Surgical Options

At The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center, we specialize in a variety of bariatric surgeries. Read about them below to see which one might be best for you. Or, come in to meet with one of our bariatric experts.

We participate with many major insurance plans. If you are considering weight loss surgery and have questions about costs, please contact your insurance provider.

 

Laparoscopic Sleeve Gastrectomy

Originally designed as the first step in a malabsorptive bariatric procedure, the sleeve gastrectomy has become a popular standalone restrictive operation. The sleeve typically holds 50ml to 150ml and is approximately the size of a banana.  Some patients may experience the added benefit of a decrease or remission in comorbidities related to morbid obesity. To qualify for surgery a patient must have a BMI equal to or greater than 35-39.9 with an illness associated with morbid obesity or a BMI of 40 or greater with no comorbidities.

Click here to view a procedure video >

 

Laparoscopic Gastric Bypass

The Roux-en-Y Gastric Bypass pouch typically holds 30ml to 50ml and is approximately the size of an egg. Gastric bypass produces positive metabolic changes as a result of surgical anatomic manipulation and weight loss, allowing patients to experience a decrease or remission of comorbidities such as Diabetes type 2.

Click here to view a procedure video >

 

Laparoscopic Biliopancreatic Diversion with Duodenal Switch

Laparoscopic biliopancreatic diversion with duodenal switch (BPD w/ DS) is the most effective of all the weight loss procedures offered in bariatric surgery. Total weight loss is greater than with sleeve gastrectomy or the Roux-en-Y bypass. BPD w/ DS provides the highest level of malabsorption resulting in a greater amount of excess weight loss, which offers a better opportunity to reduce comorbidities. The BPD w/ DS is a combination of restrictive and malabsorption procedures. This procedure does allow for larger meals to be consumed compared to other bariatric procedures with less food intolerance. ARMC is one of the few facilities within the United States that does offer the BPD w/DS as a laparoscopic procedure.

 

Laparoscopic Adjustable Gastric Band Surgery

Laparoscopic adjustable gastric band surgery (LAP-BAND®) is a restrictive form of weight loss surgery. No cutting or stapling of the stomach is involved. The procedure is reversible-with the stomach returning to normal size when the band is removed. 

 

Laparoscopic Revision Surgery

After undergoing bariatric surgery patients may require a revision (fixing) or conversion of their procedure. As a Center of Excellence our AtlantiCare team of bariatric surgeons through experience and knowledge will counsel you in available options if a second operation is recommended.

 

*References

http://asmbs.org/patients/bariatric-surgery-procedures

Baltasar, A., Bou, R., Bengochea, M., Arlandis, F., Escriva, C., Miro, J., ... & Perez, N. (2001). Duodenal switch: an effective therapy for morbid obesity-intermediate results. Obesity surgery, 11(1), 54-58.

Pories, W. J. (2005). Cartoon. Surgery for Obesity and Related Diseases, 1(3), 387.

Topart, P., Becouarn, G., & Ritz, P. (2013). Weight loss is more sustained after biliopancreatic diversion with duodenal switch than Roux-en-Y gastric bypass in superobese patients. Surgery for Obesity and Related Diseases, 9(4), 526-530.

Coleman, K. J., Huang, Y. C., Hendee, F., Watson, H. L., Casillas, R. A., & Brookey, J. (2014). Three-year weight outcomes from a bariatric surgery registry in a large integrated healthcare system. Surgery for Obesity and Related Diseases, 10(3), 396-403.