Bariatric Surgery Weight Loss Surgery Laparoscopy Bariatric Surgery Weight Loss Surgery Laparoscopy Weight Loss Surgery Recommendations The American Society for Metabolic and Bariatric Surgery describes two basic approaches that weight loss surgery takes to achieve change: Pleatman Surgical Bariatric Surgery Mark A. Pleatman M.D. weight loss surgery weight loss surgery Bloomfield Hills Michigan 248 334-5444 1. Restrictive procedures that decrease food intake. 2. Malabsorptive procedures that alter digestion, thus causing the food to be poorly digested and incompletely absorbed so that it is eliminated in the stool.   Gastric Restrictive Procedure - LAP-BAND Gastric Restrictive Procedure - Vertical Sleeve Gastrectomy Malabsorptive Procedures - Biliopancreatic Diversion Combined Restrictive & Malabsorptive Procedure - Gastric Bypass Roux-en-Y Laparoscopic or Minimally Invasive Surgery Gastric Restrictive Procedure - LAP-BAND LAP-BAND is a purely restrictive procedure. In this procedure an inflatable silicone band is placed around the upper part of the stomach to create a small pouch. The outlet from the pouch is restricts the emptying of the food and thus creates the feeling of fullness.  Unfortunately, hopes for this procedure have not panned out.  Most surgeons have abandoned gastric banding due to high failure rate and poor patient satisfaction. Advantages Disadvantages Slower initial weight loss than gastric bypass or sleeve Regular follow-up visits are crucial for optimal results. Implanted device Characteristically, these procedures, while creating a sense of fullness, do not provide the necessary feeling of satisfaction that one has had "enough" to eat There is a high reoperation rate for problems such as band slippage, band erosion, and port problems Long-term failure rate as high as 75% Least Invasive Approach No stomach stapling or cutting, or intestinal rerouting Adjustable Lowest mortality rate Mark A. Pleatman, M.D. 43494 Woodward Ave. #202, Bloomfield Hills, MI 48302 Office Hours: 9:00 a.m. to 5:00 p.m. Phone: 248-334-5444, Fax: 248-334-5484 email: