Overview

Overview

Overview

Deciding on your surgical weight loss treatment is personal and varies from person to person. Before your surgery we will help you learn about the surgical options available so that you can choose the best surgery for your needs.

At University of Utah Health, we offer three bariatric surgery options:

  1. Laparoscopic Roux-en-Y Gastric Bypass
  2. Laparoscopic Sleeve Gastrectomy
  3. Laparoscopic Adjustable Gastric Banding

Surgery can be performed with open (traditional) or minimally invasive techniques.

  • During open surgery, your surgeon will make an incision (cut) in your midline from below your breastbone to your belly button or beyond.
  • During minimally invasive (laparoscopic) surgery, your surgeon will make a number of small cuts using a long, thin scope (camera) and other tools.

What Weight Loss Surgery Is Best For Me?

Deciding what weight loss surgery is best for you will depend on your recovery and weight loss goals.

Laparoscopic Sleeve Gastrectomy

Surgery Length: One and a half to two hours

Hospital Stay: Two to three days

Recovery Time: Two weeks on average

How many follow-up visits will I need?: You will need 5 visits with your surgeon during the first year after your surgery; after that, you will need to make an appointment with your surgeon once each year.

Is the procedure reversible?: No, sleeve gastrectomy is not reversible.

How quickly will I lose weight?: After having a sleeve gastrectomy, most patients lose weight faster than with adjustable gastric banding; generally falls between gastric bypass and gastric banding.

What are the side effects?: Sleeve gastrectomy may cause heartburn. But there's no dumping syndrome after the procedure, and you also have a lower chance of having malabsorption and nutrient deficiencies.

Laparoscopic Adjustable Gastric Banding

Surgery Length: About one hour

Hospital Stay: One to two days

Recovery Time: Two weeks on average

How many follow-up visits will I need?: You will need to see your surgeon for a follow-up appointment each month for the first 12-18 months after your surgery so your surgeon can adjust your band. After that, you will need to see your surgeon once a year for a follow-up appointment.

Is the procedure reversible?: Yes, gastric banding is reversible and adjustable.

How quickly will I lose weight?: Patients who have gastric banding will lose less weight and will also lose weight more slowly compared to patients who have gastric bypass or sleeve gastrectomy. 

What are the side effects?: Gastric banding may cause heartburn. But there's no dumping syndrome after the procedure, and you also have a lower chance of having malabsorption and nutrient deficiencies.

Laparoscopic Roux-en-Y Gastric Bypass

Surgery Length: About one hour

Hospital Stay: Two to three days

Recovery Time: Two weeks on average

How many follow-up visits will I need?: You will need to see your surgeon for a follow-up five times a year for the first year after your gastric bypass. After that, you will need to see your surgeon once a year for a follow-up appointment.

Is the procedure reversible?: A gastric bypass surgery is difficult to reverse.

How quickly will I lose weight?: Patients who have gastric bypass surgery lose weight faster than patients who get adjustable gastric banding. Of all the different types of weight loss surgeries, patients lose the most weight on average and maintain their weight loss after gastric bypass.

What are the side effects?: Gastric bypass surgery treats heartburn. If you eat large amounts of sugar, you may also have dumping syndrome after getting a gastric bypass. You may also have diarrhea, cramps, and sweating, and your body will have a higher chance of having nutrition deficiencies if you don't take vitamin supplements.

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What is Minimally Invasive Weight Loss Surgery?

Minimally invasive surgery is a technique your doctor will use to perform your weight loss surgery. Your surgeon will make small cuts and use a long, thin camera (called a scope) to make your stomach smaller.

More than 95 percent of surgeries are minimally invasive.

What Are the Benefits of Minimally Invasive Surgery? 

Having minimally invasive surgery has many benefits that make both your surgery and recovery easier. Benefits include the following:

  • Less trauma to your skin and soft tissue
  • Shorter, less painful recovery
  • Less scarring
  • Fewer infections and hernias

If you have problems with your incisions (where your surgeon cut into your skin during your surgery), these problems are usually minor.

If you would like to learn more about weight loss surgery treatments, you can attend a free seminar about bariatric surgery.