The rising Gastric Sleeve is replacing older and ineffective procedures like adjustable gastric banding. Gastric sleeve surgery is a metabolic procedure that alters several hormones that control appetite, satiety and energy metabolism. The end result is significant and durable weight loss. At Houston Weight Loss Surgery Center, we offer the gastric sleeve surgery as a first line weight loss surgery option for almost 80% of our patients. Gastric bypass surgery is reserved for revisions and advanced diabetes cases. We don’t offer adjustable gastric banding, however, we offer gastric band adjustments and management to patients who has already received a band. Our revision surgery mainly consist of band conversion to gastric bypass. Many band patients suffers from over restriction and esophageal dilation. We have noticed a a very high incidence of acid reflux in band patients secondary to esophageal dysmotility. For theses reasons, our go to option for band revision is gastric bypass surgery as it alleviates acid reflux in the setting of esophageal dilation and dysmotility much more effectively than gastric sleeve surgery.
Gastric balloon placement is a new option currently available on the market. Gastric balloon is not considered a metabolic procedure. It is rather a tool to rely upon for around 6 months to prevent you from overeating allowing you to loose between 30 to 50 pounds. Gastric balloon is placed endoscopically under intravenous sedation then removed 6 months later. During the 6 month period of balloon placement you will be coached by a nutritionist on a healthy lifestyle including eating right and exercising daily. Gastric balloon is not for everyone but could be a viable option for certain individuals.