The Memorial Bariatric Surgery Center is here to help you begin a journey towards a healthier life. We provide a multidisciplinary approach that includes various non-operative treatments. However, when necessary, our surgeons will provide the most technologically advanced surgeries to help you get back to doing the things you love most. Weight loss surgery is considered the most successful approach to rescuing patients from morbid obesity. Surgery can also prevent, and sometimes reverse, the development of diseases associated with obesity.
Studies show that surgical weight loss patients have significant and lasting weight loss and improvement in diabetes, lipid levels, HDL levels, high blood pressure, sleep apnea, infertility and many other medical conditions. Achieving a healthier weight has shown to improve quality and increase quantity of life.
Gastric bypass uses both a restrictive and a malabsorptive surgery technique. It restricts food intake and the amount of calories and nutrients the body absorbs. In addition to creating a smaller stomach pouch, the surgery changes the body's normal digestive process. As a result, food bypasses a large part of the stomach and most of the small intestine.
The Adjustable Gastric Band is placed around the uppermost part of the stomach, dividing it into two parts: a small upper pouch and a lower stomach. The band is adjustable, which allows your bariatric surgeon to personalize your band fit over time. The upper pouch can hold only about four ounces (1/2 cup) of food once optimally adjusted. After an adjustment, you'll be satisfied with less food, so you can keep losing weight gradually.
During this procedure, a thin vertical sleeve of stomach is created using a stapling device, and a portion of the stomach is removed. The remaining stomach pouch is about the size of a small 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 manner, allowing it to be fully absorbed in the body.
The Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is a procedure with two components. First, a smaller, tubular stomach pouch is created by removing a portion of the stomach, very similar to the Sleeve Gastrectomy. Next, a large portion of the small intestine is bypassed. The duodenum, or the first portion of the small intestine, is divided just past the outlet of the stomach. A segment of the distal (last portion) small intestine is then brought up and connected to the outlet of the newly created stomach, so that when the patient eats, the food goes through a newly created tubular stomach pouch and empties directly into the last segment of the small intestine. Roughly three-fourths of the small intestine is bypassed by the food stream. The bypassed small intestine, which carries the bile and pancreatic enzymes that are necessary for the breakdown and absorption of protein and fat, is reconnected to the last portion of the small intestine so that they can eventually mix with the food stream.
The benefits of BPD/DS include:
- The pylorus remains intact: this usually keeps dumping syndrome from occurring after surgery (although you may have different dietary restrictions)
- It is the most effective weight loss surgical procedure – 85% excess body weight loss with less weight regain and is particularly effective at resolving diabetes.
- It is not an ulcerogenic procedure; patients can resume taking their ususal antiarthritic medications after they have recovered from their surgical procedure.
We are proud to offer the newest advancement in surgery, the SILS™ technique (Single Incision Laparoscopic Surgery) for those individuals that qualify and are having the Laparoscopic Sleeve Gastrectomy or the Adjustable Gastric Banding. The SILS™ approach uses a single incision in the belly button instead of the multiple incisions utilized in standard laparoscopic surgery. The single incision SILS™ approach provides the potential for no visible scar, faster recovery time compared to other procedures, and reduced pain associated with multiple incisions.
We also offer bariatric surgery utilizing the daVinci® Robot for select individuals. The benefits of robotic surgery include:
- Less blood loss
- Lower leak rate
- Less risk of anastamotic stricture
- Less pain
- Shorter recovery and quicker return to activity
The ENDOEYE FLEX 3D Videoscope is used to enhance the surgeon’s natural 3D vision and depth perception. Using a scope with two high-definition cameras provides the surgeon with a clear view of the anatomy even though he or she is working with tiny laparoscopic tools outside of the patient’s body. This technology provides several benefits, including increased accuracy, precision and efficiency.