Bariatric Surgery Options

Your bariatric surgeon at New Hanover Regional Medical Center (NHRMC) works closely with you to determine if you are a good candidate for a weight-loss procedure. Your body mass index (BMI), health status, and lifestyle are considered to determine which procedure is best for you.

Bariatric surgeons at NHRMC use laparoscopic techniques in bariatric surgery, with several small incisions rather than one large incision. Laparoscopy is safer and helps you recover faster.

Laparoscopic Roux-en-Y Gastric Bypass – Most Common Option

Laparoscopic Roux-en-Y gastric bypass is the most commonly performed bariatric surgery. Your surgeon creates a very small stomach pouch and connects your small intestine to the pouch, bypassing the larger portion of your stomach. This is often the first option for patients with diabetes.

Laparoscopic Sleeve Gastrectomy

Depending on your medical history, your physician might recommend a sleeve gastrectomy. In this procedure, a large portion of your stomach is removed, and the remaining stomach is stapled together. You will feel full after eating a very small amount of food.

Lap-Band® – Adjustable Option

The third, less commonly used option is laparoscopic adjustable gastric banding, also known as Lap-Band. Your surgeon places an inflatable silicone band around the upper portion of your stomach, creating a small pouch to hold food. You will feel full after eating small portions of food. Your surgeon adjusts the band periodically by adding saline to it to maintain your weight loss.