Laparoscopy is the technical term for minimally invasive surgical procedures, requiring only the tiniest of incisions. Michigan Bariatric Institute specializes in providing our patients with three different bariatric surgery options. They are:
Laparoscopic Sleeve Gastrectomy
The sleeve gastrectomy is a more recently introduced surgery for weight loss. It is rapidly gaining popularity among those seeking permanent weight loss. It involves the removal of approximately 75 percent of the stomach, leaving about a 2-3 ounce stomach, now structured as a narrowed tube. The normal continuity between the esophagus, stomach, and small intestine is not changed, as it is in gastric bypass. Therefore, food is normally absorbed and there is no risk of vitamin or mineral malabsorption. The small size of the new stomach limits caloric intake and decreases some of the hormones that stimulate appetite. Therefore, patients feel less hungry, which greatly helps with weight loss.
Sleeve Gastrectomy is a safe and effective option for patients with 100 pounds or more to lose. On average, sleeve gastrectomy patients lose about 60-65 percent of their excess body weight within 18 months.
Laparoscopic Adjustable Gastric Banding
The laparoscopic adjustable gastric banding has recently gained popularity in the U.S. Much experience has been provided from Europe, where it has been well known for a longer period of time. Dr. Bhesania and Dr. Boutt have over 10 years of performing this bariatric surgery. The procedure involves placing a synthetic band around the uppermost portion of the stomach. The band is then tightened and adjusted to limit intake and curtail hunger.
The benefits of the band are that there are no anatomical changes associated with its placement, and no risk of nutrient malabsorption. The band has several other advantages. First, is its adjustability. The band allows for an individualized degree of food restriction, pregnancy is supported by allowing for increased nutritional needs and adjustments are easily performed in the surgeon's office. A second advantage is its reversibility. The band is removable at any time and anatomy is restored to its original form. The band has fewer side effects and fewer risks. Nationally, there is lower mortality risk and nutritional deficiencies with the lap band than with more involved bariatric surgeries.
Non-surgical band adjustments at regular intervals and close follow up are needed to optimize weight loss, and for the motivated patient laparoscopic adjustable gastric banding can be associated with effective weight loss. Adjustable gastric banding patients, on average, lose 50 percent of their excess body weight.