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: A brief explanation
is provided below. For more details, including risks and additional
benefits of surgery, please contact your physician.
The Roux-en-y Gastric Bypass (pictured below) is a combination
malabsorptive/restrictive procedure. The surgeon
attaches the patient’s
small intestine directly to a pouch that has been
surgically created in the stomach. Food bypasses part of the small
intestine, which reduces the body’s absorption of calories
and nutrients without interfering with digestion. Patients may experience
about 60 to 70% of excess body weight loss, most within a year.

In Gastric Banding surgery, a silicone band is inserted
around the upper portion of the stomach to create a “pouch” which
can hold about two ounces of food. The type of surgery is most often
done through small incisions (laparoscopically) and is referred to
as the Lap-band procedure. The band may be removed but it is designed
to remain permanently.
This procedure generates weight loss solely through gastric restriction
(reduced stomach volume). The stomach is restricted by stapling and
dividing it vertically and removing more than 85% of it. This part
of the procedure is not reversible. The stomach that remains is shaped
like a very slim banana and measures from 1-5 ounces. The nerves
to the stomach and the outlet valve (pylorus) remain intact with
the idea of preserving the functions of the stomach while drastically
reducing the volume.

* Procedure description from www.obesityhelp.com.
- Eat less
- Eat slowly
- Chew well
- Avoid drinking fluids shortly before, after and during meals
- Regularly exercise
- Participate in support groups
If you are interested in learning more about bariatric surgery,
please contact (973) 322-7433 for information about our free orientation/
informational seminars.
“Demand for Bariatric Surgery ‘Unbelievable’,” Internal
Medicine News, July 15, 2003.
“Gastric Surgery for Severe Obesity,” National Institute of Diabetes
and Digestive and Kidney Diseases, National Institutes of Health, 1996.
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