Locate a Bariatric Surgeon
Columbus, Ohio
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Location and Contact Details
750 Mount Carmel Mall, Suite 200
Columbus, Ohio 43222
Phone: (614) 228-0768
Fax: (614) 228-7381
Bariatric Surgeons
Phillip D. Price, MD, FACS
Timothy J. Custer, M.D.
Marcus R. Miller, MD
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Types of Gastric Surgery Performed
1. Lap-Band©
2. Roux-en-y Gastric Bypass
Lap-Band
The Lap-Band© procedure restricts the intake of food by causing the
esophagus to become narrower. A silicone device called a band is placed
at the junction where the esophagus and stomach meet. The band is connected
to a device called an access port. The port is placed in the muscle of
the abdominal wall, where it can be felt but not seen. The circumference
of the band can then be increased or decreased by injecting a saline solution
into the port. This provides an element of control that does not exist
in other bariatric surgeries.Within a few weeks after surgery, the doctor
will make an adjustment to the band diameter. The adjustment is done on
an outpatient basis in the x-ray department of the hospital. While the
patient is under x-ray, the doctor can see the port and place a specially
designed needle into it. Once the port is accessed, sterile saline is
injected into it, causing the internal circumference of the band to decrease.
The reduction of the diameter of the band restricts the quantity of food
one can ingest.
Roux-en-y Gastric Bypass
The Roux-En-Y Gastric Bypass operation provides a restrictive and a malabsorption
method to weight reduction. The stomach and small intestines are reconfigured.
First, a "mini-stomach" is created by permanently dividing the
stomach, which creates a pouch about the size of a thumb. The intestine
is then cut approximately one and one half feet beyond the stomach and
is attached to the pouch to provide an outlet for the food (the "bypass"
portion of the surgery). Now food stays in the upper pouch for about ten
minutes and then moves into the small intestine. The pouch gives a sensation
of fullness over a longer period of time, which is one of the important
roles of the surgery. Patients generally do not feel the typical hunger
that is associated with dieting. Digestive juices are still produced in
the lower part of the stomach and are released into the intestines where
they help the food to digest. Nutrients are still absorbed in the small
intestines, but the food is not as thoroughly digested so a greater portion
moves into the large intestines to be released.
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