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Surgical Weight Loss Program

Surgical Weight Loss Options at EMMC

EMMC was the first program in Maine to offer patients the choice between bypass, banding, and sleeve gastrectomy surgical options. Below is a brief description of these surgeries. Once you have been accepted into EMMC Surgical Weight Loss, your surgeon will work with you to determine which option will work best for you.

Adjustable Gastric Banding

EMMC Adjustable Gastric Band

Adjustable Gastric Band Surgery is a restrictive procedure in which a silicone band is placed around the uppermost part of the stomach. Inside the band is a lining that can be inflated or deflated with saline to control the size of the opening. This gives the stomach an hourglass shape, with a small upper pouch and a narrow opening through which food passes into the lower stomach. This causes an early sense of fullness when you eat and therefore, assists with portion control. The surgery is performed laparascopically through a small incision and does not involve cutting, stapling, or moving any part of the stomach or intestine. Our program, and some insurers, generally limit this surgical option to patients with a Body Mass Index (BMI) of 50 or lower. Most patients who choose adjustable gastric banding leave the hospital the same day as their surgery. Optimal weight loss is achieved three to five years after surgery.

Gastric Bypass

EMMC Gastric Bypass Diagram

Gastric Bypass Surgery is a restrictive and malabsorptive procedure that is the most commonly performed weight loss surgery in the United States. During this procedure, your surgeon staples the stomach to form a small pouch. A portion of the small intestine is then rerouted to join the small stomach pouch. Gastric bypass surgery promotes weight loss by helping people control the amount of food they eat in one sitting. Because this surgery causes malabsorption, or incomplete digestion of the calories and nutrients that are eaten, patients who choose this type of weight loss surgery will need to take vitamin and mineral supplementation daily after surgery. Gastric bypass is performed laparoscopically, which involves five small incisions. Most patients leave the hospital two days after their surgery. Optimal weight loss is achieved 12-18 months after surgery.

Sleeve Gastrectomy

EMMC Sleeve Gastrectomy

Sleeve gastrectomy is the newest weight loss procedure offered at EMMC. It involves restricting the stomach by permanently removing its bottom portion. Weight loss with sleeve gastrectomy is typically greater than adjustable gastric banding, but not as great as gastric bypass. Patients who choose to have a gastric sleeve procedure leave the hospital two to three days after surgery. Optimal weight loss is achieved in one to two years. Many insurers have yet to recognize sleeve gastrectomy as a covered procedure because it only recently received an insurance code and the required long term (more than ten years) data on the procedures was not available until recently. We do anticipate this will become a covered procedure in the near future. Sleeve Gastrectomy is performed laparoscopically.

What is laparoscopic surgery?Bariatric Surgery on Screen

All of the surgical weight loss options at EMMC are offered laparascopically if your surgeon determines this is the right option for you. During a laparoscopic surgery, often referred to as minimally invasive surgery, small incisions are used to access the abdomen as opposed to the large abdominal incisions that have been previously used for bariatric surgery. Several devices, including a camera and small lights are inserted to help guide the surgeon through the procedure. Major benefits of laparoscopic surgery include reduced blood loss during surgery, reduced pain, reduced length of stay in the hospital, and quicker return to normal activities and work after surgery. Patients also experience reduced risk of wound complications and smaller scars after surgery.

What is robotic assisted surgery?

Dr. Toder
EMMC Surgical Weight Loss is proud to be home to some of the pioneers and global leaders of robotic weight loss surgery. Dr. Toder was one of the first surgeons in the world to adopt this technology and has gone on to teach this skill set throughout the nation and the world.

The robot system used during this surgery is designed to provide surgeons with enhanced capabilities, including high definition 3D vision and a magnified view. The surgeon controls the system, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside the body. Though it is often called a “robot,” the system does not act on its own. Instead, the surgery is performed entirely by the doctor. The technology allows surgeons to perform complex procedures through just a few tiny openings. As a result, patients may be able to get back to life faster without the usual recovery following major surgery.
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