House Call: Bariatric Surgery – Lap Band vs. Gastric Bypass

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Since 2003, the dedicated team of surgeons and healthcare professionals within the Cone Health bariatric services program has performed more than 1,000 weight-loss surgeries.

The two types of bariatric surgery offered in the program are Adjustable Gastric Banding (Lap Band) and Gastric Bypass Roux-en-Y procedure.

Both operations are performed using minimally invasive techniques which involves less pain, faster recovery and improved cosmetic outcomes. In the Gastric Bypass Roux-en-Y 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.

Adjustable Gastric Banding (Lap Band) procedure involves the placement of a silicone elastomer 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. 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 lifestyle changes the must accompany the process.

To learn more about bariatric surgery or to register for the Surgical Options for Weight Loss informational seminar, call (336)832-8000 or visit

Spokesperson Background:

Dr. Matthew Martin is a general surgeon and a member of the Cone Health Medical Staff.  Dr. Martin is a member of the American Society for Metabolic and Bariatric Surgery. He is a 1979 graduate of University of Texas Southwestern Medical School. He completed his residency in general surgery at Wake Forest University Bowman Gray School of Medicine, which also included a clinical research fellowship in surgery.