Bariatric Surgery

The Queen's Comprehensive Weight Management Program (CWMP) offers expert surgical options for weight loss and are committed to working with you to determine the best surgery for your particular weight loss needs.

Bariatric surgery makes changes to your digestive system to help you lose weight by limiting how much you can eat, by reducing the absorption of nutrients, or both. It is often seen as an important tool in helping people lose significant amounts of weight. Bariatric surgeries are done when diet and exercise haven't worked or when you have serious health problems because of your weight. In addition to weight loss, bariatric surgery may help improve many conditions, such as degenerative joint disease, diabetes (Type 2), high cholesterol, high blood pressure, Polycytic Ovarian Sydrome, nonalcoholic fatty liver disease, sleep apnea, and urinary incontinence.

The Queen's CWMP offers the following bariatric surgery procedures:

Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)

Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is a restrictive and malabsorptive procedure; creating a small pouch (30 cc) from the stomach and bypassing part of the small intestine. The surgery restricts the amount of food the patient can eat per meal and decreases the amount of calories the intestine can absorb. After a LRYGB, the patient can expect to lose 50-70% of preoperative excess body weight (EBW) or about 30-35% of the patient’s total weight. LRYGB is considered the "Gold Standard" for bariatric surgery in the United States and is the surgical procedure to which other procedures are compared. Due to the metabolic effect this procedure is now referred to as the "surgical cure" for type 2 diabetes.

Laparoscopic Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy is a procedure that involves removing part of the stomach to create a 3-4 oz sleeve. This restricts the amount of food a patient can eat. It can be used as a "stand alone" procedure for some patients or as a first step for patients who, due to excessive obesity, are too high risk for other procedures. Overtime, some of these individuals may require a second surgery to maintain weight loss, and some may not. After a sleeve gastrectomy the patient can expect to lose 30-50% of EBW.

Laparoscopic Adjustable Gastric Band

Laparoscopic Adjustable Gastric Band involves placing an adjustable band around the upper portion of the stomach (15 cc). It is purely restrictive and limits how much a patient can eat at one time. Like LRYGB, it is intended as a treatment for obesity. Weight loss after placement of an adjustable gastric band is reported at about 40-50% of EBW. The use of this procedure is decreasing due to poor long term outcomes and a high rate of complications and re-operation. Compared to open procedures, hospitalization for laparoscopic surgery is usually 1-2 days and overall recovery tends to be shorter.

The CWMP team is happy to discuss which procedure is best for you.