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Procedures Offered

gastric bypass procedureGastric Bypass
The Gastric Bypass is designed to be a permanent procedure which will alter the patient's ability to intake food and also decrease the efficiency by which a person absorbs the components of the food. Performed laparoscopically, using six small incisions in the abdomen as opposed to the traditional open method of one large incision. For additional information visit our Gastric Bypass Section.

Laparoscopic Vertical Sleeve Gastrectomy
Laparoscopic vertical sleeve gastrectomy (VSG) is a restrictive procedure that can be an alternative to gastric banding, with no foreign body implantation. It can be done as a standalone procedure, or as a stage procedure for high risk patients. Typically, the expected weight loss is approximately 45 – 50% of excess body weight, which is comparable to the gastric banding (Lap Band). For additional information visit our Laparoscopic Sleeve Section.

Lap Band
The Lap Band System uses an inflatable tube inside a ring that is placed around the stomach. A small port is inserted just beneath the skin of the abdomen where saline can be injected or withdrawn, making the opening through which food will pass smaller or larger. Frequent adjustments are necessary to obtain the proper amount of restriction. For additional information visit our Lap Band Section.

Laproscopic Versus Open
This procedure can be done in the traditional "open" method or laparoscopically. The "open" method uses one long incision in the abdomen. The laparoscopic method uses six small (1-2cm) incisions in the abdomen. The laparoscopic approach offers the patient decreased pain, decreased healing time and a decreased chance of developing a hernia following the surgery. In addition, patients usually return to work and normal activities MUCH sooner than with the "open" method. For additional information visit our General Information Section.

Laparoscopic Greater Curvature Plication

Greater Curvature Plication is a purely restrictive procedure and involves no component of malabsorption, as seen in other Weight Loss Surgery types. Please refer to the following diagram to visualize the steps of the procedure:

  • The greater curvature of the stomach is separated from the greater omentum.
  • At least two rows of stitches are placed laparoscopically about the greater curvature of the stomach starting at or near the angle of His and ending in the antrum.
  • The stomach is reduced to a small, tubular structure, approximately ¼ the size of the original structure, very much like the sleeve gastrectomy (VSG) except there is no resection of the stomach.


Laparoscopic Banded Greater Curvature Plication

Laparoscopic greater curvature plication Procedure is performed (see above)

  • A silicone band is placed around the upper portion of the stomach near the esophagus. Several sutures are placed to hold maintain the position of the band. The gastric pouch measures only about 1-2 ounces but is not separated from the remainder of the stomach.
  • The band is left deflated, meaning zero saline is added to the band until at least 6 month later.
  • The added benefit from the plication is that there is an added security to ensure further weight loss by providing more restriction once weight loss stalls from the plication.

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