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Obesity Surgery

Obesity Surgery


The Roux-en-Y Gastric Bypass procedure is considered the "gold standard" weight loss procedure. During the Roux-en-Y Gastric Bypass procedure, a small stomach pouch is created with the goal of limiting food intake.

After this new pouch is made, a Y-shaped section of the small intestine is attached to the pouch. This allows food to bypass the lower stomach, the duodenum (or the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). Once this bypass is made, the amount of calories and nutrients that can be absorbed is reduced, resulting in rapid weight loss.

Patients who qualify for Roux-en-Y Gastric Bypass surgery typically have a BMI over 40, though it can be performed on patients with BMI's between 35 and 39 if they have weight related illnesses such as Type II diabetes, high blood pressure, GERD and high cholesterol.

People who undergo this procedure can expect to lose around 68% of their excess weight¹, ³. This weight loss will typically take two years.

The Roux-en-Y Gastric Bypass is done laparoscopically. Advantages of laparoscopic procedures are reduced recovery times, less bleeding and infection, decreased pain, and less chances for serious complications. Laparoscopic procedures may even be better for patients whose health does not allow for more invasive, open operations. Laparoscopic procedures involve small incisions rather than a large surgical scar.

The Roux-enY Gastric Bypass procedure has been around for years. It is backed by studies and experience. Those who undergo laparoscopic gastric bypass surgery tend to lose a bit more weight than most other weight loss procedures¹. The Roux-enY Gastric Bypass works well for people who enjoy eating sweets due what's known as "Dumping Syndrome" which takes affect when sweets and chocolates are eaten. During the dumping syndrome, patients feel nausea, dizziness, weakness, rapid cold sweats, fatigue, cramps, and diarrhea⁴, ⁵. These symptoms cause an aversion to sweet foods, result in avoidance after surgery.

Some disadvantages to the Roux-enY Gastric Bypass include: a longer recovery time than other weight loss procedures, minor late weight gain, and possibility of vitamin and mineral deficiencies.

For those living in the area of Southern California, Roux-enY Gastric Bypass at Lite Life Surgery is a wonderful way to remove excess pounds and restore health.


Sleeve Gastrectomy is a newer approach to weight loss surgery. Like all weight loss surgeries, it is geared to help the obese lose excess weight quickly and reduce likelihood of weight regain. Lite Life Surgery in Palm Springs provides expertise in the Sleeve Gastrectomy procedure.

During the Sleeve Gastrectomy surgery, two thirds of the stomach is removed, using a stapling device. This results in a smaller stomach, similar to the shape and size of a banana. This decreases the amount of contents the stomach can hold, allows patients to feel full sooner and results in rapid weight loss. The amount of weight lost from this procedure averages 58% of excessive weight within one to two years².

The Sleeve Gastrectomy surgery is preformed laparoscopically, rather than an open operation. The advantages of a laparoscopic surgery are reduced recovery times, less bleeding and infection, decreased pain, and less chances for serious complications. Laparoscopic procedures may even be better for patients whose health does not allow for more invasive, open operations. Laparoscopic procedures involve small incisions rather than a large surgical scar.

Patients who qualify for Sleeve Gastrectomy surgery typically have a BMI over 40, though it is sometimes performed on patients with BMI's between 35 and 39 if they have weight related illnesses such as type II diabetes, high blood pressure, and high cholesterol.

When comparing Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass, the Sleeve surgery may be better for patients who can't return as often for the follow-up visits required by bypass, and banding procedures. Thus, for patients who live in remote areas around the state of California, gastric sleeve surgery is among the most viable options. For residents of the Coachella Valley, Sleeve Gastrectomy surgery is a good option for people who travel often or are simply too busy to make several follow up appointments.

Some disadvantages to the Sleeve Gastrectomy include: possible vitamin and mineral deficiencies and late weight gain. If this occurs, other weight loss procedures may be performed in conjunction. This surgery is also not reversible.

For those living in the area of Southern California, Sleeve Gastrectomy at Lite Life Surgery is a wonderful way to remove excess pounds and restore health.


Laparoscopic adjustable gastric banding is the least invasive of all the weight loss surgeries. Because there is no cutting, no stapling, and no stomach rerouting, this type of surgery offers a quick recovery, a reduction in pain, and a shorter hospital stay than other types of weight loss surgery. Patients typically lose 40% of their excess weight¹, ³, slightly less than other weight loss procedures.

