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Thinking about weight-loss surgery? Not sure which procedure is best for you? Wondering what life is like after surgery? Search the learning center or ask our bariatric pros to get the answers you need.


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For people who need to lose a significant amount of weight, diet and exercise alone may not be effective. Bariatric surgery has been shown to promote long-term weight loss while helping improve conditions associated with excess weight, such as type 2 diabetes, sleep apnea, and metabolic syndrome. 

Continue reading to learn more about the various types of bariatric surgery available. 

Revisional bariatric surgery

Revisional weight-loss surgery is a procedure in which your doctor performs a second surgery to resolve complications or improve results from a previous bariatric surgery. Revisional surgery may be needed if you fail to lose sufficient excess weight after the original surgery, or if you regain the weight you lost. In some instances, revisional surgery is required to address complications that could compromise your health, such as if a gastric band slips or becomes knocked out of place and results in stomach obstruction for LAP-BAND or REALIZE Band patients.

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Biliopancreatic diversion

Biliopancreatic diversion removes up to 70% of the lower stomach in order to restrict the amount of food that can be consumed. It is similar to Roux-en-Y gastric bypass, except the remaining stomach is larger than the RNY gastric bypass pouch. This allows the patient to eat larger meals — about 2-3 cups' worth. The remaining portion of the stomach is directly attached to the small intestine, allowing for malabsorption (decreased or reduced absorption of calories), which leads to weight loss. BD allows the patient to only absorb 25% of the fat they consume. This procedure is done through open surgery or laparoscopically.

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Duodenal switch

A duodenal switch is a variation of biliopancreatic diversion and is similar to a vertical sleeve gastrectomy, in the fact that it separates 70%-80% of the left side of the stomach in order to create a small pouch. However, duodenal switch keeps the pyloric valve intact, which helps prevent dumping syndrome.

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Vertical banded gastroplasty

Vertical Banded Gastroplasty, also known as stomach stapling, can be completed laparoscopically or through open surgery. According to Surgery.com, VBG has been categorized by the American Medical Association as a "severely dangerous" operation.

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