Weight Loss Surgery: Types of Procedures

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. Cone Health’s Bariatrics and Wellness Services offers three main types of surgical weight loss: Sleeve Gastrectomy, Gastric Bypass Roux-en-Y, and Adjustable Gastric Banding (Lap Band). All operations are performed using minimally invasive techniques, which involves less pain, faster recovery, and improved cosmetic outcomes.

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 lifestyle changes that must accompany the process.

The sleeve gastrectomy has become the most common procedure and involves removing approximately 80 percent of the stomach, limiting it to the size of a cup of food. The portion removed produces hormones that increase hunger, so the result is a reduced desire to eat. In the Gastric Bypass Roux-en-Y procedure, an upper stomach pouch about the size of an egg is created. This primarily restrictive procedure limits the food intake, also bypassing the first three feet of the small intestine to reduce calorie absorption. With both of these procedures, patients can lose from 100 to 130 pounds, depending on their original size. Gastric Bypass 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.

Adjustable Gastric Banding (Lap Band) involves the placement of an adjustable silicone band around the upper part of the stomach to create a small pouch, which can hold only a small amount of food. With the adjustable band, most patients can expect to lose 60 to 80 pounds over a two-year period. Adjustable Gastric Banding has become less popular in the last few years since the other procedures have been proven to help with other chronic diseases such as diabetes and provide more significant weight loss.

Not only can weight loss surgery serve as a tool in losing weight, it can help patients achieve overall well-being by improving, and sometimes curing, comorbidities such as diabetes and obstructive sleep apnea. Patients who undergo bariatric surgery must be committed to an entire lifestyle change in order to achieve optimal results and restore their quality of life.

Spokesperson Background:

Dr. Luke Kinsinger is a board-certified general surgeon in the triad and a member of the Cone Health medical staff.  Dr. Kinsinger received a Bachelor of Science in chemistry and biology, and attended medical school at the University of Illinois in 2006 and 2010, respectively. He completed his general surgery residency at Memorial Health University Medical Center in Savannah, Georgia.  He then completed a fellowship in laparoscopic and bariatric surgery at the University of Iowa Hospitals and Clinics in Iowa City, Iowa.