Bariatric Surgery Procedures

At the Rose Bariatric Center, a fully-accredited center of excellence, we offer the latest and safest minimally-invasive options for surgical weight loss. Our surgeons are trained and equipped with the most technologically advanced protocols and procedures to provide you with safe and effective bariatric weight loss options.

Gastric Bypass: Roux-en-Y (RGB)

This operation has been considered the gold standard and is a very successful type of bariatric surgery. The Gastric Bypass combines both a restrictive component and a malabsorptive component. The "restrictive" aspect of the operation restricts how much food can be eaten. The "malabsorptive" aspect limits the amount of calories and nutrients the body absorbs, leading to additional weight loss and comorbidity resolution.

In this surgery a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the amount of calories and nutrients the body absorbs.

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Adjustable Gastric Banding (AGB)

Commonly known as Lap Band surgery, this is known as a restrictive bariatric surgery because it restricts food intake and does not interfere with the normal digestive process. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The lap band is then inflated with a salt solution. It can be tightened or loosened over time by increasing or decreasing the amount of salt solution to change the size of the passage, and thus the amount of food the body needs to feel full.

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Sleeve Gastrectomy

The vertical sleeve gastrectomy has recently become the most common type of bariatric surgery! The Sleeve is a restrictive form of bariatric surgery in which approximately 80 percent of the stomach is removed, leaving a cylindrical or "sleeve"-shaped stomach. With this surgery, the outlet valve (pylorus) and the nerves to the stomach remain intact. While the stomach is drastically reduced in size, its function is preserved. The sleeve gastrectomy is not reversible.

The hunger hormone, ghrelin, has reduced production because this is part of the stomach that is removed - leading to signficantly reduced hunger and improved satiety.

The gastric sleeve surgery results in fewer restrictions on the foods that patients can consume after surgery, although the quantity of food eaten is still considerably reduced. It does not involve any bypass of the intestinal tract, and it can be performed laparoscopically.

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Bariatric Loop Duodenal Switch (DS)

Rose Medical Center is proud to partner with Dr. Matthew Metz, the first surgeon in Colorado performing the loop duodenal switch procedure.

The modern Laparoscopic Loop Duodenal Switch procedure is a form of weight-loss surgery uniting two elements found in other types of weight-loss surgeries. The Duodenal Switch combines a restrictive alteration to the digestive tract which limits the amount of food a patient can ingest, similar to the Gastric Sleeve. Part of the stomach is removed, creating a small stomach with functional pylorus valve. In the next part of the surgery, Dr. Metz creates a loop partial bypass of the intestinal system leading to malabsorption which limits the caloric intake absorbed by the body, leading to additional weight loss and resolution of comorbidities such as sleep apnea, diabetes, and more.

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Plication

Similar to the sleeve gastrectomy, the Plication procedure is restrictive. As opposed to cutting the stomach like the Sleeve procedure, the stomach is simply folded and stitched. This additional procedure is not currently covered by insurance agencies and is considered investigational. We offer affordable pricing for the placation and our patients. Additionally, we offer a gastric band with a plication for additional weight loss – our patients are seeing increased weight loss of up to 20% in the first months following surgeries.

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Band Over Bypass

Stretching can occur several years after a bypass surgery and is usually a result of patients being more flexible with their diet after surgery. Placing a gastric band over a pre-existing bypass addresses the above mentioned issues and further helps the restrictiveness of your diet. Often times, the restriction provided by the band over bypass may offer even better results than the original surgery.

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Revisions

Bariatric surgery is typically very successful: improved quality of life, significant weight loss, and improved health and outcomes. Some patients may experience technical problems related to their surgery or they do not succeed in losing their expected amount of excess weight. In these rare situations, a bariatric revision surgery may be necessary to alter or repair the initial bariatric surgery. Rose Bariatric Center specializes in treating and assisting patients from around the country to get back on track - often without needing additional surgery.

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