Surgery

Laparoscopic Adjustable Gastric Banding (Lap Band)

In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Find out more about Laparoscopic Adjustable Gastric Banding with the following links.

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Sleeve Gastrectomy

This is a relatively new approach. It is the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically ( keyhole surgery) but is not reversible. It basically leaves a stomach tube instead of a stomach sack.

Find out more about Sleeve Gastrectomy with the following links.

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Bilio Pancreatic Diversion

This operation combines removal or exclusion of 2/3rds of the stomach along with a long intestinal bypass which significantly reduces the absorption of fat. The capacity to eat is greater than with the other operations, and the eventual weight loss is the best of all the operations but if fatty foods are overeaten e.g. a hamburger and fries then diarrhea and foul flatus will result.

Find out more about Bilio Pancreatic Diversion with the following links.

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Gastric Bypass

Here a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the absorption of nutrients and thereby reduces the calorie intake.

Find out more about Gastric Bypass with the following links.

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