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Patients seeking to lose weight through surgery can find comprehensive weight loss surgery options at the Center for Metabolic and Bariatric Surgery at Brigham and Women's Hospital (BWH). We are a full service Level 1A Center of Excellence accredited bariatric center, with bariatric surgeons who together have more than 70 years of experience in weight loss surgery. Patients at the Center have access to the very latest in weight loss surgery options, and each procedure can be performed laparoscopically enabling patients to shorten their stay in the hospital and their recovery time.
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The Center for Metabolic and Bariatric Surgery offers a range of weight loss surgery options, allowing physicians and patients to select the procedure most likely to meet a patient's needs and weight loss goals.
- Gastric sleeve gastrectomy. In this procedure, physicians remove part of the stomach, leaving the outer part which then resembles a sleeve. During the surgery, the part of the stomach that produces appetite-regulating hormones is also removed which, along with reducing the size of the stomach by 75 percent, helps to promote weight loss. Of the various weight loss surgery options, sleeve gastrectomy enables patients to lose weight faster than lap band surgery, but has fewer complications than gastric bypass surgery.
- Gastric lap band surgery. This is one of the safer and less complex weight loss surgery options and may be right for patients who have concerns about the potential complications of other procedures. This surgery involves placing an inflatable and adjustable silicone band around the top of the stomach to create a very small pouch. As the patient eats, the pouch fills up quickly, limiting the amount of food a patient can eat. Food moves out of the pouch at a slow and steady rate and is digested in the rest of the stomach as normal.
- Gastric bypass surgery. In this weight loss procedure, a very small stomach pouch about the size of an egg is created surgically and connected directly to the small intestine. Food eaten by the patient bypasses most of the stomach and moves to the small intestine where it is absorbed. Of the various weight loss surgery options, this procedure tends to offer faster weight loss but can be accompanied by more potential complications.
- Revisional surgery. Occasionally a surgery for weight loss does not produce the desired results, or may result in complications for the patient. After reviewing weight loss surgery options with the patient, our surgeons are skilled at performing surgery to reverse or revise the original procedure, or to convert it to different approach.
In this video, Dr. Scott Shikora, Director of Brigham and Women's Center for Metabolic and Bariatric Surgery, discusses weight loss surgery options for weight loss and metabolic treatment in patients with a body mass index (BMI) greater than 40 or BMI greater than 35 with a major co-morbid condition. Weight loss surgery, or bariatric surgery, can result in meaningful and sustainable weight loss that has long term health benefits. Brigham and Women's Center for Metabolic and Bariatric Surgery performs several weight loss surgery procedures including lap band surgery (adjustable gastric band), sleeve gastrectomy and gastric bypass surgery.
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To attend an information session or learn more about weight loss surgery options at BWH, please contact our New Patient Coordinator at 617-732-8500, ext 1.
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This page was last modified on 4/13/2016