Types of Bariatric Surgery

Bariatric surgery helps people lose excess weight and improve their health. Count on your care team at Palomar Health to help you decide which surgery is right for you based on your health concerns, goals and preferences.
 

Weight-Loss Surgery Options

Explore weight-loss procedures available at the Bariatric Center at Palomar Medical Center Poway in in North San Diego County.
 

Gastric Bypass

Gastric bypass is often referred to as the “gold standard” for weight-loss surgery. Doctors have been using this surgery to help improve the health of their patients for more than 50 years.
 
During gastric bypass, also called Roux-en-Y gastric bypass, your doctor creates a small, egg-sized pouch at the top of your stomach. Then, the lower part of your small intestine is attached to the new stomach pouch. The rest of your stomach and small intestine remain in place so your digestive tract can still use the digestive enzymes they produce.
 

Results of Gastric Bypass

After surgery, your:
  • Stomach holds only small amounts of food
  • Digestive tract absorbs fewer calories and nutrients
  • Hormones change so you feel less hungry
 
Most people lose 60% to 70% of their excess weight with this procedure. That means if you’re 100 pounds overweight, you can expect to lose 60 to 70 pounds. If you want to improve symptoms of type 2 diabetes or gastroesophageal reflux disease (GERD), gastric bypass may be the right choice for you.
 

Gastric Sleeve Surgery

During gastric sleeve surgery, your doctor removes about 80% of your stomach. The part that’s left looks like a tube or a banana. This procedure is also called a sleeve gastrectomy.
 

Results of Gastric Sleeve

After surgery, your:
  • Stomach holds only small amounts of food
  • Digestive tract absorbs fewer calories and nutrients
  • Hormones change so you feel less hungry
 
Most people lose 60% to 70% of their excess weight with this procedure. That means if you’re 100 pounds overweight, you can expect to lose 60 to 70 pounds. Gastric sleeve surgery may help improve type 2 diabetes. Some people experience problems with acid reflux or heartburn after gastric sleeve.
 

Adjustable Gastric Band

An adjustable gastric band, or Lap-Band, is a silicone band that’s placed around your stomach to create a small stomach pouch. Your doctor can make the band tighter or looser by adding or removing saline. Your doctor doesn’t cut or reroute your digestive tract with this procedure. That means Lap-Band procedures are reversible.
 

Results of Gastric Band

After surgery:
  • Your stomach holds less food
  • You’ll need to visit your doctor regularly as long as you have the band for monitoring and to get adjustments as needed
 
Most people lose 40% to 50% of their excess weight after gastric band surgery. That means if you’re 100 pounds overweight, you can expect to lose 40 to 50 pounds. Weight loss is usually slower after gastric banding than it is with other types of bariatric surgery. This procedure is less effective for diabetes than other types of bariatric surgery.
 

Revisional Bariatric Surgery

Revisional surgery modifies or repairs a weight-loss procedure you already had. Your surgeon will recommend any revisional surgeries you may need and what results you can expect.

 
Laparoscopic Bariatric Surgery

Whenever possible, your surgeon uses laparoscopic (minimally invasive) techniques to perform your weight-loss surgery. With laparoscopic surgery, your doctor makes a few small incisions, and then uses special instruments to see inside your body and perform surgery.
 
When you receive laparoscopic surgery instead of a traditional open procedure, you may benefit from:
  • Less pain
  • Quicker recovery
  • Shorter hospital stay
  • Smaller scars
 

Risks of Bariatric Surgery

All surgery, including bariatric surgery, carries risks. Your care team will help you understand the risks of your procedure. In many cases, your risks associated with bariatric surgery are very minimal and are lower than long-term risks of medical problems related to obesity.
 
You can feel confident you’ll receive safe, high-quality bariatric surgery care at Palomar Health with a program that has some of the country’s lowest complication and readmission rates.

 
Learn More

Register for a free class at Palomar Health. Or, contact our team at (858) 247-0102 to discuss our class offerings.