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Surgical Procedures

At WeightWise, we believe educating patients is the most important common denominator in our ongoing pursuit to have:  a) safe operations b) excellent weight loss and c) long lasting results and health improvements.  Because of the extensive education, most patients choose an operation appropriate to their circumstances.  We perform all major types of bariatric surgery including the Gastric Band, Gastric Sleeve, or the Roux-en-Y Gastric Bypass procedure. We take very seriously the responsibility to teach each patient about his or her choices on the journey toward wellness.

We don’t push patients to a particular procedure unless circumstances require such.  Each patient must determine which bariatric procedure will work best for their lifestyle. Through conversations with Dr. Broussard or Dr. Walton as well as the WeightWise Team, patients can learn more about the options that are available. The information below that highlights some of the benefits and risks associated with each bariatric operation:

Laparoscopic Roux en Y Gastric Bypass (RnYGB)

The RnYGB is considered the gold standard weight loss operation and is the best-studied procedure in the United States (as well as the world).  Weight loss averages between 65% and 80% of excess weight in the first two years after operation.  It is the most complex of the operations.

“Dumping syndrome” can occur when a patient who has had the RnYGB eats too much sugar or simply too much food. While it is not a serious health risk in and of itself, the results are very unpleasant. Symptoms include vomiting, nausea, diarrhea, weakness, palpitations, sweating, and faintness.  Some people are unable to eat sugary foods after operation.  The bypassed portions of the stomach and intestine cannot be easily seen using X-ray or endoscopy if there are problems, such as ulcers, bleeding, or malignancy.

Co-morbidity (associated medical problems) resolution is very high with the RnYGB.  Conditions such as diabetes, hypertension, sleep apnea, joint pain, and heartburn are improved or resolved in more than 90% of patients.

For more information on the RnYGB, click here.

Adjustable Gastric Band (LAGB)

The gastric band made its debut in the US in 2000.  It is a less complex operation.  The weight loss is slower and steadier with the average excess weight lost of 50% at two years.

The LAGB does require the placement of long-term (non-reactive) silicone material in the body, but does not carry the risk of dumping and requires no rearrangement of anatomy.   Strict dietary follow-up is imperative for sustained success.

The LAGB may be the optimal operation for patients with multiple serious chronic medical problems or if the patient primarily is an over-eater at mealtime only.

For more information on the adjustable gastric band, click here.

Laparoscopic Sleeve Gastrectomy  (LSG)

The gastric sleeve most common operation performed at WeightWise.  Our surgeons have done over 1500 sleeves since 2007, one of the highest totals in the country.  The procedure involves the removal of approximately 75% of the stomach and most patients experience weight loss that is more rapid and more complete (similar to the LRnYGB) than with the gastric band.

Like the LRnYGB, the gastric sleeve requires vitamin supplementation and is non-reversible.

Current research has shown the LSG is just as effective as the LRnYGB, but with less long-term complications (up to eight years, which is the extent of the data).

For more information on the LSG, click here.

Single Anastomosis Duodenal Switch

The Single Anastomosis Duodenal Switch (SADS or just DS for short) is the newest of the procedures performed at WeightWise.  The operation is a variation of the older biliopancreatic diversion with duodenal switch with a significantly shortened common channel.  The techniques employed in this newer surgery dramatically decrease the malabsorption and vitamin deficiency problems associated with the older DS operation.
 
The primary drawback to this operation is the lack of long-term follow up and research.  Because of this, strict adherence to the prescribed diet and regular follow-up is imperative.  The single anastomosis duodenal switch is available either as a primary procedure or as a revision to the gastric sleeve procedure.  
 
For more information on the SADS, click here.

Laparoscopic Revisional Weight Loss Surgery

Occasionally, people who have had previous weight loss operations need to have revisional operation because of complications or poor long-term results.  About 10% of the operations we do at WeightWise are revisional in nature.  We hold to the same extensive educational process, with the express purpose to have:  a. safe operations (although revisional operations carry and increased risk by their nature), b) excellent weight loss and c) long lasting results and long standing health benefits.

Non-surgical ReShape™ Integrated Dual Balloon System

The ReShape Procedure is a non-surgical weight loss option at WeightWise. WeightWise is the first clinic in Oklahoma to offer this newly FDA approved weight loss procedure. The ReShape Procedure is a 12-month program which includes the placement of the intragastric balloon as well as monthly diet and exercise education. The dual intragastric balloon is inserted in the stomach during a short outpatient procedure, where it remains for six months providing built-in portion control and less hunger. It does not change or alter the natural anatomy of the stomach in any way. 

For more information on the ReShape Procedure, click here

 

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Contact Info

WeightWise Bariatric Program
1800 S. Renaissance Blvd.
Edmond, OK 73013
405-359-2475
Fax: 405-341-2495

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