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Surgical Options

Laparoscopic Surgery

Also called minimally invasive surgery. Laparoscopic surgery has become an option to traditional open surgical procedures. Minimally invasive techniques have been applied to these procedures with excellent results. The advantages include less pain, shorter hospitalization, and quicker return to normal activities. The overall complication rate and results are similar for the two approaches. If you are an appropriate candidate, we will offer you a laparoscopic approach. This is a demanding surgical technique, and therefore we cannot guarantee that your surgery will be completed this way. Consequently, you will need to be prepared just as you would for the open procedure. During laparoscopic surgery a small camera is used. The camera and other surgical instruments are passed through several small incisions made in the abdomen. The camera allows the surgeon to see inside the abdomen via a television monitor as the surgery is being performed.

Adjustable Gastric Banding (LAP-BAND®)

Adjustable gastric banding is a restrictive procedure. The LAP-BAND® system has an adjustable silicone band that is placed around the upper portion of the stomach to create a small pouch (approximately 30-cc capacity). There is no cutting or stapling involved, and your gastrointestinal tract remains intact. The band restricts the amount of food your new "pouch" can hold and the rate at which it empties. Your weight loss success will depend on how motivated you are and how committed you are to long-term life style and dietary modifications. The weight loss is slower after LAP-BAND® surgery, but research is showing that the long-term results can be similar to those of patients undergoing gastric bypass procedure. Because there is no bypass, there is no risk of malabsorption. The band is adjustable and reversible.

Sleeve Gastrectomy

A new option offered at Bassett Medical Center, laparoscopic sleeve gastrectomy, is a minimally invasive procedure that aims to help patients achieve significant, long-term weight loss. During this procedure, 75 to 80 percent of the stomach is removed, leaving only a small, banana-shaped portion of the stomach. The laparoscopic sleeve gastrectomy procedure provides patients with more weight loss success than laparoscopic adjustable gastric banding, and does not require the amount of visits and adjustments that are necessary with gastric banding. Compared to gastric bypass surgery, the laparoscopic sleeve gastrectomy has fewer complications with malabsorption and vitamin deficiencies. After surgery, patients typically begin to see significant improvement in previous medical conditions related to being overweight, such as high blood pressure, sleep apnea, and diabetes, or will see them go away completely. This enables the patient to be more active and enjoy a better quality of life.

Roux-en-Y Gastric Bypass

According to the American Society for Bariatric Surgery and the National Institutes of Health, the Roux-en-Y gastric bypass is the "gold standard" procedure of weight loss operations. The Roux-en-Y gastric bypass is a combination restrictive and malabsorptive procedure. During this procedure a small pouch is formed (approximately 30-cc capacity) from the top of your stomach. The remainder of the stomach is stapled shut, but is not removed. It is completely divided from the new stomach pouch. A portion of the small intestine, called the duodenum, is then bypassed. One end is brought up and connected to the newly formed stomach pouch. The other end is connected into the small intestine lower down. The stomach remnant remains attached to the neighboring organs. The acid and fluid secretions from the bypassed stomach, combine with bile from the liver and pancreatic digestive enzymes secreted into the duodenum, rejoin the food stream at which time digestion and absorption occurs. One year after the surgery the average weight loss is 50 - 80 percent of the excess body weight. Research studies have shown that after 10-14 years, 50 - 60 percent of the weight loss has been maintained and certain obesity related health problems were improved or resolved. There are risks involved, and as a result of the small bowel bypass poor absorption of iron, B12, and calcium can occur, which can result in anemia and metabolic bone disease. These can be managed with proper diet and vitamin/mineral supplements.

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One Atwell Road Cooperstown, NY 13326

607-547-3456 : 1-800-BASSETT (227-7388)