Bariatric (Weight-Loss) Surgery
Virginia Hospital Center offers a Comprehensive Weight-Loss Surgery Program designed to provide the highest quality of care to the morbidly obese patient.
Our bariatric surgeons, J.R. Salameh, MD, FACS (Medical Director) and C. Steeve David, MD have experience in weight loss surgery. They offer a number of weight-loss surgical options including Laparoscopic Adjustable Gastric Banding (Lap-Band® and Realize Band®), Laparoscopic Sleeve Gastrectomy, Laparoscopic Roux-en-Y Gastric Bypass, Duodenal Switch and the Orbera Intragastric Balloon.
If you are a morbidly obese patient who has repeatedly failed more conservative weight reduction alternatives such as supervised diet, medications, exercise, and behavior modification programs, then you may consider one of these weight loss surgical options.
The Weight Loss Surgery Program is a well-structured and multidisciplinary program which includes, in addition to surgical weight loss procedures, a number of other critical elements to help ensure a successful long-term weight loss:
- Nutritional evaluation and education
- Psychological evaluation and support
- Body fat analysis
- Support group meetings
- Medically supervised weight loss program
- Exercise and health promotion programs
- Specialty services thoroughly familiar with the obese patient's needs (anesthesiology, radiology, endocrinology, cardiology, plastic surgery, etc.)
To learn more about a number of weight loss surgery procedures offered to our patients at the Bariatric Center of Excellence, click on the links below to expand or collapse:
Adjustable Gastric Banding
The adjustable gastric banding surgery consists of a silicone adjustable band that is placed around the upper portion of the stomach to restrict the amount of food that can be consumed and to create a longer feeling of satiety. The band is designed to be placed laparoscopically (keyhole surgery) and the procedure does not involve cutting or stapling of the stomach or gastrointestinal re-routing to bypass normal digestion. The procedure is safe, minimally invasive, adjustable and reversible. As will all weight loss surgeries, risks, benefits and alternatives need to be carefully considered and discussed with your physician or our weight loss surgeons. Two bands are currently available on the US market including Lap-Band® and Realize Band®.
Vertical Sleeve Gastrectomy is a restrictive weight loss procedure in which a large part of the stomach is surgically removed. This results in a new stomach which is roughly the size and shape of a banana. It is a new weight loss surgical procedure so long-term results (> 5 years) are not available. There is, however, a growing body of evidence that Sleeve Gastrectomy, at least within 3-5 years of follow-up, provides excellent weight loss outcomes similar to the Adjustable Gastric Banding and Gastric Bypass procedures. The surgery is done laparoscopically with a short hospital stay. Since this operation does not involve rerouting or reconnecting the intestines, it is a simpler operation than the gastric bypass and does not carry a risk of nutritional deficiencies due to malabsorption. Unlike the LAP-BAND® procedure, the sleeve gastrectomy does not require the implantation of an artificial device inside the abdomen and does not require adjustments. The Sleeve Gastrectomy is irreversible. It does also carry risks of a leak at the staple lines (where the stomach was removed) as well as narrowing or kinking of the long narrow stomach. Some patients with high BMI might need a second stage procedure to enhance weight loss.
Laparoscopic Roux-en-Y Gastric Bypass surgery makes the stomach smaller and causes food to bypass part of the small intestine. You will feel full more quickly than when your stomach was its original size. This reduces the amount of food you can eat at one time. Bypassing part of the intestine reduces how much food and nutrients are absorbed. This leads to weight loss. One type of gastric bypass surgery is a Roux-en-Y gastric bypass.
The duodenal switch (DS) procedure, also known as biliopancreatic diversion with duodenal switch (BPD-DS) is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect. The restrictive portion of the surgery involves removing approximately 70% of the stomach along the greater curvature, essentially creating a larger size sleeve gastrectomy.
The Orbera Intragastric Balloon
One of the newest tools to fight obesity is the Orbera Intragastric Balloon, now offered at Surgical Specialists. It is a new endoscopic non-surgical procedure where we place a balloon in the stomach for 6 months to help with portion control along with our supervised diet and exercise program. It is best for patients with a BMI 30 to 40.
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Patient Success Stories
Achieving Long-Term Weight Loss
Christine Rance with her daughter.
Christine Rance, 49, of Alexandria had struggled with her weight for most of her life. A few years ago, she dieted, lost 80 pounds, but then gained all of it back plus another 25. She was diagnosed with sleep apnea and high blood sugar... “My surgery went very smoothly. I was walking the evening of surgery and stayed in the Hospital just one night. I didn’t have any serious pain,” she says. “I followed my food plan very carefully, and lost 111 pounds in 6 months. My blood sugar levels are down. I have so much more energy to run and play with my 5-year-old, and I walk 11,000 steps a day.”
Who would have thought that at 45, I’d have a piggyback ride!
Dan gives his wife, Robin, a piggyback ride while on a family walk.
Since their surgery, Dan has lost 150 pounds and Robin has lost 100 pounds. Their lives, they say, are completely different. For years, Dan and Robin Conroy had struggled with their weight. Dan had slept apnea and severe acid reflux. Robin had high blood pressure and low energy levels. They decided to look into bariatric surgery, and while doing online research, they found J.R. Salameh, MD, FACS of Surgical Associates and Medical Director of the Hospital’s Center for Bariatric Surgery...