JFK For Life
Weight-Loss Surgery Options
JFK Medical Center offers a range of surgical weight-loss procedures, treatments and support to help our patients live happier, healthier lives.
Weight-Loss Surgery Options
JFK offers a complete range of surgical weight loss options, including:
- Sleeve Gastrectomy
- Gastric Bypass Surgery
- Gastric Band Surgery
- Robotic-Assisted Bariatric Surgery
- Weight Loss Revision Surgery
Sleeve Gastrectomy is a bariatric procedure that offers an excellent alternative to both gastric bypass and adjustable gastric banding. It is particularly effective for patients with mild to moderate Body Mass Index (BMI of 35 – 45) as a primary procedure and for very high BMI (greater than 70) as a staged procedure.
Vertical sleeve gastrectomy works mainly by reducing stomach volume. During surgery, the stomach is divided vertically and 80 to 85 percent of it is removed. What is left is a long vertical “sleeve” that is shaped like a banana. The nerves to the stomach and the outlet valve (pylorus) remain intact to preserve the functions of the stomach while reducing the volume it is able to hold.
There is no intestinal bypass with this procedure, only stomach capacity reduction. A sleeve gastrectomy also works because it removes the part of the stomach that produces Ghrelin, a hormone that stimulates appetite. This reduces, but does not eliminate, a person’s appetite.
Patients can expect to lose 50 to 70 percent of excess weight over a one- to two-year period after sleeve gastrectomy. Patients who may benefit from a sleeve gastrectomy over other procedures include those who have previously had small bowel surgery, very high BMI patients (>70) as part of a two-stage procedure, or low BMI (35 – 45) patients who prefer not to or cannot have an implanted device (band) or a malabsorptive (bypass or duodenal switch) procedure.
Other candidates include patients who have a family history of gastric cancer or need frequent EGD’s, and patients who have a history of inflammatory bowel disease or who are scheduled to undergo another procedure (knee replacement, kidney transplant) and need a procedure to lose weight that will have minimal effect on absorption of medications.
Advantages of Sleeve Gastrectomy
- A stomach that is reduced in volume but tends to function normally so most food items can be consumed, albeit in small amounts. It also allows normal absorption of most medications, unlike gastric bypass.
- The elimination of the portion of the stomach that produces a hormone that stimulates hunger.
- The elimination of “dumping syndrome.”
- A minimization of the chance of ulcers occurring.
- A reduced chance of intestinal blockage, anemia, osteoporosis, protein deficiency and vitamin deficiency.
- An appealing option for people with existing anemia, Crohn’s disease and numerous other conditions that make them too high risk for intestinal bypass procedures or procedures that require implants (such as gastric banding).
- The option to perform the procedure laparoscopically in patients weighing more than 500 pounds.
Gastric Bypass Surgery
Gastric Bypass Surgery is one of the most common weight loss surgery procedures performed today.
In normal digestion, food passes through the stomach and enters the small intestine , where most of the nutrients and calories are absorbed. It then passes into the large intestine (colon), and the remaining waste is eventually excreted. In a Roux-en-Y gastric bypass, a small pouch is created along the inner curve of the stomach and a segment of the small intestine is attached to the pouch to allow food to bypass a portion of the intestine.
Gastric Bypass Surgery is both a restrictive and malabsorptive procedure. This results in weight loss via reduced calorie and nutrition absorption.
Advantages of Gastric Bypass Surgery:
- Rapid weight loss
- Maximized weight loss
- Sustained weight loss
Gastric Band Surgery
Gastric Band Surgery is a purely restrictive surgical procedure in which an adjustable Silastic (silicone) band, is placed laparoscopically around the upper stomach to create a small pouch with a narrowed outlet. The gastric band restricts the top of the stomach so that it becomes full on a smaller amount of food, and empties more slowly thereby relieving hunger.
Developed by a noted New Jersey physician, gastric band surgery has been performed for over ten years and is widely utilized throughout US and the world since 2001.
Advantages of Gastric Banding
- Increased vitamin and mineral retention for patients
- No dumping or anemia
- No cutting or stapling of the stomach
- Faster recovery time than other types of Bariatric Outpatient Surgery (7-10 days)
- Can be adjusted in the office, however it is recommended under fluoroscopy
- Reversible with restoration of the normal stomach anatomy
Robotic-Assisted Bariatric Surgery
This procedure uses the da Vinci® Xi Surgical System and state-of-the-art computer technology to allow surgeons to operate with dexterity and control. Potential advantages of robotic surgery include: faster recovery time, less blood loss, reduced postoperative pain, and reduced risk for infection.
Advantages of Robotic-Assisted Bariatric Surgery
- Greater dexterity and control
- Faster recovery time
- Less blood loss
- Reduced postoperative pain
- Reduced risk for infection
Weight-Loss Revision Surgery
Revision, or correctional weight loss surgery, helps to resolve issues that may occur after bariatric surgery. Examples of revisions include, but are not limited to: band removal and conversion to vertical sleeve gastrectomy or gastric bypass, band revision, sleeve revision, and sleeve gastrectomy conversion to bypass. The highly skilled and experienced physicians at JFK are well positioned to perform weight loss revision surgeries.