May worsen or cause new onset reflux and heart burn.Effective weight loss and improvement of obesity related conditions.May be used as a bridge to gastric bypass or SADI-S procedures.May be performed as the first step for patients with severe obesity.Can be performed in certain patients with high risk medical conditions.Technically simple and shorter surgery time.The simple nature of the operation makes it very safe without the potential complications from surgery on the small intestine. It decreases hunger, increases fullness, and allows the body to reach and maintain a healthy weight as well as blood sugar control. By removing the portion of the stomach that produces most of the “hunger hormone”, the surgery has an effect on the metabolism. The new stomach holds less food and liquid helping reduce the amount of food (and calories) that are consumed. Surgical staplers are used to remove 80% of the stomach, making it much smaller.The stomach is freed from organs around it.The remaining stomach is the size and shape of a banana. The Laparoscopic Sleeve Gastrectomy, often called the 'sleeve', is performed by removing approximately 80% of the stomach. Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy.Biliopancreatic Diversion with Duodenal Switch.Your bariatric surgeon will review your health history and work with you to determine which surgery is best for you. Each surgery has its own advantages and potential drawbacks. The common procedures endorsed by the American Society for Metabolic and Bariatric Surgery are listed and explained below. These procedures improve the body’s ability to achieve a healthy weight. This results in less food intake and changes how the body absorbs food for energy resulting in decreased hunger and increased fullness. The operations may make the stomach smaller and also bypass a portion of the intestine. The goal of these operations is to modify the stomach and intestines to treat obesity and related diseases. These operations are extremely safe, with complication rates that are lower than common operations such as gallbladder removal, hysterectomy, and hip replacement.

These advancements allow patients to have a better overall experience with less pain, fewer complications, shorter hospital stays and a faster recovery. They are performed with small incisions using minimally invasive surgical techniques (laparoscopic and robotic surgery). Today’s metabolic and bariatric operations have been refined over the course of many decades and are among the best studied treatments in modern medicine. The benefits allow patients with obesity who choose to undergo treatment to enjoy a better quality of life and a longer lifespan. These operations also have an ability to prevent future health problems. In addition to their ability to treat obesity, these operations are very effective in treating diabetes, high blood pressure, sleep apnea and high cholesterol, among many other diseases. These terms are used in order to reflect the impact of these operations on patients’ weight and the health of their metabolism (breakdown of food into energy). Weight loss surgery is also known as bariatric and metabolic surgery. Pathway for Endorsement for New Devices and Procedures.Essentials of Bariatric & Metabolic Surgery App.Treat your Obesity | Patient Learning Center.

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