Other Bariatric Program Procedures

Vertical Banded Gastroplasty

Generally known as “stomach stapling” operation, the “VBG” is mostly relegated to “of historical interest only” status. Percent excess weight loss was 20% at 20 years after the operation.

The two main causes of failure are:
1) The tendency for patients to eat sweets.
2) Breakdown of the staple line which reforms the stomach as “whole” again.
This operation is done in parts of the country, but by very few bariatric surgeons.

Open Gastric Bypass

We believe that the laparoscopic gastric bypass is the “gold standard” and is safer than the open approach. Although still done as a primary operation in the U.S. with good results. The laparoscopic approach has a faster recovery, lower wound infection rate, and lower hernia rate.

Mini Gastric Bypass (aka Fobi Pouch)

WeightWise believes there is no advantage to these procedures, and in some cases, patients can have persistent eating difficulty after surgery or require re-operation for complications.

Gastric Plication (aka Band Over Gastric Plication)

WeightWise agrees with the ASMBS statement that this should still be considered an investigational procedure. As such, it should only be done under a study protocol with IRB oversight. Because of these restrictions, the procedure is not currently being performed by our surgeons.

Gastric Balloons

Gastric balloons are a non-surgical, temporary option to aid weight loss in addition to a supervised nutrition and exercise program. Weight Wise currently offers the Obalon Balloon System which is the first and only FDA approved, swallowable 3-balloon intragastric system that requires no sedation during placement. Find out more about Obalon and if it’s potentially the right choice for you, here.

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