Weight Loss Surgeon and Obesity Operations in Florida
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| If you are severely overweight and want to find a board certified obesity surgeon located in Florida, see below. There are two types of bariatric stomach surgery - banding like Lap Band, and bypass like roux-en-y. Whichever you choose, be guided by your doctor. We wish you luck in your search for a clinic in the Florida area. |
Locate a Bariatric SurgeonCelebration, Florida
Types of Gastrointestinal Surgery Performed Weight Loss Surgery Options 1) Purely restrictive: Laparoscopic Adjustable Gastric Band The laparoscopic adjustable gastric band (LABG) produces weight loss by restricting how much can be eaten. The LABG is an inflatable band that is placed around the upper portion of the stomach, creating a new small stomach pouch with most of the stomach below the ring. The new small stomach pouch, which is about 1 ounce in size, produces a "full" or "satisfied" sensation with just a small amount of food. This effect depends on the size of the opening of the gastric band. The band has an inflatable bladder along the inner portion that can be inflated with sterile saline to make the opening smaller. The saline is injected through a port that is placed under the skin and fat and is connected by a hollow tubing. This is done gradually over time with repeated "fills." 2) Combination of restrictive and malabsorptive but mostly restrictive: Roux en Y Gastric Bypass The roux en y gastric bypass (RYGB) also produces weight loss by limiting how much can be eaten by the creation of a small 1 ounce stomach pouch; however, this is done by dividing the upper portion of the stomach from the rest of the stomach. A segment of the proximal small intestine is then connected directly to the small stomach pouch so that food empties directly from the stomach pouch into the small intestine. Most of the stomach and a segment of small intestine are bypassed by the food stream creating less digestion and absorption of what is eaten. This combines with the reduced food intake to produce weight loss. The larger bypassed stomach maintains its blood supply, and although it no longer has food flowing through it, the smell of food, the taste of food, and chewing and swallowing food stimulate the stomach to continue to produce gastric juices that eventually mix with the food stream in the small intestine. 3) Combination of restrictive and malabsorptive but mostly malabsorptive: Duodenal Switch with Sleeve Gastric Resection The duodenal switch with sleeve gastric resection ( DS) combines both restriction of food intake with decreased absorption of food to produce weight loss. The initial weight loss is from the combined effects of decreased food intake and decreased absorption of food; however, the decreased absorption plays the major role in maintenance of weight loss. The restrictive part of the procedure is accomplished by removing approximately 75% of the stomach to leave a 250 cc stomach pouch that is tubular in shape ). The decreased absorption of food occurs by two mechanisms. First, the food stream is rerouted to bypass approximately 60% of the small intestine. The small intestine is responsible for the absorption of nutrients and calories. Second, certain nutrients, especially proteins and fat, need to be partially digested or broken down before they can be absorbed. Bile and pancreatic enzymes cause this digestion to take place. Normally the food would mix with these enzymes as soon as it left the stomach and digestion of fat and protein would start taking place right away; however, the bile and pancreatic enzymes are rerouted so that this mixing occurs only in the last 15% of the small intestine. This means only the last 15% of the small intestine is able to absorb protein and fat. The overall effect is that there is some malabsorption of all nutrients and calories, but there is a greater malabsorption of fat and protein.
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