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Bariatric Procedures Offered

Choosing a bariatric procedure that is right for you can be very difficult. Contact our friendly staff for more information

Bariatric Procedures

Bariatric Revisional Procedures

The most common reason patients consider bariatric revisional procedures is weight related, either not enough weight was lost following surgery or too much was gained back. The stomach or the connection between the stomach pouch and the small intestine can slowly increase if there is weight gain after initial weight loss surgery. Some bariatric revisional procedures do not require large open incisions and can effectively reestablish the full benefits of their previous weight loss surgery.

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Gastric Band

What happens during adjustable gastric banding surgery?

laparoscopic adjustable gastric band illustration

The laparoscopic adjustable gastric banding procedure is a procedure in which a small gastric pouch is created by placing an adjustable gastric band around the top of the stomach.

This band is inflatable via an access port that is imbedded under the skin. This allows the band to be adjusted to meet individual patient needs. As a result, the amount of food a patient can eat is limited, creating an earlier feeling of fullness.

Gastric Band: Frequently Asked Questions

How long does the gastric band surgery take?

Generally the procedure takes about an hour, but each individual is different and actual length of the surgery depends on the patient. 

How long will I have to stay in the hospital?

Generally, you will have your surgery in the morning or afternoon and stay overnight. You will have an x-ray to make sure you are able to swallow liquids before you are released from the hospital. This is considered outpatient surgery and you are in the hospital about 24 hours.

When can I return to work after surgery?

If you have a light duty job (i.e., desk job) then generally you'd return after one week. If you have a job that requires heavy lifting, you'll require two weeks off.

What are the major risks of this surgery?

  • Migration of implant (band erosion, band slippage, port displacement
  • Tubing related complications (port disconnection, tubing kinking)
  • Band, port or tubing leak
  • Port site infection
  • Esophageal spasm
  • Gastro esophageal reflux disease (GERD)
  • Inflammation of the esophagus or stomach 

I've got a lot of discomfort in the larger incision. Is this normal?

For most patients, there will be more discomfort at the larger incision where the port is located. This is partly due to the size of the incision. There is more manipulation at this site during the surgery, because this is where the surgeon implants and sutures the port.

What if I start vomiting in the days following my surgery?

It is very important during the first four to six weeks that you not vomit. The area around the LAP-BAND® is healing during this time and when you start vomiting, there's a possibility that the sutures could tear, causing band slippage. Sometimes nausea is caused by taking in too much at one time, causing distention of the pouch. If you do experience vomiting, call the Bariatric Center of Michigan as soon as possible. 

Should I expect to be sick often after the operation?

No, you shouldn't be sick often. If you feel nauseated or sick on a regular basis, it may mean that you are not taking small enough bites, chewing your food well enough or that you are not following the diet guidelines. However, it could also mean that your band is too tight or that there is a problem with the placement of the band. Vomiting can cause the small stomach pouch to stretch. It can also lead to band slippage. In some cases, it can require another operation. 

What happens if I go home and cannot drink fluids?

Sometimes, even a few days post-op, there can be some swelling around the band site. This makes it very difficult for you to drink liquids, and since the first two weeks post op allow the patient to consume only clear liquids, it is very important that the patient recognize this before they become dehydrated. Sometimes the swelling can be so severe that the patient cannot swallow their own saliva. If this happens you need to call the Bariatric Center of Michigan as soon as possible and make arrangements to see your surgeon, who will evaluate you and determine what needs to be done. Swelling can also develop following a band fill. 

Sometimes after I swallow I feel discomfort. What's causing this?

You probably took too large a bite or didn't chew the food completely. Make sure you eat slowly, take very small bites and chew thoroughly before swallowing. Patients are advised to chew 20 to 30 bites prior to swallowing.

How will I know if I'm too restricted?

If you are having problems swallowing liquids or if you are experiencing episodes of vomiting when you are taking small bites and chewing well, it is likely that you are too restricted. Being too restricted can lead to complications. Call the Bariatric Center of Michigan and schedule a time to have some of the saline removed. 

