Types of Weight Loss Surgery

Lap Band

For a Lap Band, a device is placed around the top of the stomach to limit what you can eat. This is no longer a common procedure.

Sleeve Gastrectomy

With a Sleeve Gastrectomy, part of the stomach is removed to limit volume and modify hormones to maximize weight loss.  This is the most popular bariatric procedure today.

Gastric Bypass

In a Gastric Bypass​, we make a small stomach pouch and add a short intestinal bypass.  This procedure has great weight loss and also treats reflux.

Duodenal Switch

A Duodenal switch or SADI procedure combines a sleeve with a long intestinal bypass.  It provides the most weight loss and diabetes resolution, but can lead to more issues with absorption of vitamins.

Presentations

Learn about Weight Management 
This 20 minute slide presentation from the Northwell Comprehensive Medical and Surgical Weight Management Program and gives a brief overview of weight loss options, as well as the risks and benefits of surgery.  These options are also available at Brown.  This will give you some background to help decide the right option for you.  

​Causes of Obesity
Understand more about the reasons we are struggling with extra weight as a society.

​Reflux After Sleeve
​Most patients have excellent outcomes with weight loss surgery, but occasionally people experience side effects.  Once of the more common problems after sleeve is heartburn, or reflux.  This talk discusses why and what can be done about it.

​Redo Surgery for Extra Weight Loss
Obesity is a chronic disease.  Weight loss surgery is the most successful strategy to manage obesity, but sometimes addition procedures are needed to maximize results.  This talk reviews considerations and options for redo surgery.

​Sleeve Gastrectomy
This animation reviews the technique of sleeve gastrectomy for weight loss.

​Gastric Bypass
This animation reviews the technique of Roux-en-Y Gastric Bypass used to treat obesity and related diseases.

LINX® Device

This is one of the implants that can be used for my patients with reflux.  These videos are provided by the manufacturer, but I still think they have educational value.

​What is Reflux?
This video, from the company that makes the Linx device, describes gastroesophageal reflux disease.

​Reflux Symptoms
This video, from the company that makes the Linx device, describes symptoms of gastroesophageal reflux disease.

​How Linx Works
This video, from the company that makes the Linx device, describes how their device can be used to treat reflux.

​Linx Device Placement
This is a procedural video of the Linx device being placed

Surgical Videos


​Conversion of Sleeve to Gastric Bypass
This procedure is most commonly done to manage reflux after sleeve gastrectomy, but also can lead to some additional weight loss.

​Recurrent Hiatal Hernia Converted to Gastric Bypass with Reversal of Fundoplication
​This is a complicated patient with a difficult problem we still managed laparoscopically.  This procedure was done for recurrent heart burn with trouble swallowing, but can be done for a patient that wants to lose weight.  This video starts with a fundoplication (wrap) herniated up into the patient's chest.  We bring the wrap back into the abdomen and unwrap it back to natural anatomy.  We then repair the hiatal hernia and create a gastric bypass.

​Conversion of Roux-en-Y gastric bypass to sleeve gastrectomy
This is a video of an uncommon procedure that can be used to essentially reverse a gastric bypass while maintaining some of the weight loss.

​Laparoscopic Pyloroplasty
​This procedure is done for a stomach that has trouble emptying.  The condition is called gastroparesis.  We divide the valve at the bottom of the stomach with an energy device and then close the incision in the opposite direction.  This is called a Heineke-Mikulicz Pyloroplasty. We then confirm there is no leak using an endoscope to blow air. 

​Laparoscopic Heller Myotomy and Removal of Epiphrenic Diverticulum
This is a video of a patient with achalasia, which is a disease that leads to trouble swallowing.  In this patient, they also developed an outpouching of their esophagus called a diverticulum that collects food and liquids, making the problem worse.  We remove the diverticulum and open the muscle of the esophagus to improve swallowing.