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A sleeve gastrectomy is a weight loss procedure that's
sort of newer and
has been very well accepted by the American Society of Bariatric Surgeory
what we do here is essentially cut away the larger
portion of the stomach and that then leaves us with just a
little banana shaped stomach that is much smaller in size
and it then creates a restriction
from the caloric intake there's a hormone called ghrelin which is known as a
hunger hormone
it's not a hormone that we want high levels of so when we divide the stomach it actually drops
those hunger hormone levels the patient really not does not feel hunger
the gastric bypass surgery is considered to be the gold standard because it's been
around for a long time at least forty five years
this is where we actually divide the stomach all the way up top
to create a small stomach - a much smaller stomach
approximately one ounce in size then to maintain continuity
we actually bring part of the small intestine from below attached to this new pouch
again since we've downsized the stomach patients are able to eat
only much small quantities of food therefore fewer calories
the other thing with the bypass is when we the bypass the old stomach and part of the small
intestine
you are essentially creating amount of the component
candidates for these procedures are pretty much anybody that qualifies
according to the national institute of health guidelines which is
you gotta be at least 100 pounds over your ideal body weight
or if your BMI is as low as 35
with comorbidities meaning if you're
roughly 75 pounds over your ideal body weight
and you have diabetes or hypertension or sleep apnea
that automatically qualifies you for any of these procedures
some of the benefits of using the robot for either the gastric sleeve or the gastric bypass
is
number one is three-dimensional visualization
when a surgeon sees better he does a better operation
number two the ability to
manipulate tissues because the 360 rotation that the
instrumentation has
we're able to get around corners of tissues create much better dissection
and more specifically for the bypass when we're sewing those anastemosis
those connections that we create in the stomach and small intestine
you're able to create a much more precise
connection the way robotics actually adds to speed a recovery with these
patients is number one
they're much smaller incisions so there's less pain
the other thing is they're able to start eating right away
the biggest draw to this facility is the fact that
they're just not focused on doing a high patient volume
they're focused on providing quality care