At TreVita, we offer state-of-the-art bariatric (weight-loss) surgical procedures through our network of surgical facilities and surgeons. These procedures are designed to help you return to a healthy weight and reduce your risk of developing secondary health issues associated with being overweight.
All of our facilities offer a variety of procedures and which procedure you choose will be both a function of what you want and what your surgeon thinks will result in the best success for you specifically. As with all surgeries, you will need to be evaluated by our partner physicians to assess your current health and determine the best procedure for your particular circumstances. Once you’ve been cleared for surgery, the surgical team will help you prepare for one of these procedures:
The Sleeve Gastrectomy, or Gastric Sleeve surgery, is a restrictive procedure performed on the stomach. This weight loss procedure consists of making the stomach into a long tube, or “sleeve”, by removing two-thirds of the stomach which supplies for quicker and a more prolonged satiety (sense of fullness) and decreased appetite. The smaller stomach pouch restricts food intake by allowing only a limited of food to be eaten at one time. Gastric sleeve is a popular weight loss solution because it is designed to help you by eliminating your desire to eat as much or as often. Gastric sleeve surgery is a simpler procedure to perform than gastric bypass, resulting in lower complications and faster recovery times. Another benefit of this surgery is that your stomach will continue to function normally, and as a result, you can still eat most of your favorite foods with no worries about suffering from dumping syndrome.
The Gastric Bypass is one of the most practiced and studied weight loss procedures. A small pouch is segmented off from the remaining stomach tissue, creating a new stomach roughly the size of a golf ball and no larger than a tennis ball. A section of the small intestines known as the jejunum is then rerouted to the newly created pouch, bypassing the stomach and duodenum. Reducing the stomach and bypassing a portion of intestines not only reduces the amount of food that can be consumed and leaves you with a feeling of satiety(sense of fullness), but also shortens the time it takes for food to pass through the body and limits the absorption of bad nutrients like saturated fats. This type of bypass operation has proven to be an effective, consistent way of losing weight and keeping it off.
Mini gastric bypass surgery (MGB) is a weight loss surgery that can be revised. It is very similar to the traditional RNY bypass but only has one connection to the small intestine. Instead of a small pouch like with the gastric sleeve, the mini gastric bypass surgery procedure creates a narrow tube-like pouch that holds approximately 1-2 ounces, restricting the amount of food that can be taken in at one time. The small intestine is then attached or looped to the new pouch approximately six to seven feet from its starting point. This placement bypasses the part of the intestines that allows for less nutrients, calories, and fats to be absorbed by the body, causing weight loss.
The duodenal switch (DS) surgery enables patients to eat a normal meal in much smaller quantities. This operation restricts food consumption by removing the most stretchable portion of the stomach, similar to a sleeve gastrectomy. Additionally, calorie absorption is limited by bypassing roughly one-half to three-fourths of the upper small intestine. The important structural elements of the stomach — such as the antrum, the pylorus and the nerves that control stomach function — are preserved. The result is a much smaller stomach that functions similarly to a normal one. During duodenal switch surgery, the small intestine is rerouted to significantly reduce calorie absorption. This accounts for the superior weight loss, weight maintenance and diabetes resolution associated with this surgery.
Adjustable gastric banding, occasionally described as the LAP-BAND ® system, is a minimally invasive weight management surgical procedure. It is commonly an outpatient treatment, with a recovery time of about one week. The flexible band is positioned around the top section of the stomach restricting the amount of food that will travel through it, consequently assisting the individual in attaining weight loss. The treatment does not require any sort of re-routing of the anatomy, or any type of stapling. This will leave the patient with a gentler recovery duration than other kinds of weight reduction surgery. It has a much lower risk of nutritional deficiencies associated with gastric bypass which reduces risk of hair loss and other malabsorption surgeries. It’s also adjustable which allows individualized degree of restriction for ideal rate of weight-loss. It supports pregnancy by allowing stomach outlet size to be opened to accommodate increased nutritional needs and is reversible and removable at any time.
For a large number of our patients, their initial bariatric surgery produces the lasting outcomes and beneficial lifestyle changes they are seeking, but for some weight-loss revision or conversion surgeries may be required to fully meet their goals. Whether you have the Lap Band, Gastric Bypass, Gastric Sleeve, mini bypass, or a duodenal switch, your team of specialized doctors can help identify the reason for complications, determine which procedure is right for you and get you back on track to weight loss. The choice to have one of these revision surgeries should not be taken lightly, we would encourage you to have a consult with one of our surgeons.
A gastric balloon is a temporary, nonsurgical procedure that has been shown to reduce 10 percent of total body weight. It involves placing a lightweight, gastric balloon in the stomach for up to six months to help produce a sense of fullness and reduce hunger.
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