Weight Loss Surgery Options
Choosing to undergo weight loss surgery is a very serious decision. Bariatric surgery procedures are considered major surgeries and require careful consideration by both the patient and the doctor. At your initial visit in the office, we will assess your individual health history and determine your candidacy for surgery. As a patient, you need consider both the benefits of the surgery and the risks and complications. You must be willing to change your lifestyle permanently and it is recommended that you seek support not only from our program but alsofrom friends and family.
Types of Weight Loss Surgery
At the Scottsdale Healthcare Bariatric Center, we specialize in four types of bariatric surgery procedures: Laparoscopic Gastric Bypass, Laparoscopic Sleeve Gastrectomy and Laparoscopic Adjustable Gastric Band and the rare, Laparoscopic Duodenal Switch. Previous construct about mechanism of action was based on restriction and malabsorption. Now the procedures are described as having a mechanical and/or physiologic action. Adjustable gastric banding may cause some restriction but mechanism of action is not clear. Less than 10% of the effect of Gastric Bypass is based on restriction, and there is no malabsorption. Most of the effect with the Gastric Bypass and Sleeve Gastrectomy has to do with changes in hormones and hormonal signaling and neuromodulation. Duodenal switch, one of the most complicated weight loss surgeries, is also known as vertical gastrectomy with duodenal switch, biliopancreatic diversion with duodenal switch, DS or BPD-DS. With the duodenal switch, you consume less food than normally,but it is still more than with other weight loss surgeries. Even this amount of food cannot be digested as normal, so a large amount of food passes through the shortened intestines undigested. During the new patient seminar, you'll learn about these procedures in greater detail.
Mechanism of Action
| Mechanical |
Physiologic |
| Calorie restriction |
Hormones from intestinal track |
| Malabsorption |
Hormones from fat cells |
| |
Neuromodulation through changes in signaling of vagus nerve |
In bariatric surgery, high center volumes and surgical approach matter. Our bariatric surgery exclusive practice improves the safety of all of our patients due to our focus and comprehensive program options. In minimally-invasive laparoscopic surgery, the camera and surgical instruments are inserted into the abdomen through five or six small incisions. This gives the surgeon better visualization of the anatomy and better access to key anatomical parts. Scottsdale Healthcare Bariatric Center performs over 99% of their primary and revision bariatric/metabolic procedures laparoscopically.
Compared with traditional 'open' incisions, laparoscopic surgery with small incisions offers a better surgical outcome. A recent study shows that patients with laparoscopic weight loss surgery experience less pain after surgery resulting in easier breathing and higher overall oxygen levels – and with better healing. There are also fewer wound complications such as infection or hernia with patients returning to normal pre-surgery activity levels more quickly.
Free Bariatric Weight Loss Surgery Seminar
