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 - Vertical Sleeve Gastrectomy (VSG) Vertical Sleeve Gastrectomy is a purely restrictive procedure, originally conceived as part of a staged operation for high-risk patients desiring the Duodenal Switch procedure. Results with this procedure alone were so good that many patients have not required the second stage. In this procedure the stomach size is drastically reduced to the point where it holds very little food. In addition, appetite is considerably reduced.  This is now the most commonly performed weight loss operation performed in Michigan.  I favor this procedure above the others. Advantages Disadvantages Since part of the stomach is removed, the operation cannot be reversed  As with any restrictive operation, it can be defeated by drinking high-calorie liquids Easily done with minimally invasive approach Rapid weight loss, similar to that of gastric bypass No intestinal re-routing Less risk of  vitamin deficiencies Excellent choice for children or high-risk patients No implanted foreign body Easily converted to any other bariatric procedure if needed No dumping syndrome Least expensive option for Self-Pay patients  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: