The goal of weight loss surgery is to reduce the body’s ability to absorb
and store calories. This result is achieved by using either restrictive or
malabsorptive bariatric procedures.
Restrictive procedures reduce the size of the stomach, limiting the volume of food
that can be consumed at one time. Restrictive procedures include vertical banded
gastroplasty (VBG), adjustable gastric banding (AGB) and Roux-en-Y gastric bypass
(RYGB) – although gastric bypass is also malabsorptive as well.
Malabsorptive procedures reduce your body’s ability to store calories by diverting
food away from the parts of your digestive system that absorb calories. Largely
malabsorptive procedures include biliopancreatic diversion (BPD) and biliopancreatic
diversion with duodenal switch (BPD-DS).
While vertical banded gastroplasty has largely fallen out of favor, other procedures
have proven effective for achieving and maintaining healthier weight.1
Each has also proven effective for reversing or minimizing weight-related health
problems.1
Gastric Bypass Surgery
Gastric bypass is the most common bariatric surgery performed in the United States.1 It offers a combination of both restrictive and malabsorptive
procedures, which appears to be a very effective recipe for weight loss. Moreover,
it is considered the gold standard surgical treatment.1
While gastric bypass is becoming more common, this elective surgery has serious
risks. Potential complications after gastric bypass include leakage of the digestive
tract, which requires re-operation and can cause death. Surgeons must have excellent
visualization, dexterity and control to complete this technically challenging operation
successfully.
The most common approach to gastric bypass is through a large abdominal incision.
This approach generally provides adequate visualization and access, but causes patients
significant pain and trauma. Laparoscopic gastric bypass can offer patients all
the benefits of a minimally invasive procedure. However, laparoscopic gastric bypass
has a long learning curve and requires specialized surgical skills. And because
there are additional risks and challenges associated with operating on high-BMI
patients, the majority of bariatric surgeons do not use this difficult technique.
Learn More
If your doctor recommends surgery to reduce your weight, you may be a candidate
for da Vinci Gastric Bypass, potentially the most effective, least invasive
surgery for weight loss.
Read more about da Vinci ®
Gastric Bypass.