Do I have to follow a special diet after my fill?

Yes. After you have an adjustment, you need to remain on full liquids for 12 to 24 hours and then you may advance slowly to soft foods; then to solids. Remember, after every fill you need to treat what you eat like you've never had it before. If after 24 hours, you can only tolerate liquids or experience problems swallowing or advancing to solids, call the Bariatric Center of Michigan.

How will I know if I'm not getting enough fluids?

Follow the diet guidelines given. Watch your urine output. Your first morning specimen is generally dark and more concentrated because it's been sitting in your bladder all night. When you are well hydrated, as you urinate throughout the day, your urine will be a light yellow in color. If you are not taking in enough fluids, your urine will be very dark, may be cloudy and will have a strong odor. If this happens, try to consume more fluids. If you are unable to, contact the Bariatric Center of Michigan. Follow the diet guidelines you were given, making sure you drink plenty of fluids during the day. 

Can I eat anything in moderation?

After your stomach has healed, you may eat most foods that don't cause you discomfort. However, because you can only eat a little it is important to include foods full of important vitamins and nutrients such as those recommended by your surgeon and dietitian. If you eat foods that contain lots of sugar and fat or drink calorie laden liquids, the effect of the band may be greatly reduced. 

Will I suffer from constipation?

There may be some reduction in the volume of your stools, which is normal after a decrease in food intake because you eat less fiber. This should not cause you severe problems. If difficulties do arise, check with your doctor. He or she may suggest you take a mild laxative and drink plenty of water for a while. Your needs will vary, but you should drink at least 6-8 glasses of water a day.

Can I continue my medications after surgery? Can taking pills cause blockages?

Although many people don't have problems taking their medications, yes, it is possible for large pills to get stuck as you become more restricted with your adjustments. Many people take chewable or liquid vitamins. Check with your physician or pharmacist about the medications you are taking and whether it would be advisable to crush them or empty the capsules. Many pills are time-released and must be taken in the form they are dispensed. Your physician may prescribe an alternate medication. It is recommended that when you do take pills, to wait at least 10 minutes between taking each pill. 

Will I have to take a vitamin supplement?

Our surgeons recommend an over the counter chewable vitamin or a liquid multivitamin.

Why can't I drink with my meals?

The purpose of the band is to form a small pouch that the solid food will enter into first, giving you a feeling of
fullness. Drinking with meals can result in food passing through the pouch into the stomach without giving you a feeling of fullness. You should avoid fluids for 15 minutes to an hour before and at least one hour after meals. 

Why can't I drink carbonated beverages?

Carbonated beverages can cause the pouch to expand.

Is it okay to drink alcoholic beverages?

You can drink non-carbonated alcoholic beverages, but these drinks can be high in"empty" calories and tend to slow down your metabolism. 

Does the band limit physical activity?

After you have recovered from surgery and you've allowed time for healing, the band shouldn't hamper activity such as aerobics, stretching and strenuous exercise.

When can I go swimming after surgery?

You can resume swimming once the abdominal incisions are healed. 

My access port is just below the skin. Do I have to restrict my activities because of it?

There are no restrictions based on the access port. Once the incisions have healed it should not cause discomfort or limit any physical exercise.

Is it normal to have pain in my port area?

Each case is different, but talk to your doctor if you feel persistent discomfort in the port area.

When do I get my first fill?

Four weeks after surgery. You then return at eight weeks. If you are losing 1-2 pounds a week, the band will probably not need adjusting. If weight loss is less than 1-2 pounds a week, your physician will determine if you need a fill. Overall, your weight loss should average one to two pounds a week. 

How is the band adjusted?

A fine needle is passed through the skin into the access port to adjust the amount of saline in the band. This process typically takes only a few minutes and most patients say it is nearly painless.

Is it true that the band is tighter in the morning?

