Our Weight Loss Surgery Options
Bariatric (weight loss) surgery is designed to help patients address obesity and significantly improve their health. Dr. Matthew St. Laurent offers several different types of bariatric surgery in order to meet the diverse needs of patients. During your personal consultation at Northwest Endosurgical, Dr. St. Laurent will discuss the contributing factors of obesity and help to determine the most appropriate way to address your condition through non-surgical or surgical options. It is important to understand that even with bariatric surgery, you still must commit to making significant lifestyle changes in order to maintain a healthy weight and improve your quality of life.
Gastric bypass surgery involves dividing the stomach into two sections: a smaller upper section and a larger lower section. The intestine is then connected to the upper portion of the stomach. After gastric bypass surgery, food will bypass the lower part of the stomach, allowing patients to feel full after consuming much less food. Although gastric bypass requires significant modifications to the stomach, it can help patients achieve a substantial amount of weight loss. Dr. St. Laurent will carefully assess your individual case to determine if gastric bypass or another type of bariatric surgery is right for you.
During gastric sleeve surgery, Dr. St. Laurent will remove a significant portion of stomach tissue, leaving a small section that resembles a thin, vertical “sleeve," which is then stapled shut. Having a smaller stomach will limit the amount of food a patient can consume during a single meal. Over time, patients will begin to lose weight as their caloric intake becomes reduced. Dr. St. Laurent will explain the full benefits of gastric sleeve surgery and discuss your needs and goals to determine if this bariatric treatment is right for you.
In some cases, a patient will regain a significant amount of weight or experience complications following a bariatric procedure, necessitating a second surgery. Revision bariatric surgery may involve addressing an issue that arose from the initial procedure, or Dr. St. Laurent may convert one type of procedure into another. For example, we can use revision surgery to convert a gastric sleeve into a gastric bypass or duodenal switch, or convert LAP-BAND® into a gastric bypass. Dr. St. Laurent will review your unique situation to determine the types of revision surgery that are right for you.
To perform a procedure known as duodenal switch, Dr. St. Laurent will first remove a large portion of the stomach and shorten the intestine. Then, he will attach the intestine to the new, smaller stomach pouch. In order to reduce post-operative nutritional deficiencies after a duodenal switch, Dr. St. Laurent performs the SIPS (stomach intestinal pylorus-sparing surgery) technique. After a duodenal switch procedure, consumed food will bypass the upper portion of the intestine, decreasing the amount of calories absorbed. This procedure can be revised or used to revise a previous type of surgery.
Bariatric surgery is not recommended for all patients who are overweight. Instead, these procedures are designed for patients who have a body mass index (BMI) above 40, a BMI of 35 and an obesity-related condition, or those who are more than 100 pounds above their ideal body weight. Dr. St. Laurent will evaluate your candidacy for bariatric surgery during a personal consultation. In addition to meeting physical criteria, candidates must make significant lifestyle changes to help maintain a healthy weight and avoid future complications that can result from significant weight regain.
Before undergoing surgery, we provide patients with a bariatric surgery guide to help ensure a safe and successful procedure. Since proper planning is vital to the ultimate success of your weight loss surgery, the guide will include instructions for both before and after your treatment. You can refer to the guide for pre- and post-operative meal plans, as well as recovery and eating guidelines for the coming years. It is imperative that patients follow all behavior modification instructions and exercise recommendations after surgery for continued success.
We offer several bariatric surgery options, and each has its own set of benefits and important considerations. In order to help our patients make fully informed decisions about their care, we educate them about the differences between bariatric treatments. Each procedure involves a unique surgical technique and affects the body in different ways. In addition, the necessary lifestyle adjustments following surgery will be different depending on the procedure. During your consultation, Dr. St. Laurent will take all the necessary time to help you better understand how these procedures compare to one another. This will allow you to make a confident and informed decision.
With the LAP-BAND® System, Dr. St. Laurent places a LAP-BAND® Adjustable Gastric Band around the stomach, creating a smaller area for food. This decrease in size allows patients to feel as though they are full after eating only a small amount of food. After surgery, your caloric intake should drastically decrease, helping you to gradually lose weight. The LAP-BAND® System offers several unique benefits. Most notably, it does not require significant modifications to your stomach or intestines. In addition, it can be easily reversed, should you decide that the LAP-BAND® System is not right for your lifestyle.