At Nationwide Children’s Hospital, we offer three types of bariatric (weight loss) surgery:
All of these surgeries cause restriction in the amount of food that can be eaten at one time, so you feel full faster. The gastric bypass also causes malabsorption, which keeps the intestines from absorbing some calories that otherwise would be stored as fat. Weight loss is fastest with gastric bypass and slowest with the laparoscopic adjustable band. Weight loss with the gastric sleeve is somewhere between the bypass and the laparoscopic adjustable band. Of course, the weight loss for any surgery depends on how well you follow the recommended nutrition and exercise program.
The digestive system is a long, twisting tube that starts at the mouth and ends at the anus. It is made up of a series of muscles that coordinate the movement of food from the mouth, through the esophagus, stomach, small intestine and large intestine, or colon. Along the way, cells within the digestive system make enzymes and hormones that help break down food. The liver, gallbladder and pancreas are also part of the digestive system and each plays a role in food digestion.
Most patients are candidates for laparoscopic weight loss surgery. In this type of surgery, several small incisions are made in the stomach, through which small, thin instruments, including a telescope and camera, are inserted. The camera and telescope send pictures of the internal organs and surgical instruments onto a TV screen. Laparoscopic surgery reduces the pain and complications after surgery, since the incisions are so small.
For medical reasons, some patients may need an open surgery. If this is needed, the surgeon makes one large incision in the stomach to access the organs. The surgeon will explain each type of surgery and determine which type of surgery is best for you.
Marc Michalsky, MD, discusses weight loss surgery, what makes a patient qualify for weight loss surgery, and its benefits.
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Bariatric Surgery Information Sessions
These free sessions provide an overview of the bariatric surgery process, the three types of weight loss surgery available for teens and the benefits, risks, advantages and disadvantages of each.