Appalachian Regional Healthcare | Bariatric Surgery

Bariatric Surgery

Bariatric Surgical Procedures

Bariatric surgery, also called weight loss surgery, is a category of surgical operations intended to help people with obesity lose weight. Healthcare providers may recommend bariatric surgery if other weight loss methods have failed and if obesity appears to pose a greater risk to your health than surgery.

Bariatric surgery procedures work by modifying your digestive system — usually your stomach, and sometimes also your small intestine — to regulate how many calories you can consume and absorb. They can also reduce the hunger signals that travel from your digestive system to your brain.

These procedures can help treat and prevent many metabolic diseases related to obesity, including diabetes and fatty liver disease. But weight loss surgery isn’t an easy “quick fix”. It requires preparation beforehand and long-term lifestyle changes afterward to be successful.

ARH Surgical Clinic - A Department of Hazard ARH Regional Medical Center

Roux-en-Y Gastric Bypass

Stomach reduced to size of walnut and then attached to middle of small intestine, bypassing a section of the small intestine (duodenum and jejunum) and limiting absorption of calories.

Risks include allergic reactions to medicines, blood clots in the legs, blood loss, breathing problems, heart attack or stroke during or after surgery and infection

Sleeve Gastrectomy

Stomach divided and stapled vertically, removing more than 85%, creating tube or banana-shaped pouch restricting amount of food that can be consumed and absorbed by the body.

Risks include gastritis, heartburn, stomach ulcers; injury to the stomach; intestines, or other organs during surgery; leakage from the line where parts of the stomach have been stapled together; poor nutrition, scarring inside the belly that could lead to a future blockage in the bowel; and vomiting

Gastric Banding

Adjustable silicone band filled with saline wrapped around upper part of stomach, creating small pouch that restricts food intake.

Risks include the gastric band eroding through the stomach, the gastric band slipping partly out of place, gastritis, heartburn, stomach ulcers, infection in the port, injury to the stomach, intestines, or other organs during surgery, poor nutrition, and scarring inside the belly

Single Anastomosis Duodeno-Ileal
Bypass with Sleeve Gastrectomy (SADI-S)

The Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy, referred to as the SADI-S is the most recent procedure to be endorsed by the American Society for Metabolic and Bariatric Surgery. While similar to the BPD-DS, the SADI-S is simpler and takes less time to perform as there is only one surgical bowel connection.

Duodenal Switch

The majority of the most stretchable portion of the stomach is permanently removed and roughly two-thirds to three-fourths of the upper small intestines are bypassed.

General Surgery Links

General Surgery Resources