Bariatric Surgical Treatment Options
Obesity can lead to many chronic diseases and disabilities, even premature death. Illnesses associated with obesity include heart disease, diabetes, hypertension, gallbladder disease, sleep apnea and depression. After surgery, as a healthy weight is achieved, many of these conditions, called "co-morbidities," disappear.
As Dr. Deron Ludwig, MD, Surgical Director, Enloe Bariatric Program, puts it:
"There is no other operation I know of that, with one procedure, can bring such profound results, curing many severe medical conditions at once. A dramatic change typically occurs very quickly in both medical and mental health."
Enloe Medical Center's Bariatric Program in Chico, Calif., offers three surgical procedures to treat morbid obesity: the vertical sleeve gastrectomy, the roux-en-y gastric bypass and the lap-band.
Vertical Sleeve Gastrectomy
Enloe also offers the vertical sleeve gastrectomy. This procedure produces weight loss solely through gastric restriction (reduced stomach volume). The reduced stomach volume generates weight loss through a decrease in calories ingested without bypassing the intestines, or causing any malabsorption. Further, there is a removal of the portion of the stomach that produces the hormone grehlin, which plays a major role in making one hungry, causing a marked decrease in appetite. This operation can be offered to patients as an alternative to the Lap Band®, or to patients who do not qualify for the Roux-en-Y surgery due to previous colon surgery.
Roux-en-Y gastric bypass
Enloe's Bariatric Program offers the Roux-en-Y gastric bypass, surgery that drastically reduces stomach size, permitting less food intake, and bypasses a portion of the small intestine, reducing the number of calories absorbed. The Roux-en-Y operation is done laparoscopically, which involves using several small incisions, rather than one large incision. The procedure can also be done using the "open" method. Both the open and laparoscopic techniques can have excellent results, but the less-invasive method allows patients to return home and back to work sooner.
Enloe also offers Lap-Band, a gastric bandingprocedure that restricts food intake by using an adjustable band to create a small pouch at the top of the stomach. Unlike the Roux-en-Y, gastric banding does not affect absorption of calories. Lap-Band operations are done laparoscopically, which involves using several small incisions, rather than one large incision. The procedure can also be done using the "open" method. Both the open and laparoscopic techniques can have excellent results, but the less-invasive method allows patients to return home and back to work sooner.
Your questions answered - Q&A Videos
Dr. Erik Simchuk, Bariatric Surgeon
- Why do diets tend not to work, or not work for long?
- Who would be a candidate for bariatric surgery?
- What is BMI, or Body Mass Index?
- Besides weight-loss, what benefits does bariatric surgery offer patients?
- What are the advantages of minimally invasive bariatric surgery?
- What are realistic expectations, long term
Dr. Deron Ludwig, Bariatric Surgeon
- What is a sleeve gastrectomy?
- What is a roux-en-y gastric bypass?
- What is a lap-band, and how does it work?
- Are lap-bands and bypasses permanent?
- What is a Center of Excellence, and why does this distinction matter?
Enloe Bariatric Program
251 Cohasset Road, Suite 110
Chico, CA 95926
If you have questions, please call us at (530) 332-5122 or contact us online.
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