Bariatric surgery transforms the health and lives of thousands of people every year. This is a treatment option for people living with morbid obesity, especially those who haven’t had long-term weight loss success through other means including diet and exercise. Until recently, bariatric surgeons used only an open technique, which required a long incision and traditional medical instruments. More recently, minimally invasive* techniques have been introduced allowing surgeons to perform the same operation, but with much smaller incisions. This can result in faster recovery, less pain, and less scarring.
Doctors Steven Webb, John D. DePeri, and Arun Rao are exemplary professionals within the bariatric field. Our bariatric team is a caring and compassionate group of experts, and we treat each of our patients with respect and the attention needed to ensure success during and after the weight loss procedure. We place an emphasis on patient education because we know that a well-informed patient should make the right choices before weight loss surgery, and post-operatively as well. Your weight loss journey doesn’t end with the procedure. Memorial Advanced Surgery is committed to being an ongoing resource for patients and their families, dedicated to keeping you in top health. We want you to know that when you leave, your relationship has only just begun. We’ll be there to support you when you’re in need, every step of the way. We look forward to welcoming you into our family of happy and healthy weight loss surgery success stories. Please contact our office at (904) 399-5678 or (877) 409-0583 for more information and to see if you qualify for our bariatric surgery program. *Not all patients will qualify for minimally invasive bariatric surgery.
Biliopancreatic Diversion with Duodenal Switch
The Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is a procedure with two components. First, a smaller, tubular stomach pouch is created by removing a portion of the stomach, very similar to the Sleeve Gastrectomy. Next, a large portion of the small intestine is bypassed. The duodenum, or the first portion of the small intestine, is divided just past the outlet of the stomach. A segment of the distal (last portion) small intestine is then brought up and connected to the outlet of the newly created stomach, so that when the patient eats, the food goes through a newly created tubular stomach pouch and empties directly into the last segment of the small intestine. Roughly three-fourths of the small intestine is bypassed by the food stream. The bypassed small intestine, which carries the bile and pancreatic enzymes that are necessary for the breakdown and absorption of protein and fat, is reconnected to the last portion of the small intestine so that they can eventually mix with the food stream.
The benefits of BPD/DS include:
- It is the most effective weight loss surgical procedure – 85% excess body weight loss with less weight regain and is particularly effective at resolving diabetes.
- It is not an ulcerogenic procedure; patients can resume taking their usual antiarthritic medications after they have recovered from their surgical procedure.
Revisional Bariatric Surgery
Occasionally bariatric surgery patients will require a revision of their primary procedure. The surgeons at Memorial Advanced Surgery can help you achieve a successful outcome from your weight loss surgery. These procedures can usually be offered successfully and safely utilizing the benefits of the laparoscopic approach with the daVinci® robot system.
Our most frequent revisional bariatric procedure is removal of failed adjustable bands, with conversion to either a vertical sleeve gastrectomy or a gastric bypass.
The laparoscopic vertical sleeve gastrectomy is an operation in which approximately 90 percent of the stomach is surgically removed. This results in a new stomach that is roughly the size and shape of a banana. The smaller stomach pouch causes patients to feel fuller sooner so they eat less food. It also removes the part of the stomach that produces Ghrelin. Ghrelin is the hunger hormone that stimulates appetite.
The sleeve gastrectomy is safe and effective even for patients with higher BMIs.
During the Roux-en-Y Gastric Bypass surgery, the surgeon creates a smaller stomach pouch. The surgeon then attaches a Y-shaped section of the small intestine directly to this pouch. This allows food to bypass a large portion of the small intestine. The small intestine absorbs calories and nutrients, and bypassing it eliminates some of that absorption and, in turn, calories. Working in tandem is the smaller stomach pouch which causes patients to feel fuller sooner and eat less food. Our doctors perform this procedure laparoscopically using the daVinci robot for a precise, safe anastomosis which decreases the risk of complications and gives better, sustained results.
Recovery time is rapid, with most patients being able to leave the hospital within two days and return to work in one week and to normal activities as tolerated after that.