Surgical Weight Loss Options at EMMC

Choices for Bariatric Surgery

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.

Gastric Bypass Surgery

SWLOptions_Photo_GASTRIC-BYPASS-(1).jpgGastric 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
SWLOptions_Photo_SLEEVE-(1).jpgSleeve 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. Sleeve Gastrectomy is performed laparoscopically.


Adjustable Gastric Band Surgery
  SWLOptions_Photo_ADJUSTABLE-GASTRIC-BAND-(1).jpgAdjustable 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.