Laparoscopic Sleeve Gastrectomy (LSG): The Sleeve Gastrectomy is a weight loss procedure that involves removal of approximately 75% of the stomach. The newly created stomach is approximately the size of a banana. The Sleeve works in two ways: 1) By creating a smaller stomach, it assists with portion control. 2) By removal of a significant portion of stomach, the hunger hormone (Ghrelin) which is produced in the upper stomach, is markedly reduced as well. This leads to a dramatic reduction in appetite.
Laparoscopic Gastric Bypass: Gastric bypass (also known as Roux-en-Y) surgery is a weight loss procedure that involves reducing the size of the stomach and creating malabsorption by bypassing a portion of the upper small intestine . In the first part of gastric bypass surgery, the surgeon uses a stapler to create small stomach pouch approximately 80 to 85 percent of the original stomach. This new small stomach pouch holds much less food than it did before.
The surgeon then attaches the small intestine directly to this pouch allowing food to bypass a portion of the upper small intestine. By bypassing the upper small intestine less calories are absorbed leading to further weight loss.
Lap Banding: The gastric band is a procedure that involves placement of an adjustable gastric band around the top of the stomach to reduce the amount of food you can eat in one sitting. The benefits of this minimally invasive procedure are that it is adjustable, there is no permanent alteration of the gastrointestinal tract and it is reversible.
Single Anastomosis Duodenal Ileostomy (SADI): The SADI procedure adds a malabsoptive component to the Sleeve Gastrectomy by bypassing a portion of the small intestine. This procedure can be done at the time of Sleeve Gastrectomy or in patients that have had a prior Sleeve Gastrectomy for additional weight loss or weight regain.
Endoscopic Sleeve Gastroplasty (ESG): The ESG is an incisionless outpatient procedure, that reduces the size of a patient’s stomach without the need making any cuts or incisions in the skin. It is performed with small stitching instruments attached to an endoscope that is passed through the mouth into the stomach. Using the stitching instrument, multiple stitches are placed reducing the size of the stomach.
Intragastric Balloon: The Intragastric Balloon procedure involves the placement of a balloon that is filled with water into the stomach. This is done through the mouth with the use of an endoscope. The procedure is incisionless and often can be performed in under 30-minutes as an outpatient procedure.
Endoscopic Gastric Bypass Revision (TORe): Endoscopic Gastric Bypass Revision is an outpatient revision procedure often used for patients who are struggling with weight regain after Gastric Bypass surgery. During this procedure, the doctor inserts an endoscope with a stitching instrument attached through the mouth and into gastric pouch. The pouch and outlet can then be reduced in size by placing multiple stitches. This gives gastric bypass patients greater feeling of satiety helping them lose weight again.