This is a relatively simply surgical procedure in which the stomach is surgically reduced in size to a long narrow tube-like pouch, and the remaining portion is removed from the abdomen.

Unlike the BPD/DS and RYGB, no intestinal bypass is performed. The patient loses weight through restricted food intake alone. Studies indicate that patients who have this procedure lose an average excess body weight of 55 percent in a 6-12 month time interval.

The procedure creates a small stomach pouch using staples or vertical banding and bypasses a major portion of the small intestine to restrict the amount of food consumed and absorbed by the body. RYGB can be performed as a laparoscopic (minimally invasive) procedure or as an open procedure based on what you and your surgeon decide is right for you.

This procedure has become the weight loss surgery of choice for many patients due to its superior weight loss results and resolution or elimination of co-morbidities (i.e. medical conditions that exist in addition to obesity). Most patients have minimal, controllable side effects when they follow the appropriate post-surgery care program.

Revisional Bariatric Surgery is a procedure to alter or repair an earlier weight-loss surgery. Because revisional bariatric surgery can be a complex operation, it must be carefully considered against the health hazards of morbid obesity.

The most common reasons for revisional surgery are

• Medical complications
• Excessive weight gain after the initial operation
• To increase the rate of weight loss.

To be considered for revisional bariatric surgery, a patient must have

• Regained a substantial amount of their original weight
• Experienced poor weight loss in general
• Had complications from their original operation