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Weight Loss Seminar: Chapter 5 – Surgical Options

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There are multiple options for surgical weight loss available at Hurley to help you reach your goals. We are here to help you choose the right one for your individual needs.
The Sleeve Gastrectomy is the most commonly performed bariatric surgery. With this procedure, a narrow, vertical sleeve is created by removing approximately 75% of the stomach. This new sleeve-shaped stomach holds less food than the original stomach and so decreases the amount of food needed to feel full. Appetite is decreased as well due to changes in gut hormones.
The Adjustable Gastric Band is not performed as commonly as the other procedures offered, but can still be a useful tool for some patients struggling with obesity. With this procedure, an adjustable silicone band is placed near the top of the stomach, creating a smaller stomach pouch. Tubing attached to the band connects to an injection port that is placed deep beneath the skin and is used to make adjustments to the band, as needed.
With the RNY Gastric Bypass, 5 small incisions are made to access the abdominal cavity. This procedure involves creating a small gastric, or stomach, pouch about the size of a golf ball. This restricts the amount of food that can be eaten before feeling full. The small intestine is then separated in two sections. One end is then attached to the newly created stomach pouch while the other end is connected further down to allow bile and pancreatic fluids to mix with the food consumed to continue the digestive process. Changes in gut hormones also help to decrease appetite.
The SADI-S/DS starts the same as a Sleeve Gastrectomy as it removes approximately 75% of the stomach to create a narrow vertical sleeve-shaped stomach. The small intestine is then divided and a loop of the intestine is connected to the first part of the small intestine in either one or two locations, depending upon patient anatomy and weight loss needs. With this procedure patients have a decrease in appetite due to gut hormone changes and feel full on smaller food portions.
The Sleeve Gastrectomy is the most commonly performed bariatric surgery. With this procedure, a narrow, vertical sleeve is created by removing approximately 75% of the stomach. This new sleeve-shaped stomach holds less food than the original stomach and so decreases the amount of food needed to feel full. Appetite is decreased as well due to changes in gut hormones.
The Adjustable Gastric Band is not performed as commonly as the other procedures offered, but can still be a useful tool for some patients struggling with obesity. With this procedure, an adjustable silicone band is placed near the top of the stomach, creating a smaller stomach pouch. Tubing attached to the band connects to an injection port that is placed deep beneath the skin and is used to make adjustments to the band, as needed.
With the RNY Gastric Bypass, 5 small incisions are made to access the abdominal cavity. This procedure involves creating a small gastric, or stomach, pouch about the size of a golf ball. This restricts the amount of food that can be eaten before feeling full. The small intestine is then separated in two sections. One end is then attached to the newly created stomach pouch while the other end is connected further down to allow bile and pancreatic fluids to mix with the food consumed to continue the digestive process. Changes in gut hormones also help to decrease appetite.
The SADI-S/DS starts the same as a Sleeve Gastrectomy as it removes approximately 75% of the stomach to create a narrow vertical sleeve-shaped stomach. The small intestine is then divided and a loop of the intestine is connected to the first part of the small intestine in either one or two locations, depending upon patient anatomy and weight loss needs. With this procedure patients have a decrease in appetite due to gut hormone changes and feel full on smaller food portions.