Locate a Gastric Bypass
Surgeon
New York City
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Location and Contact Details
CORI Center
131 Spring Street, 2nd floor
New York, NY 10012
Phone: 800-913-CORI (2674)
Fax: 212-966-3704
Bariatric Surgeons
James A. Sapala, M.D.,F.A.C.S.
John deCsepel, M.D., F.A.C.S.
Nicholas Gabriel, D.O., F.A.C.O.S.
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Types of Weight Loss Surgery Performed
1. Open Roux-en-Y Gastric Bypass
2. Laparoscopic Roux-en-Y Gastric Bypass
3. Laparoscopic Adjustable Gastric Band (LAP-BAND)
Open Roux-en-Y Gastric Bypass
The Open Roux-en-Y Gastric Bypass surgery that MSO physicians perform
is called the Sapala-Wood Micropouch® gastric bypass procedure, the
result of 17 years of research, surgical innovations and refinement by
CORI surgeons. In the procedure, the stomach is transected and separated
from the pouch. Nothing is removed. A pouch the size of a grape is created,
which virtually eliminates the complications of pouch enlargement, pouch
ulceration, and staple line breakdown.
The Sapala-Wood Micropouch® procedure dramatically reduces food and
calorie intake, and reduces the amount of food absorbed by the small intestine.
Laparoscopic Roux-en-Y Gastric Bypass
Since the late 1980s, minimally invasive surgery has become an increasingly
prevalent alternative to traditional open surgical procedures. Minimally
invasive surgery, also known as laparoscopic surgery, has been successfully
adapted for gastric bypass surgery. The surgery itself is virtually the
same as that performed using the conventional open incision procedure.
With the Laparoscopic procedure you will typically have a 15-20cc pouch
due to the instrumentation size and technique used. Most patients will
end up with a meal capacity of 3-7ounces.
Laparoscopic surgery uses a small camera in a tube known as a laparoscope,
along with other small diameter tubes through which surgical tools are
passed and used to perform the surgery. The laparoscopic camera allows
the surgeon to see inside the abdomen via a television monitor as s/he
performs the procedure. In laparoscopic roux-en-y gastric bypass surgery,
a small incision is made above the navel, and a special needle is inserted
through which carbon dioxide is pumped to distend the abdomen. Then, other
small-diameter surgical tools are inserted through other small incisions
to allow the surgeon to perform the procedure. Laparoscopic gastric bypass
requires only 5 to 6 incisions less than one inch long in the abdomen.
Laparoscopic gastric bypass patients enjoy smaller scars and slightly
lower rates of post-op complications. Patients typically have less post-op
pain, require less pain medication, and may recover somewhat faster than
those patients who have undergone open gastric bypass surgery. Weight
loss and reduction in co-morbidities resulting from laparoscopic gastric
bypass are comparable to rates resulting from open roux-en-y gastric bypass.
Laparoscopic Adjustable Gastric Band
Using the same laparoscopic tools and techniques as laparoscopic gastric
bypass, another surgical weight loss procedure in increasing use is the
laparoscopic adjustable gastric band, or LAP-BAND®. The LAP-BAND®
system is an adjustable silicone elastomer band placed around the upper
portion of the stomach, creating a small pouch. This procedure is strictly
a restrictive procedure. Since the band is adjustable it allows the surgeon
to make the pouch smaller or larger as needed. This operation restricts
how much the stomach can hold. The result is less food is taken in. There
is no cutting or stapling needed to divide the upper stomach pouch from
the lower stomach. The average weight lose in the United States is typically
36-38% of excess weight 2-3 years after surgery. Keep in mind that just
like open or Laparoscopic Roux-en-Y Gastric Bypass procedures, the Lap-Band®
is only a tool to treat morbid obesity, and is only as effective as the
patient makes it. LAP-BAND® shares all of the other benefits of laparoscopic
weight loss surgery. Unlike either open or laparoscopic roux-en-y gastric
bypass procedures, the LAP-BAND® procedure is reversible.
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