Each of Shawnee Mission Health's surgical options uses a laparoscopic approach, which means that your surgeon will use several small "keyhole" incisions rather than one large vertical abdominal incision. A laparoscopic approach decreases the chances for wound infections and incisional hernias, and speeds your recovery.
Laparoscopic Roux-en-Y Gastric Bypass
Roux-en-Y Gastric Bypass surgery has been considered the "gold standard" in weight-loss surgery performed today in the U.S. for the last two decades. It is widely viewed as the most effective means of long-term weight loss. Since 2002, our bariatric surgeons have performed well over 1,000 laparoscopic Roux-en-Y gastric bypass surgeries, with surgical times, complication and length-of-stay rates lower than the national average.
Gastric bypass surgery consists of two components: (1) a portion of your stomach is stapled into a small pouch and (2) approximately 100cm (40 inches) of your small intestine is "bypassed" so food does not absorb along that portion of the small bowel. This means you eat less, and in addition, you absorb fewer calories leading to greater weight loss.
Gastric bypass surgery usually requires a hospital stay of 24 hours and a two-week recovery period. Long-term weight loss averages 70-80 percent of excess body weight in about 12 -18 months. Insurance companies may offer coverage for this procedure.
Laparoscopic Sleeve Gastrectomy
Originally, the Sleeve Gastrectomy (also known as gastric sleeve) was the first step of a two-part surgery. The sleeve would be performed, and after about a 6 week healing period, the second part of the surgery would be completed, which consisted of bypassing a longer portion of the small intestine. Because patients were having such good weight loss from the first procedure, they frequently did not come back for the second surgery. About 10 years ago, it became a stand-alone surgery and the results have been excellent.
The Sleeve Gastrectomy achieves weight loss through restriction only. No intestinal bypassing is done. A staple line divides the stomach, and approximately 75% of the stomach is then removed, leaving a stomach that looks like a long, narrow sleeve. The data from the last decade shows approximately the same weight loss as the Gastric Bypass over a longer period time (about 18 – 24 months). Complication rates for the sleeve gastrectomy are consistently the lowest among the 3 surgeries, and it has rapidly become the most performed surgery in our practice and around the country. It requires a 24 hour stay and recovery is usually within 1 week. Insurance companies may offer coverage for this surgery.
Laparoscopic Gastric Banding
Approved by the FDA in 2001, laparoscopic gastric banding rapidly gained popularity. Since Shawnee Mission Health began offering Laparoscopic Gastric Banding surgery in 2004, over 750 gastric banding surgeries have been performed at our facility.
Gastric banding involves placing a silastic band around the upper portion of your stomach. The band is attached to a small port that lies outside the abdominal wall under the skin and fatty tissue. The silastic band forms a gastric pouch, which provides a sensation of fullness with smaller portions of food. The gastric band provides weight loss through food restriction only and there is no malabsorption component to this type of surgery. To ensure proper weight loss, the gastric band requires a number of in-office adjustments over one to two years.
Although weight loss is slower with banding, about 2 lbs a week, the outpatient procedure requires a minimal recovery period, usually less than one week. Long-term weight loss averages 50 to 60 percent of excess weight at the two- to three-year mark. However, only about 50% of band patients achieve the weight loss they are looking for, and some require the band be removed as due to complications that can arise from having a foreign object in your body. The laparoscopic gastric banding procedure is covered by some insurance companies.