Stomach

The stomach is a muscular and hollow organ that is situated on the left side of the upper abdominal area. Food from the esophagus or food pipe enters the stomach through a muscular valve referred to as the lower esophageal sphincter. The stomach is lined by the ridges of muscle tissue referred to as the rugae. The muscles of the stomach contract and relax periodically, thereby churning food in the process. This helps in the digestion of food. The stomach opens into the small intestine and the opening is guarded by a muscular valve referred to as the pyloric sphincter allowing periodic passage of food from the stomach to the small intestine. The stomach helps in the process of digestion by secreting hydrochloric acid and various enzymes such as proteases (enzymes that digest proteins). The food is partially digested in the stomach and converted into chime, which passes slowly through the pyloric sphincter into the duodenum.

Lap - Band Surgery

Laparoscopic gastric banding is a surgery that reduces the capacity of the stomach with the help of a silicone ring and an inflatable balloon that is fitted on the outside of the stomach. The balloon inflates with the injection of fluid through the injection port. This narrows the opening of the upper pouch, wherein the amount of food you eat is controlled while the emptying process of the stomach pouch is slowed.

Esophagus

From the back of the mouth (the pharynx) to the top of the stomach, the esophagus is a muscular tube for foods and liquids. It’s relatively tough and resilient as organs go, built to take most of the material human beings ingest. For the most part, it’s not a very complicated organ. Depending on the height of the person, it’s about 10 inches long (25 cm) and 1 inch in diameter (2-3 cm). The esophagus’ geography usually divides into three sections: cervical at the top, thoracic in the middle, and abdominal at the bottom.

Sleeve

Laparoscopic sleeve gastrectomy is a restrictive procedure that reduces the size of the stomach but does not alter the gastrointestinal tract or the pylorus. Because the route of ingested food through the gastrointestinal tract is not altered, nutrients are better absorbed. The patient is less dependent on vitamin supplements as the food is absorbed in a more natural manner.

What Digestive Changes Occur After Gastric Bypass Surgery

There are major changes to the digestive system, changes that make this approach to bariatric surgery very effective in significant weight loss. Post-operation, the diet is typically all-liquid for several weeks and then only soft or mashed foods until the post-surgical swelling in the digestive system heals. At the same time, a gastric bypass is more than a surgical procedure; it is also part of a lifestyle change.

Laparoscopic Gastric Bypass Surgery

What occurs during laparoscopic gastric bypass? Roux-en-Y Gastric Bypass works by temporarily decreasing hunger and cravings, restricting the amount of food you can eat at one time and reducing the absorption of calories. The Roux-en-Y Gastric Bypass is considered by many experts to be the current gold standard procedure for bariatric surgery. Although the surgery is typically not reversible, it is the most popular form of bariatric surgery.

Pregnancy After Bariatric Surgery

There are various recommendations regarding the timing of planned pregnancy after weight loss surgery which are based on a theoretical understanding of what occurs after the operation. A truly controlled scientific study evaluating the risk and benefit of pregnancy after surgical weight loss is difficult to design. We employ a common sense approach based on surgical literature as well as an understanding of the changes that occur after surgical operations for weight loss.

Understanding Your Decision

At your second or pre-surgical office visit with Dr. Belsley, you will take a short quiz so that you can have an additional discussion regarding various important issues prior to your operation. The purpose of the quiz is to assist your understanding and provide a source of conversation regarding the risks and benefits of the procedure. You will also be asked to review, initial and sign a consent form that discusses a number of important possibilities of your operation.