Weight Loss Procedure Options at St. Joseph Hospital Gastric Banding A silicone adjustable gastric band is surgically placed at the upper part of the stomach. This silicone band creates a small pouch that limits the amount of food that can be consumed at one time. The degree of band tightness limits the amount of food you can eat, causing you to feel full sooner and stay full longer. Food continues to pass normally through the digestive tract, allowing nutrients to be fully absorbed by the body. Vertical Sleeve Gastrectomy (Sleeve Gastrectomy) The Vertical Sleeve Gastrectomy is a surgical weight loss procedure that reduces the stomach to approximately 20 percent of its original size. The newly reduced stomach size looks like the shape of a sleeve or a small banana. Food continues to pass normally through the digestive tract, allowing nutrients to be fully absorbed by the body. The smaller stomach pouch limits the amount of food that can be consumed at one time, so you feel full sooner and for a longer amount of time. Roux-en-Y Gastric Bypass A smaller stomach pouch is created from the upper part of the stomach. This newly formed stomach pouch is the approximate size of a golf ball. A portion of the small intestine is attached to the base of the new stomach pouch. The connection of the stomach pouch and small intestine creates a junction known as the anastomosis, which limits the speed by which the food passes into the small intestine. The larger portion of the stomach and the duodenum is bypassed, which causes some malabsorption of vitamins and minerals. The newly formed smaller stomach pouch limits, or restricts, the amount of food that can be consumed at one time, giving the feeling of satiety. Revision Bariatric Surgery There are many reasons patients may desire a revision bariatric surgery. Some bariatric surgery procedures may have offered inadequate weight loss due to failure of an implanted device, a stomach pouch or stoma that has become too large, or perhaps a single procedure did not offer the desired weight loss results. When the weight loss has not been optimized, the first step is a consultation with a bariatric surgeon. Diagnostic procedures can assist the surgeon in determining where the weight loss failure has occurred. The surgeon can then direct the patient to the best options for weight loss and resolution of co-morbid diseases. All bariatric surgery procedures are considered "tools" that work best in conjunction with lifestyle changes, exercise, and modification of diet and behaviors. St. Joseph Hospital offers many classes in dietary instruction, behavior modification, exercise and healthy cooking to help patients reach their weight loss goals. In addition, our bariatric surgeons offer support groups and educational classes to enhance the patient’s surgical weight loss journey. For more information or a complete listing of our weight loss classes, visit sjo.org/calendar or call 866-459-DOCS (3627).