Weight loss surgery procedures at Inova

There are several types of bariatric surgery procedures, each with its own benefits, considerations, and risks. Our nationally recognized and highly experienced bariatric surgeons will expertly guide you as you evaluate the weight loss surgical treatment that suits your lifestyle and overall health. Here are the most common types:

This procedure involves creating a small pouch at the top of the stomach and then connecting it directly to the small intestine. This bypasses a portion of the stomach and the upper part of the small intestine, leading to reduced food intake and decreased absorption of calories and nutrients. 

Gastric bypass surgery typically results in significant weight loss and can also improve or resolve obesity-related health conditions such as type 2 diabetes and hypertension.

Sleeve gastrectomy involves removing approximately 75-80% of the stomach, leaving behind a small sleeve-shaped portion. This reduces the stomach's capacity, leading to decreased food intake and appetite suppression.

Unlike gastric bypass, sleeve gastrectomy does not involve rerouting the intestines, and there is no malabsorption of nutrients. It can be a standalone procedure or a first stage in a two-part surgery for extremely obese individuals.

Endoscopic balloon placement is a non-surgical procedure used to assist with weight loss. During this procedure, a deflated silicone balloon is inserted into the stomach through the mouth using an endoscope, a flexible tube with a camera attached to its tip. 

Once inside the stomach, the balloon is inflated with a saline solution, filling up space in the stomach and creating a feeling of fullness or satiety.

BPD/DS is a more complex procedure involving two steps. First, a portion of the stomach is removed to create a smaller stomach pouch similar to a sleeve gastrectomy. Then, a significant portion of the small intestine is bypassed to reduce the absorption of calories and nutrients.

This procedure results in significant weight loss and is particularly effective for individuals with a very high BMI or severe obesity-related health conditions. However, it carries a higher risk of nutritional deficiencies and requires lifelong vitamin and mineral supplementation.

Conversions may be necessary due to various reasons, including inadequate weight loss, complications, or changes in health status. A "conversion" typically refers to a surgical procedure that modifies or revises a previous bariatric surgery. Some examples of conversions for weight loss surgery are:

  • gastric band to gastric sleeve or gastric bypass
  • gastric sleeve to gastric bypass
  • endoscopic revisions of gastric bypass (TORe, a minimally invasive procedure that can help people who regain weight after gastric bypass surgery)

Laparoscopic Adjustable Gastric Band removal surgery

Our surgeons also offer Laparoscopic Adjustable Gastric Band removal surgery which is a procedure performed to remove a gastric band that has been previously implanted the abdomen.

What is a conversion?

Conversions for weight loss surgery are complex procedures that require careful evaluation, planning, and consideration of individual circumstances. If you are considering conversion surgery, you should discuss your options with your bariatric surgeon to determine the most appropriate approach based on your medical history, current health status, and treatment goals.