The bariatric procedures performed at Baylor Scott & White Medical Center – Frisco are described briefly in the following paragraphs. Consult with your bariatric surgery specialist to answer your specific questions.
The idea behind the operation is to create a small pouch in the upper part of the stomach with a controlled and adjustable stoma, without stapling, thus limiting food intake.
A gastric band device is introduced through tiny (1cm) incisions in the abdomen and is placed around the upper part of the stomach. The resulting pouch (or the “new stomach”) dramatically reduces the functional capacity of the stomach. The band has a balloon from the inside that is adjustable and can reduce stoma size, thus prolonging the period of fullness.
The operation is performed under general anesthesia and can last between 30 minutes and 1 hour. The Band is fitted around the uppermost part of the stomach, forming a 15cc small pouch. It is designed so that it can be inflated or deflated at any time after the operation. This helps the patient continually lose weight until they reach their goals. The restriction takes place in the radiology suite and normally takes 15 minutes. This simple procedure is painless. They inject saline into a port placed under the skin in the wall of the stomach. The tube that comes off of the band leads to the port.
Advantages of gastric banding:
– No cutting of the stomach
– No stapling of the stomach
– Calibrated pouch and stoma size
– Can be adjusted to patient’s needs after surgery with no operation to adjust the stoma
– Laparoscopic removal possible
– Fully reversible
– Short hospital stay (normally does not exceed 48 hours)
Gastric Sleeve or Vertical Sleeve Gastrectomy (VSG)
The Gastric Sleeve procedure – or Vertical Sleeve Gastrectomy (VSG) – is an operation in which the left side of the stomach is surgically removed. This results in a new stomach which is roughly the size and shape of a banana. Since this operation does not involve any “rerouting” or reconnecting the intestines, it is a simpler operation than the gastric bypass or the duodenal switch. Unlike the Lap-Band procedure, the sleeve gastrectomy does not require the implantation of an artificial device inside the abdomen.