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JSASA Weight Loss Surgery, Bariatric Surgery

JSASA bariatric surgeons perform different types of weight loss surgery. We perform different weight loss procedures including:

Sleeve Gastrectomy

During this procedure, we create a thin vertical sleeve of stomach using a stapling device, and remove the rest of the stomach. The sleeve is about the size of a banana. This procedure limits the amount of food you can eat and helps you feel full sooner. It allows for normal digestion and absorption. Food consumed passes through the digestive tract in the usual order, allowing it to be fully absorbed in the body.

The majority of sleeve gastrectomies performed today use a laparoscopic technique, which is considered minimally invasive surgery. Laparoscopic surgery usually results in a shorter hospital stay, faster recovery, smaller scars and less pain than open surgical procedures. The duration of surgery varies. One study found that the average time was 1.5 to 3.5 hours and the average hospital stay was 1 to 3 days. Patients usually return to normal activities in 2 weeks and are fully recovered in 3 weeks. Studies have shown that patients lost an average of 55% of their excess weight. Other health improvements included reductions in:

  • Type 2 diabetes 
  • High blood pressure 
  • High cholesterol
  • Obstructive sleep apnea
  • Heart disease
  • Arthritis
  • Reduced cravings for sweets
  • Reduced hunger hormone (ghrelin) levels

Quality-of-life Improvements

Clinical studies of laparoscopic bariatric surgery patients found that they felt better, spent more time doing recreational and physical activities, benefited from enhanced productivity and economic opportunities, and had more self-confidence than they did prior to surgery. A sleeve gastrectomy procedure may have many benefits. However, it isn't for everyone. Only you and your surgeon can decide if bariatric surgery is an appropriate treatment option for you.

Potential Complications

There are potential risks and bariatric surgery complications following all types of weight loss surgery procedures, as well as all types of bariatric procedures. Potentially serious complications may include perforation of the stomach/intestine or leakage, causing peritonitis or abscess, internal bleeding requiring transfusion, minor or severe wound infection, opening of the wound, incisional hernia, organ injuries and development of gallstones or gallbladder disease, among others.

Adjustable Gastric Banding

Lap-Band System® is the brand name of the FDA-approved, adjustable gastric band used in the procedure. Most simply, Lap-Band is a silicone belt that goes around the top of the stomach. This results in the ability to control your hunger and achieve a "feeling of fullness," or satiety. Ultimately, you eat much less and feel full sooner. A key component of the Lap-Band System is its adjustability. The band is connected to a port, which enables the device to be inflated over time to expedite weight loss.

Are You a Candidate for the Lap-Band System?

The NIH (National Institutes of Health) requirements for Lap-Band surgery are the same as for any other weight loss surgery. These criteria were originally set in the early 1990s and have not changed. If your BMI, or body mass index, is between 35 and 39, then you also have associated severe medical problems, or co-morbid conditions, in order to qualify for Lap-Band. These conditions usually include diabetes, hypertension or high cholesterol. If your BMI is greater than 40, then you do not need any associated medical problems.

Most insurance companies require a history of previous attempts at weight loss. How stringent these requirements are differs from one insurance company to another. Many people do not meet NIH requirements or do not have an insurance benefit for weight loss surgery, but they may still be able to pay for the procedure themselves. Weight loss results vary from patient to patient. Patients typically lose 50% to 60% of their excess body weight within two years after the procedure. Some patients may need plastic surgery depending on how much weight they lost.

Potential Lap-Band System Complications

As with any surgical procedure, there are known risks. Besides the standard risks including bleeding and infection, there are complications specific to Lap-Band surgery. Slippage of the band can occur as you lose weight and your stomach goes above the band, causing heartburn or vomiting. We can usually fix this laparoscopically. Rarely, the band may erode into the inside of the stomach.

Minimally invasive laparoscopic surgery is not always possible. Your surgeon may need to use an "open" surgical technique. This happened in about 5% of the cases in the U.S. clinical study. Other problems directly related to the Lap-Band System can include spontaneous deflation because of leakage. Leakage can come from the band, the reservoir or the tubing that connects them. The stomach pouch can enlarge or the stoma (stomach outlet) can be blocked.

Revisional Weight Loss Surgery

In rare instances, weight loss surgery fails on the first attempt. Complications such as leakage and infection may require the patient to undergo a revision procedure.

Forms:


We offer complimentary bariatric surgery information seminars every month. Please see below for more information


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  • General Surgery

    For nearly two decades, patients have entrusted their surgical care to JSASA.

  • Weight Loss Surgery

    JSASA bariatric surgeons perform different types of weight loss surgery.

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Patient Reviews

Dr. Kipnis and the entire staff were wonderful! They guided and reassured me every step of the way. This was one of the most difficult decisions to make, but so worth it! Thank you for giving me my life back!
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