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The surgical weight loss alternative.

What you must know about options and safety.

Today, up to 10 million Americans are considered morbidly obese. They have body mass indexes (BMI) of 40 or over and they weigh at least 100 pounds more than their medically preferred weight. Some 87 million more Americans are overweight or obese. Yet, only about 2% seek surgical help for their problem, despite the greater safety and better results of today’s advanced techniques.

Perhaps the greatest technological advance in bariatric weight loss surgery is the laparoscope. With much smaller incisions and minimal scarring, laparoscopic weight loss procedures reduce the risk of infection and help speed recovery while achieving superior results.

Laparoscopic Roux-en-Y gastric bypass.

Laparoscopic Roux-en-Y gastric bypass.Laparoscopic gastric bypass is considered the “gold standard” of weight loss surgery. Unlike conventional “open” gastric bypass surgery, which often requires a foot-long incision, laparoscopic surgery is performed through openings the size of buttonholes. We view the surgical site on a high-definition monitor. Since there is no large incision to heal, patients have less pain and less scarring and recover more quickly.

The most commonly performed laparoscopic bariatric procedure is called the Roux-en-Y (pronounced ROO-en-why) gastric bypass. The Roux-en-Y procedure helps you lose weight and keep it off in two ways. First, part of the stomach is sectioned off, strictly limiting the amount of food that can be eaten at one time. Second, part of the intestine is bypassed, limiting the body’s ability to fully absorb all of the calories eaten. Typical weight loss is 60% to 70% of excess pounds.

Sleeve gastrectomy.

Sleeve gastrectomyA recent addition to the armamentarium of weight loss procedures, sleeve gastrectomy represents the middle ground between laparoscopic Roux-en-Y and Lap-Band.

This procedure generates weight loss through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 80% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 3-5 ounces (90-150cc). The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. Note that there is no intestinal bypass with this procedure, only stomach reduction.

The Lap-Band® procedure.

The Lap-Band® procedureAnother surgical weight loss option is laparoscopic adjustable gastric band surgery (better known as Lap-Band). It has been performed on over 300,000 patients worldwide since its clinical introduction in 1991. Laparoscopic banding restricts the volume of solid food you eat without interfering with your body’s ability to absorb nutrients. There is no permanent change to your anatomy, and the procedure can be adjusted or reversed when necessary. Most patients are treated as outpatients.

What truly sets apart NORCAL Advanced Laparoscopy from other bariatric specialists is our advanced fellowship training, safety record and experience. Our program uniquely emphasizes pre- and postoperative education in diet, nutrition, exercise and lifestyle changes. This means our doctors are here for you before, during and long after surgery is completed... We follow our patients for life.

For more information on laparoscopic weight loss surgery or to personally meet our doctors, call our Sacramento office today at 916-568-5564 or simply use our online Request an Appointment form.

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