This is very individualistic. Many band recipients report feeling tighter in the morning, especially with bands that are tight or just after an adjustment. However, others report that their band gets tighter throughout the day, which might be explained by the fact that during the day the water content in the body changes. Some women have also noticed that the band feels tighter during menstruation. 

How much saline does the LAP-BAND®<

This depends on which LAP-BAND® you have. The AP Small holds 10 cc and the AP Large holds 14 cc.

Can the band be removed?

Although the band is not meant to be removed, it can be. Surgeons report that the stomach generally does not return to its original shape once the band is removed due to scar tissue formation.

If the band needs to be removed for medical reasons, can it be done as a laparoscopic procedure?

Yes, but removal is rare and each case would be evaluated individually.

If there are no complications, can the band and port remain in place indefinitely?


What happens if I become pregnant?

If you become pregnant, the band can be emptied to ensure you and your baby get adequate nutrition during the pregnancy. Call the Bariatric Center and arrange to see your surgeon.

What will happen if I become ill?

One of the major advantages of the band is that it can be adjusted. Depending on your illness, your doctor may recommend that your band be emptied of saline so that you are not restricted. In the rare situation that the band cannot be loosened enough, it may have to be removed. When you have recovered from your illness and want to lose weight again, the band can be tightened by increasing the amount of saline. 

What if I need surgery that is not related to the band in the future?

If you are going to have a surgical procedure done, please contact the Bariatric Center. Your surgeon may want to empty your band prior to your having surgery.

Is it important for me to follow-up with a primary care physician?

Yes. It is extremely important to see a primary care physician after surgery. Your follow-up care is a collaborative effort between your surgeon and primary care physician. Regular follow-up appointments with your primary care physician are strongly recommended. 

What will the gastric staples do inside my abdomen? Is it okay in the future to have an MRI test? Will I set off metal detectors in airports?

The staples used on the stomach and the intestines are very tiny in comparison to the staples you will have in your skin or the staples you use in the office. Each staple is a tiny piece of stainless steel or titanium so small it is hard to see. They are made of titanium or stainless steel which are non-magnetic and will not be affected by MRI. The staples will not set off airport metal detectors.

What if I am away from home on vacation and I am having problems with my band?

If you are experiencing any issues like vomiting, problems swallowing, unusual abdominal pain, you need to contact the Bariatric Center. If it is an after-hours issue, call the after-hours number and the surgeon on call will be notified and will call you back. If you are in serious distress, go to the nearest urgent care or emergency center. 

What if I end up at a hospital that knows nothing about the adjustable gastric band?

If you are in a facility that is not familiar with the band, you need to have them contact the Bariatric Center. At the time of surgery, every patient receives an ID card with the name of the surgeon and their contact number. Ask the physician/nurse to contact the Bariatric Center (during business hours) or call the after-hours number if the problem occurs after regular business hours, on the weekend or a holiday. 

What do I do about follow-up care if I move out of the state?

Follow-up care must be continued. You may call the McLaren Port Huron Bariatric Center to help you find an experienced surgeon out of the area. Once arrangements with that office are made, all of your medical records will be transferred. 

Laparoscopic Adjustable Gastric Banding Video
Gastric Band Thumb Nail

Gastric Band

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Gastric Bypass Roux-en-Y

roux-en-y gastric bypass procedure illustration

The gastric bypass incorporates both a restrictive and malabsorptive components of bariatric surgery. The Roux-en-Y bariatric procedure is restrictive as it involves reducing the size of the stomach, usually using staples, to create a small pouch which becomes completely separate from the remainder of the stomach. Part of the intestine is divided and bypassed to provide a new conduit for the new small pouch. A "Y" configuration is created as complete intestinal continuity is re-established by joining the new draining channel from the small stomach pouch to the rest of the intestine. Because part of the intestine is bypassed, not all calories are absorbed in the body and eating high calorie foods may provide discomfort. This procedure has been the standard of care for many bariatric patients as its historical results have been long standing among current procedures done today. 

Common answers to questions about Roux-en-Y Gastric Bypass

What is involved in a Roux-en-Y gastric bypass procedure?

