Surgical Weight Loss Solutions in Tampa
The doctor will work with you to determine which surgical procedure is the best for your individual situation. At Florida Hospital Carrollwood, we offer a number of weight loss surgical solutions, including:
Roux-en-Y Gastric Bypass
With the Roux-en-Y Gastric Bypass, a small pouch is created using part of the stomach. This pouch is then connected directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper part of the small intestine (duodenum). This allows food to pass quickly through the intestine, causing important changes in hormone production that lead to weight loss and other benefits, such as preventing diabetes.
This surgical procedure for weight loss is performed using many small incisions, with small instruments and a camera to guide the surgery (laparoscopic methods.)
- The gold standard against which other bariatric surgeries and their outcomes are evaluated (UTD).
- Indications for Roux-en-Y gastric bypass include a BMI > 40, a BMI > 35 with one or more comorbidities related to obesity (i.e. hypertension, dyslipidemia), or a BMI > 35 with uncontrolled diabetes (UTD).
- First utilized as a weight loss mechanism in 1994, the Roux-en-Y gastric bypass restricts the amount of food one can ingest and limits how many nutrients are absorbed from the ingested food (UTD).
- The surgeon uses laparoscopic and stapling techniques to create an egg-sized pouch from the upper stomach. This pouch is then attached to part of the small intestine, the Roux limb, which creates a Y-shaped structure through which ingested food may bypass the remaining portion of the stomach (JH).
- A hormonal response is also elicited from the rerouting of the digestive tract; lower ghrelin and higher leptin levels decrease hunger and increase the ability of the patient to feel full after eating (UTD).
- Additional hormonal responses from the digestive tract reverse the process of obesity leading to type 2 diabetes (ASMBS).
- Roux-en-Y gastric bypass may result in up to 60-80% excess weight loss with a long-term conservation of >50% excess weight loss (ASMBS).
- Postoperative lifestyle modifications include strict adherence to a nutrition regimen, vitamin supplementation, and regular follow-up appointments with your surgeon (ASMBS).
Another option for weight loss is a gastric sleeve, and efficient weight-loss surgery that eliminates approximately 90% of the stomach, which also causes food to pass quickly through the small intestine, and provokes changes in hormone production that lead to weight loss. This is also done via laparoscopy.
- A surgery that restricts the size of your stomach using laparoscopic and stapling techniques; 75% of the organ is removed and a thin gastric “sleeve” is created (Cleveland Clinic).
- Originally, the procedure was created as part of a multi-stage surgery for superobese patients in lieu of Roux-en-Y gastric bypass so surgical instruments could gain access to the gut around the liver (Columbia).
- The banana-shaped sleeve restricts the amount of food that one may ingest (ASMBS). Hormones that are affected by sleeve gastrectomy include those that regulate appetite, fullness, and the control of blood sugar (ASMBS).
- Sleeve gastrectomy does not alter the way nutrients are absorbed, nor is the digestive tract rerouted (Cleveland Clinic). However, it is a permanent procedure and cannot be reversed (Columbia).
- Best results report weight loss up to 60% following sleeve gastrectomy, which can be more with a strict nutrition and behavior regimen (Columbia).