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Surgical options for weight loss

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Cone Health’s Bariatric s and Wellness Services offers three different options in bariatric surgery, including adjustable gastric banding (Lap Band), Roux-en-Y gastric bypass and gastric sleeve procedures.

Adjustable Gastric Banding (Lap Band) procedure involves the placement of a silicone band around the upper part of the stomach to create a small pouch, which can hold only a small amount of food. Adjustable Gastric Banding centers around portion control. It focuses on getting patients to a zone in which they can eat less and not feel as hungry, causing them to lose weight without feeling deprived.

While the weight loss may take a longer period of time with this procedure, it is less risky and generally has a quicker recovery period. In the Roux-en-Y gastric bypass procedure, a one ounce capacity upper stomach pouch is created. This primarily restrictive procedure limits the food intake, also rendering a one meter segment of small intestine ineffective in absorbing calories.

Patients will be required to eat five to six small meals a day and take proper vitamin supplements.  Gastric Bypass surgery often results in quicker weight loss than the Lap Band procedure.  It also causes changes in the body’s gut hormones, which has been proven to be extremely beneficial for type 2 diabetic patients—making fairly prompt, helpful changes in managing their condition.

Gastric sleeve surgery is a relatively new type of bariatric surgery that is quickly becoming a popular choice for bariatric surgery candidates, as it is now covered on health insurance plans the same as the Lap Band and gastric bypass surgeries. During a gastric sleeve procedure, 75 to 85 percent of the stomach is removed, leaving a small vertical space in the shape of a sleeve.

The portion removed produces hormones that curb hunger, so the result is a reduced desire to eat. Gastric sleeve surgery is less extensive than gastric bypass surgery, however patients still experience rapid weight loss similar to the results of gastric bypass. The type of weight loss surgery a patient chooses to have needs to be a well-informed, well-thought-out decision based on their individualized needs and goals.

At the Surgical Options for Weight Loss informational seminars held at Wesley Long Hospital, individuals considering bariatric surgery can learn more about the different procedures and the major life-style changes the must accompany the process.

To register for one of the Surgical Options for Weight Loss informational seminars, call (336)832-8000 or visit

Spokesperson Background:

Dr. Brian Layton is a surgeon at Central Carolina Surgery and a member of the Cone Health Bariatric and Wellness Services team.  Dr. Layton received a Doctor or Osteopathic Medicine from Midwestern University in 2002. He completed residencies in general surgery at Keesler Medical Center in Biloxi, MS and the Carolinas Medical Center in Charlotte, NC. Dr. Layton completed a fellowship in minimally invasive and bariatric surgery at Wake Forest University Baptist Medical Center in 2010.


  • Michelle Vicari

    I had gastric bypass surgery in 2006. My before & current picture: the 158 pound weight loss I achieved resolved all my health issues Gastroesophageal Reflux Disease, severe Obstructive Sleep Apnea, High Blood Pressure, and a host of other issues, I am off all 8 medications I was on prior to surgery. Best decision I ever made. I encourage readers thinking about weight loss surgery to research, talk to your doctor, attend a bariatric seminar to learn about all the different options, hit up post-ops about their experience. Having surgery was just one battle in a lifetime war versus obesity, every day I wake up and fight with healthy eating choices, moving my body and the most important in my opinion: working on the head, addressing the why’s of why I gained weight.

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