BARIATRIC & WEIGHT LOSS SURGERY OPTIONS

All procedures performed by Lemm Bariatrics, are done laparoscopically or by minimal invasive surgery

GASTRIC SLEEVE

The gastric sleeve is a non-reversible bariatric procedure which restricts stomach volume and the amount of food it can hold by removing up to 80 percent of the stomach without bypassing the intestines or preventing the body from fully absorbing nutrients from the gastrointestinal tract.

This removed portion of the stomach is responsible for producing ghrelin, the hormone that causes appetite and hunger. By removing this portion of the stomach, rather than leaving it in place, the level of ghrelin is decreased, which causes loss of or a reduction in appetite.

ONE ANASTOMOSIS BYPASS

(MINI GASTRIC BYPASS)

The Mini-Gastric Bypass or one anastomosis bypass, is an effective and well-established procedure which combines some of the properties of a gastric sleeve and a standard gastric bypass. The upper part of the stomach is divided into a tube, similar to the top three quarters of a sleeve, and then joined to a loop of intestine.

The mini-gastric bypass can be used as a primary weight loss procedure. It can also be used in patients who have had previous gastric weight-loss surgery but have not been successful

In this operation the top of the stomach is stapled to form a thin tube. The thin tube becomes the new, smaller stomach and is separate from the rest of the stomach. This stomach is then sewn to a loop of the small intestine, bypassing the first part of the intestine called duodenum and approximately 150–200cm of the bowel. The rest of the stomach and upper part of the small intestine remains in the body but is no longer used for food digestion creating malabsorption.

RNY BYPASS

The gastric bypass is a mixed procedure because it a restrictive and a malabsorptive procedure. The restrictive part is because we reduce the size of your stomach so you can eat less. The malabsorptive part of the procedure has a part of your intestines re-routed or bypassed, so the food is not absorbed completely. In this type of bypass, the intestines are anastomosed in a Y fashion. This will lead to a diminished stomach capacity and a diminished intestinal absorptive capacity. Although the procedure can be reversed, it its only recommended in certain cases.

This will lead to a diminished stomach capacity and a diminished intestinal absorptive capacity. Although the procedure can be reversed, it its only recommended in certain cases.

REVISION AND CONVERSION SURGERY

Revision surgery is when we take a look at your prior procedure, how much weight and how much inches you lost. If your comorbidities were controlled or not.

We perform certain tests, and we can determine if you need a conversion to another procedure, and that it’s when we take your initial procedure and change it to another one. For example, from the lap-band to the sleeve.

BAND TO SLEEVE

Like it states in the name, we take out your lap-band and perform a gastric sleeve. There are two pathways for this surgery, a one step or two step surgery. Since there was a boom in lap-band procedures about 20 years ago, this is a very common procedure. We need an upper GI endoscopy first, to see that your band has not eroded inside the stomach. If this is an issue, we will need to perform surgery in two steps. First remove your lap-band, let your stomach heal for about 6 months, and then we can do the sleeve gastrectomy. If your lap-band has not eroded into the stomach, we can safely perform the one step procedure.

SLEEVE TO OAGB

GASTRIC SLEEVE TO MINI BYPASS

This procedure takes a previous sleeve gastrectomy and converts it to a “mini-bypass” so that you can benefit from the malabsorptive part of this surgery.

SLEEVE TO RNY BYPASS

GASTRIC SLEEVE TO GASTRIC BYPASS

In the conversion from sleeve to a full bypass of RNY gastric bypass, we cut the stomach in order to make a smaller pouch, and then we re-route the intestines, so that your food will “bypass” part of your intestines so that some food won’t be absorbed by your body.

OAGB TO RNY BYPASS

MINI GASTRIC BYPASCC TO GASTRIC BYPASS

For people who already have a “mini-bypass”, we offer conversion to a full bypass or RNY gastric bypass, so that you can bypass a larger part of your intestines, providing additional weight-loss.