Find a Weight Loss Surgeon
Atlanta, Georgia
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Location and Contact Details
Peachtree Bariatrics
315 Blvd. NE
Suite 224
Atlanta, Georgia 30312
Phone: 404-881-8020
Bariatric Surgeons
Titus D. Duncan, MD, FACS
Dr. Larry L. Hobson
Dr. Alfred B. Johnson
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Types of Gastric Surgery Performed
1. Vertical Gastric Bypass
2. Laparoscopic Banding - The Lap-Band
3. Laparoscopic Roux-en-Y Gastric Bypass
Laparoscopic Banding - The Lap-Band
The Lap-Band is the latest surgery which has been approved by the FDA
in the United States; it is effective for some individuals, but not all.
The lap-band is a pure restrictive surgery, meaning it restricts and enforces
the portion amount of food you can take in. There is a revision rate for
this surgery which is said to be between 14 and 47%, meaning that the
patient needs to be taken back to the operating room for a revision of
the lap-band. Some of the realistic expectations of the Lap Band include,
a slow, gradual weight loss, less weight loss than with some other procedures
such as the Gastric Bypass, 40-60% excess weight loss in 1-2 years, easy
to defeat the this procedure if patient is non compliant and continues
to consume high calorie liquids, etc. The LAP-BAND® System requires
frequent, long-term follow-up.
Laparoscopic Roux-en-Y Gastric Bypass
The Gastric Bypass procedure involves constricting a small gastric pouch,
which is constructed of a Y-shaped limb of small bowel of varying lengths.
At Peachtree Bariatrics, Dr. Duncan performs the laparoscopic Roux-en-Y
gastric bypass procedure with four to five small incisions (1/4 to 1/2
inch) that are used instead of the 10 to 12 inch abdominal incision as
in the traditional "open approach". In the laparoscopic procedure,
the laparoscope which is connected to a video camera, is inserted through
the small abdominal incisions, giving the Dr. Duncan a magnified view
of the patient's internal organs on a television monitor. The entire operation
is performed "inside" the abdomen after gas has been inserted
to expand the abdomen. The use of laparoscopic surgery for obesity has
been performed by leading International and American laparoscopic surgeons
such as Dr. Duncan since the late 1990's. In the traditional "open"
approach, the patient is subjected to a 10 to 12 inch abdominal incision.
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