13 Feb Denver Robotic Gastric Bypass and Robotic Sleeve Gastrectomy
Robotic Gastric Bypass vs Robotic Sleeve Gastrectomy in Denver
I often have patients asking me questions in relation to weight loss operations. Patients can become confused as to which weight loss operation is best for them. Weight loss patients may also want to understand the risks associated with difference types of procedures. The two most common questions relating to weight loss surgery in Denver that I often hear are :
- Which weight-loss procedure is the best for me, a sleeve gastrectomy or a gastric bypass?
- How can I choose the best weight loss surgery for my unique weight loss goals?
Today, we’re going to help to answer these commonly asked questions about weight loss operations.
There have been many bariatric procedures that have evolved over time. The Roux-en-y gastric bypass and the gastric sleeve both seem to have withstood the test of time. Other weight-loss surgeries have been tried and tested but do not compete.
Apart from the gastric bypass and the gastric sleeve, other procedures have fallen short in expectations, or remain in the experimental stage. Unfortunately these weight loss surgeries have long-term outcomes that are not yet known. Therefore this makes these weight loss operations more risky for patients. So, as weight loss professionals, we would lean towards the gastric bypass and the sleeve gastrectomy. Despite offering good weight loss results, these two surgeries are quite different. So, it’s important to do your research before choosing the surgery for you.
First, let’s discuss the benefits of the gastric bypass operation and the sleeve gastrectomy procedure!
The Sleeve gastrectomy- Robotic Gastric Bypass procedure
Is the gastric sleeve procedure a good option for my weight loss journey?
If you’re thinking about getting life-changing weight loss surgery, you may have come across the term, gastric sleeve or sleeve gastrectomy. The sleeve gastrectomy has been around for a long time. First introduced as a part of the duodenal switch weight loss operation. However, in the past fifteen years, the gastric sleeve procedure has been found to provide good weight loss results. A common weight loss option in the United States, the gastric sleeve operation is a solid stand-alone procedure.
How Does the Sleeve Gastrectomy Procedure Work?
Let’s now discuss how this particular weight loss operation helps patients to lose weight. Basically, the sleeve gastrectomy operation consists of making a tube out of the stomach. The tub starts from the end of the oesophagus and ends at the lower portion of the stomach. The tube is narrow, perhaps a little wider than your index finger. This tube therefore restricts how much food you can eat, helping patients to feel full when eating fewer calories. Eventually, the sleeve gastrectomy tube will stretch out over time to be around 35-40% the size of a normal stomach. This size is exactly what a patient needs to maintain weight loss.
Sleeve Gastrectomy Results – Weight Loss & Co-morbidities
On average, a patient who has undergone a sleeve gastrectomy operation will see rapid weight loss in the first 3 to 6 months. After 6 months, the patient can expect the sleeve to stretch out. Weight loss may also begin to slow down. At the 12 month mark, weight loss is complete. At this point, weight loss patients can expect to lose approximately 70% of their excess weight. This is why a lot of patients think it’s a great weight loss operation.
In addition, there is also improvement in obesity-related illnesses associated with gastric sleeve operations. In fact, type 2 diabetes is greatly improved with a sleeve gastrectomy. Moreover, patients who have type 2 diabetes, may see it go into remission in about 60-70% of cases, with medication no longer needed. Plus hypertension and sleep apnea, often associated with obesity, resolve or improve about 60-65% of the time, after a sleeve gastrectomy.
Another huge advantage of the sleeve gastrectomy procedure is that it only restricts how much food you eat. This means that the food eaten is absorbed properly, allowing vitamin and minerals to nurious the body. This weight loss procedure minimizes mineral deficiencies post weight loss surgery. Great news for weight loss patients hoping to undergo a gastric sleeve.
If you’d like to know more about sleeve gastrectomy procedures for weight loss read our article on: Gastric Sleeves
Gastric Bypass – Weight Loss Procedure
Now let’s discuss gastric bypass surgery. The question now: Is the gastric bypass procedure a good option for my weight loss journey?
The Roux-en-y gastric bypass has also been around for a long time. It was first introduced in the 1960’s. For many bariatric surgeons, the gastric bypass operation is considered to be the gold standard for weight-loss surgery.
The gastric bypass operation has two clearly defined stages.
The first part of the gastric bypass operation involves creating a pouch out of the upper part of the stomach. This pouch is then connected to the esophagus. It is very small–about the size of an adult thumb and can contain about 1-1.5 ounces. So it will eventually stretch out. This enables the pouch to contain about 6-8 ounces over a 12 month period. This allows patients to maintain their weight loss and achieve their goals.
The second part of the operation is the bypass. The first part of the small intestine is bypassed by connecting the second portion of the small intestine to the pouch. This changes where the bypass portion of the small intestine empties into the second portion of the small bowel.
Although it sounds complicated, the end result is a change in how you absorb your food into the intestine. This is called the malabsorptive portion of the operation.
The weight loss achieved with the bypass is about the same as the sleeve gastrectomy. Similarly, there is also a favorable impact on obesity-related illnesses. The resolution or improvement seen in hypertension and sleep apnea is about the same for the bypass as it is for the sleeve.
However, the change in the anatomy associated with the bypass results in a much better remission rate for type II diabetes. We often see resolution in diabetes in about 85% of gastric bypass patients in our practice.
On the other hand, the downside of the gastric bypass is that over time it is possible to develop vitamin and mineral deficiencies. This is down to the malabsorptive component. In order to prevent this from occurring, vitamin and mineral supplements are recommended. It’s also important to attend regular follow-ups to monitor your ability to absorb vitamins and minerals post surgery.
If you’d like to know more about gastric bypass procedures for weight loss read our article on: Gastric Bypass
Which Weight Loss Operation is Best for Me?
Now to answer the question: Which weight-loss operation is the best for me?”
Put simply, if you have type II diabetes, this type of weight loss surgery is the best operation for remission, and may even offer a possible cure. However, if you don’t’ have type II diabetes, then the sleeve gastrectomy will still result in about the same weight loss. This makes it a great choice for a lot of patients in Denver. Finally, you will also have a much lower risk of nutritional deficiencies.
As always, if we can answer any questions, please don’t hesitate to give us a call at 303-861-4505. Our team are highly experienced and are more than happy to answer your questions on weight loss surgery options.
In conclusion, if you are interested in attending one of our free weight-loss informational seminars, please check our website for details. They are being held the third Thursday of each month at Parker Adventist Hospital. Hope to see you there!
All the best,
Tom Brown, MD