The most commonly performed bariatric procedure, Roux-en-Y gastric bypass is both a restrictive procedure and a malabsorptive procedure. During Roux-en-Y gastric bypass surgery, a small stomach pouch is created to curb food intake by stapling a portion of the stomach. Then a y-shaped part of the small intestine is attached to the stomach pouch so that food can bypass the duodenum, decreasing the absorption of food nutrients.

What is the recovery time following Roux-en-Y gastric bypass surgery?

The hospital stay for patients who undergo the Roux-en-Y procedure is usually two to four days. Patients are encouraged to get out of bed and start walking by the next day. Most individuals return to work in two to three weeks.

Can Roux-en-Y gastric bypass surgery be reversed?

Reversal of the Roux-en-Y gastric bypass surgery would require an operation in order to reconnect the intestines to the stomach and reestablish the digestive system.

What are the major risks of this surgery?

  • Dehiscence (separation of tissue that was stitched or stapled together)
  • Leaks from staple lines
  • Ulcers
  • Dumping syndrome, an unpleasant side effect that may include vomiting, nausea, weakness, sweating, faintness, and diarrhea
  • Required supplementation of diet with a daily multivitamin, calcium, and sometimes vitamin B12 and/or iron
  • Inability to detect the stomach, duodenum, and parts of the small intestine using X-ray or endoscopy, should problems arise after surgery such as ulcers, bleeding, or malignancy
  • Increased gas

What is dumping syndrome?

Dumping syndrome is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It can begin during or right after a meal. Symptoms include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue. Dumping may also happen one to three hours after eating. Symptoms of this late dumping include weakness, sweating, and dizziness. In addition, people often suffer from low blood sugar, or hypoglycemia, because the rapid dumping of food triggers the pancreas to release excessive amounts of insulin into the bloodstream. Dumping syndrome is associated with difficulty digesting fats and carbohydrates.

Is there a special diet to follow to avoid dumping syndrome?

People who have gastric dumping syndrome should eat several small meals a day that are low in carbohydrates, especially simple carbohydrates. They should avoid simple sugars, and should drink liquids between meals, not with them. Fiber helps to delay gastric emptying and reduces insulin peaks.

Are there foods I won't be able to tolerate?

The ability to tolerate foods varies from person to person.

  • Foods that are high in fat and sugars often result in dumping syndrome. These include simple carbohydrates, such as sugar found in sweets like candy, cookies and cakes. Read labels on packaged foods, and avoid foods with sugar, glucose, sucrose, fructose, dextrose, honey and corn syrup.
  • Foods and liquids that commonly cause discomfort include meat, bread, pasta, rice, raw vegetables, milk and carbonated beverages. Food textures not tolerated well include dry, sticky or stringy foods. Acidic foods such as tomatoes and citrus fruits are harder for some people to digest. If you can't chew the food thoroughly, don't swallow it.

Is it true that my bowel movements and gas will have a different smell?

Some patients have noticed a difference. This may be associated with dumping syndrome and digestion. Not everyone experiences this.

Will I have to exercise after surgery?/h4>

Light exercise, such as walking, should begin immediately after surgery. Over the next six to eight weeks, exercise should gradually increase in intensity. Exercise not only helps burn fat and calories, it can help to keep you feeling well and energized.

Do insurance companies cover Roux-en-Y gastric bypass surgery procedures?

Many insurance companies now recognize obesity as a substantial health risk and are paying for bariatric surgery. While gastric bypass surgeries are the most likely to be covered by insurance companies, it is important for you to contact your insurance company to determine their policies regarding bariatric surgery.

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Intragastric Balloon Weight Loss Solution - ORBERA

Intragastric Balloon Weight Loss Solution – ORBERA™

  • 3.1 times the weight loss than diet and exercise alone
  • Safe and effective weight loss solution
  • Over 220,000 placements worldwide
  • FDA approved
orbera intragastric balloon procedure

What is ORBERA™?

