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 Laparoscopic or Minimally Invasive Surgery For the last decade, laparoscopic procedures have been used in a variety of general surgeries. Many people mistakenly believe that these techniques are still "experimental." In fact, laparoscopy has become the predominant technique in some areas of surgery and has been used for weight loss surgery for several years. Although few bariatric surgeons perform laparoscopic weight loss surgeries, more are offering patients this less invasive surgical option whenever possible. When a laparoscopic operation is performed, a small video camera is inserted into the abdomen. The surgeon views the procedure on a separate video monitor. Most laparoscopic surgeons believe this gives them better visualization and access to key anatomical structures. The camera and surgical instruments are inserted through small incisions made in the abdominal wall. This approach is considered less invasive because it replaces the need for one long incision to open the abdomen. A recent study shows that patients having had laparoscopic weight loss surgery experience less pain after surgery resulting in easier breathing and lung function and higher overall oxygen levels. Other realized benefits with laparoscopy have been fewer wound complications such as infection or hernia, and patients returning more quickly to pre-surgical levels of activity. Laparoscopic procedures for weight loss surgery employ the same principles as their "open" counterparts and produce similar excess weight loss. Not all patients are candidates for this approach, just as all bariatric surgeons are not trained in the advanced techniques required to perform this less invasive method. The American Society for Bariatric Surgery recommends that laparoscopic weight loss surgery should only be performed by surgeons who are experienced in both laparoscopic and open bariatric procedures. 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:  info@drpleatman.com