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Gastric Surgery

Gastric Balloon

This is a temporary restriction placed inside the stomach pouch, which reduces food intact. It is generally used in cases where the candidate has an unusually high BMI to reduce the weight of the candidate to a safer level for them to undergo weight loss surgery safely.

Gastric Banding - Mc Lean Method

MacClean Method Restrictive Surgery - uses bands or staples to create food intake restriction.

The bands or staples are surgically placed near the top of the stomach to section off a small portion called a stomach pouch. A small outlet is left at the bottom of the stomach pouch. Since the outlet is small, food stays in the pouch longer and you also feel full for a longer time.

Gastric Lap Banding

Laprascopic Gastric Banding (Gastric Lap-Band)

An adjustable gastric banding method, where a restrictive adjustable band is fitted around the stomach to reduce food intake. There is a longitudinal balloon (like a bicycle tire) inside the band that after fitting is gradually filled with fluid by injection through a subcutaneous port. By this means it is possible to adjust the opening in the stomach after surgery.

The balloon band system can be described as putting a straight-jacket on the stomach. The band induces an early feeling of fullness and thereby decreases food intake.

Gastric Bypass

Roux-en-Y Gastric Bypass (RGB)

The stomach is separated in two parts, the upper part is then connected to the small bowel. The larger lower portion of the stomach is left out of the food circulation chain and will never again be filled with food. This means that you have a small stomach and a shorter bowel. You will feel full sooner (due to the small stomach) and will absorb less food (due to the shorter bowel).

The Roux-en-Y Gastric Bypass is performed by making a small pouch in the upper part of the stomach to which a section of small intestine is joined so that food passes directly from the small pouch into this intestine. This direct Y-shaped connection is made from the ileum or jejunum to the stomach pouch for malabsorption. The remainder of the stomach empties through the small intestine into the intestine that has been joined to the stomach. The excluded stomach contains acid and gastric juice only, and this together with bile passes down the small bowel joining the food and thus helping to digest it. The excluded and unused portion of stomach remains unchanged, because it has a normal blood supply. The longer the segment of small intestine bypassed, the greater the malabsorption component, and the greater the weight loss. Gastric bypass with an extensive segment of small bowel bypassed is termed “Long Limb Gastric Bypass ”

With the Roux-en-Y Gastric Bypass people eat much more normally with little likelihood of vomiting. The quality of life is excellent and there is a good chance of reaching and staying at your ideal weight. Average weight loss with the Gastric Bypass is approximately 70% of the excess weight.

In addition, sugar passing through into the small intestine tends to produce a feeling of nausea or pain, and because of this, eating sugar is greatly discouraged and thus also helps in weight loss.