The Gastric Banding surgery is preformed laparoscopically, rather than as an open operation. The advantages of a laparoscopic Gastric Banding surgery procedure are reduced recovery times, less bleeding and infection, decreased pain, and less chances for serious complications. Laparoscopic procedures may even be better for patients whose health does not allow for more invasive, open operations. Laparoscopic procedures involve small incisions rather than a large surgical scar.

Patients who qualify for Adjustable Gastric band surgery typically have a BMI between 35 and 40 if they have weight related illnesses such as type II diabetes, high blood pressure, and high cholesterol.

During surgery, an inflatable silicone band is placed into the upper abdomen of the patient. This band fastens around the upper stomach and creates a new, tinier portion of the stomach. Banding also slows the emptying process into the stomach and intestines. As a result, patients feel full sooner, less food is consumed, and weight is lost.

After the Adjustable Gastric Band surgery, the band can be adjusted by adding or removing fluid inside the band. This adjustment makes the band tighter or looser allowing for less or more food consumption.

The advantages of this type of Adjustable Gastric Banding surgery include: no intestinal rerouting, least invasive of all weight loss surgeries, no cutting or stapling, quicker recovery, lower mortality risk than other weight loss surgeries, lower risk of nutritional deficiencies, and no permanency (the band can be removed at any time).

Some disadvantages to the Adjustable Gastric Banding surgery include: possible band intolerance, erosion into stomach or band the band can slip out of place. If any of these incidences occur, the band must be removed.

For those living in the area of Southern California, Adjustable Gastric Banding at Lite Life Surgery is a wonderful way to remove excess pounds and restore health.


For the Modified Duodenal Switch procedure, two thirds of the stomach is removed and a long portion of the small intestine is bypassed. This reduces the amount of fat and calories absorbed by the body, resulting in rapid weight loss.

When compared to other weight loss surgeries, the modified duodenal switch surgery offers the most weight loss when compared to other weight loss surgeries. But, because this surgery newer, there are not long term studies providing information on amount of excess weight normally seen. In addition to weight loss, the amount of food that can be consumed is also an advantage. The duodenal switch procedure allows for more food to be consumed, providing the patient with the ability to enjoy foods they love. However, if fatty or greasy foods are overeaten (such as hamburger and fries) diarrhea and gas often results.

Patients who qualify for Sleeve Gastrectomy surgery typically have a BMI over 40, though it is sometimes performed on patients with BMI's between 35 and 39 if they have weight related illnesses such as type II diabetes, high blood pressure, and high cholesterol.

The Modified Duodenal Switch surgery is preformed laparoscopically, rather than as an open operation. The advantages of a laparoscopic sleeve gastrectomy procedure are reduced recovery times, less bleeding and infection, decreased pain, and less chances for serious complications. Laparoscopic procedures may even be better for patients whose health does not allow for more invasive, open operations. Laparoscopic procedures involve small incisions rather than a large surgical scar.

Advantages of the Modified Duodenal Switch surgery include rapid weight loss without the worry of "Dumping Syndrome" often experienced with the Roux-en-Y Gastric Bypass procedure. Because less fat and calories are absorbed, less multivitamins and minerals are also absorbed. Patients must commit to taking vitamins and minerals for the rest of their lives. Because this procedure is relatively new, frequent follow up visits are a must to make sure the patient is staying on track.

​1. Sjostrom L, Lindroos AK, Pelton M, et al. Swedish Obese Subjects Study Scientific Group, Lifestyle, diabetes​ and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683-2693.

​2. Hutter MH, Schirmer BD, Jones DB, et al. First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positions between the band an the bypass. Ann Surg. 2011;254(3):410-22.

​3. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery a systematic review and meta-analysis. JAMA. 2004; 292(14):1724-1737.

​4. Tack J, Arts J, Caenepeel P, De Wulf D, Bisschops R. Pathophysiology, diagnosis and management of postoperative dumping syndrome. Nat Rev Gastroenterol Hepatol. 2009;6:583-590.

​5. Ukleja A. Dumping Syndrome: pathophysiology and treatment. Nutr Clin Pract. 2006;21:485-504.