
Related Links
LAP-BAND® Weight Loss Surgery
Treatment Options
Non-Surgical Treatment
Dieting, exercise and medication have long been regarded
as the conventional methods to achieve weight loss. Sometimes, these efforts
are successful in the short term. However, for people who are morbidly obese,
the results rarely last. For many, this can translate into what's called the
“yo-yo syndrome,” where
patients continually gain and lose weight with the possibility of serious psychological
and health consequences.
Recent research reveals that conventional methods of weight loss generally
fail to produce permanent weight loss. Several studies have shown that patients
on diets, exercise programs, or medication are able to lose approximately 10 percent
of their body weight but tend to regain two-thirds of it within one year, and
almost all of it within five years. Another study found that less than 5 percent of
patients in weight loss programs were able to maintain their reduced weight
after five years.
Surgical Treatment
There are two types of surgery for the purpose of weight
loss. One is malabsorptive,
a surgery that shortens the digestive tract by bypassing most of the stomach
and part of the small intestine, allowing less food to be ingested and the
absorption of fewer nutrients and calories. This procedure is called Gastric
Bypass. The second type is restrictive. This surgery reduces how much
food the stomach can hold.
Restrictive surgeries can include Stomach Stapling/Vertical
Banded Gastroplasty (VBG) or a minimally invasive procedure called Gastric
Banding. Both surgeries restrict how much the stomach can hold, limiting
food intake, yet allow for the digestion of nutrients and calories in the
normal fashion.
Gastric Bypass
In gastric bypass (or Roux-en-Y) surgery, the
surgeon creates a small pouch at the top of the stomach, sealing it off from
the rest of the stomach with staples and redirecting the small intestine to the
newly created pouch. The new, smaller stomach will hold approximately a half
an ounce of food. By bypassing the first section of the small intestine, foods
enter directly into the second section of the small intestine, limiting the ability
to absorb calories.
The Roux-en-Y bypass can be performed laparoscopically using small, tubular instruments
inserted into the abdomen through a series of short incisions. Laparoscopic surgery
typically allows for:
Surgeons have utilized gastric bypass surgery as a means of controlling weight
since the 1950s.
Gastric
Banding
In June of 2001, the FDA approved the use of the LAP-BAND System as a safe,
minimally invasive and adjustable surgical treatment for morbid obesity in
the United States. It induces weight loss by reducing the capacity of the stomach,
by the use of a small inflatable implant device that restricts the amount of
food that can be consumed.
Since its clinical introduction in 1993, almost
150,000 LAP-BAND procedures have been performed around the world and over 30,000
in the U.S. alone.
Contact the Weight Loss Surgery Program
For more information or to register for a LAP-BAND Seminar, please call Jamee
Brinkerhoff, Weight Loss Surgery Coordinator at 208-367-8309.