The type of surgery that may be best to help a person lose weight depends on many factors. You should talk to your doctor about the type of operation that is best for you or your teen.
Difference Between Open And Laparoscopic Surgery
In open bariatric surgery, surgeons perform a single large cut to the abdomen with the help of Bariatric Surgery Instruments. More often, surgeons now resort to laparoscopic surgery, in which they perform several small cuts and insert thin surgical tools into the cuts.
Surgeons also insert a small bezel attached to a camera that projects images onto a video monitor. Laparoscopic surgery carries less risk than open surgery and can cause less pain and scarring than open surgery. Laparoscopic surgery can also lead to faster recovery.
Open surgery may be a better option for some people. If you have a high level of obesity, have already had stomach surgery, or have other complex medical problems, you may need to have open-air surgery.
What Are The Surgical Options?
In the United States, surgeons most often use three types of operations:
Laparoscopic adjustable gastric band
Gastric sleeve surgery also called sleeve gastrectomy
Gastric bypass surgery
Surgeons use the fourth operation, biliopancreatic bypass with duodenal switch, less often.
Laparoscopic Adjustable Gastric Band
In this type of surgery, the surgeon places a ring with an inflatable internal band on top of your stomach to create a small pouch. The strip has a circular balloon inside that is filled with the salt solution.
The surgeon can adjust the size of the opening between the pouch and the rest of your stomach by injecting or removing the solution using a small device called a port under your skin.
After surgery, you will need several follow-up visits to adjust the size of the headband opening. If the group causes problems or does not help you lose enough weight, the surgeon can remove it.
The U.S. Food and Drug Administration (FDA) has approved the use of the gastric band for people with a BMI of 30 or more and also with at least one obesity-related health problem, such as heart disease or diabetes.
During gastric sleeve surgery, also known as the vertical sleeve gastrectomy, a surgeon removes most of your stomach, leaving only a banana-shaped section closed by staples. Like gastric band surgery, this reduces the amount of food that can fit in your stomach, allowing you to feel full earlier.
Taking part of the stomach can also affect intestinal hormones or other factors such as intestinal bacteria that can affect appetite and metabolism. This type of surgery cannot be reversed because part of the stomach is permanently removed.
Gastric bypass surgery, also known as Roux-en-Y gastric bypass, has two parts. First, the surgeon staples your stomach by creating a small pouch in the upper part. The staples greatly reduce the stomach, so you eat less and feel full earlier.
The surgeon then cuts off your small intestine and attaches the lower part of it directly to the stomach pocket. The food then bypasses most of the stomach and upper part of the small intestine so that your body absorbs fewer calories.
The surgeon connects the bypassed section further to the lower part of the small intestine. This bypassed section is always attached to the main part of your stomach so that digestive juices can pass from your stomach and the first part of your small intestine to the lower part of your small intestine.
Bypass surgery also alters intestinal hormones, intestinal bacteria and other factors that can affect appetite and metabolism. Gastric bypass surgery is difficult to reverse, although a surgeon can do so if it is medically necessary.
This operation, also called biliopancreatic deviation with duodenal switching, is more complex than the others. The duodenal switch involves two separate surgeries. The first is similar to gastric sleeve surgery. The second procedure redirects food to avoid most of the intestines.
The surgeon also attaches the bypassed section to the last part of the small intestine, allowing digestive juices to mix with food.
This type of surgery helps you to lose more weight than the other three types. However, this surgery is also the most likely to cause problems related to surgery and a shortage of vitamins, minerals, and proteins in your body. For these reasons, surgeons do not prefer to perform this surgery as often.
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