  • Comprehensive two-part program designed to provide effective, motivating results that you can see. With ORBERA™ patients on average lose 3.1 times the weight they would with diet and exercise along.
  • Starts with a soft balloon placed in your stomach for six months to reinforce proper portion control.
  • The ORBERA balloon take up space in your stomach helps you eat smaller meals.
  • Balloon is temporary and placed in your stomach for six months without surgery or any incisions.
  • Patients will receive coaching from a team of experts, which may include a dietician, psychologist, and exercise physiologist.
  • Coaching continues after balloon is removed at six months for a total of 12 months.

The Procedure: Placement and Removal

  • Non-surgical procedure done under a mild sedative, the thin and deflated ORBERA™ balloon is placed into the stomach. It is then filled with saline until it’s about the size of a grapefruit. The procedure typically takes about 20-30 minutes so you can go home the very same day.
  • At six months, the balloon is removed in the same way it was placed. Through a non-surgical procedure done under a mild sedative, it is deflated first then removed.

What to Expect

  • The weight loss is rapid with the majority of weight loss typically occurring in the first three months of treatment.
  • On average patients lost 3.1 times the weight loss of diet and exercise alone.
  • The adjustments to your eating habits and your continued efforts to stay active will greatly influence your results.

To qualify for ORBERA™, you should:

ORBERA™ Advantage

  • After six months with the ORBERA™ two-part program, people lost an average 3.1 times the weight patients lost with diet & exercise alone.
  • Proven to keep the weight off even after the balloon is removed.
  • A 20-year history of helping thousands of people lose weight.
  • More than 220,000 ORBERA™ balloons have been distributed worldwide in over 80 countries.
  • With FDA approval of ORBERA™, patients now have a safe and effective treatment option.

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Sleeve Gastrectomy

sleeve gastrectomy

Sleeve Gastrectomy is a laparoscopic surgical procedure in which the stomach is remodeled into a long tube about one-quarter the size of the original stomach. During the procedure, staples are placed across the stomach to create the new smaller reservoir, permanently dividing the stomach. A portion of the stomach is removed. Fewer calories are absorbed as your stomach is now restricted in size. The procedure permanently reduces the size of the stomach. This is not a reversible procedure.

Common answers to questions about Sleeve Gastrectomy

What happens during the gastric sleeve surgery?

During gastric sleeve surgery, the surgeon removes about 85 percent of the stomach so that it takes the shape of a tube or sleeve. This procedure restricts the amount of food you can eat, but does not affect the digestive process. The surgery is performed laparoscopically. How big will my stomach be after surgery? 

The size of your stomach will vary depending on the surgeon. Surgeons use a tube to guide them when stapling the stomach. This tube size can vary from 1-2 ounces to 6-8 ounces. This is a very important question to discuss with your surgeon prior to surgery.

What are the major risks of this surgery?

  • Reflux/GERD
  • Abdominal hernia
  • Chest pain
  • Collapsed lung
  • Constipation or diarrhea
  • Dehydration
  • Enlarged heart
  • Gallstones, inflammation of the gallbladder, surgery to remove gallbladder
  • Gastrointestinal inflammation or swelling
  • Stoma obstruction
  • Stretching of the stomach
  • Vomiting and nausea

Is removing the stomach safe?

This type of stomach removal has been performed since the mid 1980s. It does involve stapling, just like in the gastric bypass and has similar risks.

What is a hernia and what is the probability of an abdominal hernia after surgery?

A hernia is a weakness in the muscle wall through which an organ (usually small bowel) can advance. This is a rare complication after the laparoscopic approach, but somewhat common (20% incidence) following open surgery.

Can I stretch out my stomach if I eat too much?

Yes, you can. It's important to be aware of when you begin to feel full and to stop eating at that point.

Will I need to take vitamins?

While there is no intestinal bypass with this surgery to cause a vitamin deficiency, the procedure is quite restrictive and most surgeons recommend that patients take a multivitamin and calcium. Your surgeon may recommend others based on your specific needs.

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