Bariatric Surgery

Bariatric surgery has evolved significantly over the past several decades. Today, it is a very safe procedure, with complication rates comparable to those of a routine gallbladder removal.

Bariatric, or weight loss, surgery is a subspecialty of general surgery that focuses on managing obesity-related conditions such as type II diabetes, high cholesterol, high blood pressure, acid reflux, and sleep apnea, among others. The term “weight loss surgery” can be somewhat misleading, as the primary goal is not simply to reduce weight—though weight loss is a highly desirable outcome. Bariatric surgery is designed to address metabolic syndrome, a collection of conditions that can lead to serious health consequences and even early death.

Advances in minimally invasive techniques, including robotically assisted surgery, have made these complex procedures safer than ever. While surgery may seem intimidating, for qualifying patients the benefits of bariatric surgery often far outweigh the risks, offering significant improvements in health and quality of life.

Is Bariatric Surgery Right for You?

We encourage you to take your time when considering bariatric surgery. The first step is to watch our online weight loss surgery seminar, which provides an overview of the procedure options available at VIPSurg. Viewing the seminar will help you prepare for your initial consultation, where you can ask questions and learn more about your options. After your first visit, you may request a follow-up appointment with Dr. Shawn Tsuda if additional guidance is needed before deciding on surgery. While choosing to undergo bariatric surgery—and determining which procedure is right for you—can be a big decision, you can feel confident knowing you are in the care of some of Nevada’s most experienced and skilled bariatric surgeons.

>Is Bariatric Surgery Right for You?

Choosing a Weight Loss Surgery Procedure

Selecting the right bariatric procedure requires careful research and an open discussion with your surgeon and medical team. The first step is determining whether bariatric surgery is appropriate for you, based on your medical history, body mass index (BMI), and personal goals. Once that is established, you and your surgeon can decide which procedure is the best fit.

Gastric Sleeve / Sleeve Gastrectomy
Currently the most popular weight loss surgery in the United States, the gastric sleeve offers excellent disease resolution and excess body weight loss while minimizing risk. During the procedure, approximately 80% of the stomach is removed, leaving a smaller “sleeve” about 20% of its original size. The surgery typically takes about an hour, and patients often experience over 70% excess weight loss.

Gastric Bypass
For decades, gastric bypass was considered the gold standard in bariatric surgery. This procedure combines a smaller stomach pouch with a rerouting of part of the small intestine, allowing for up to 80% excess weight loss. Gastric bypass is particularly beneficial for patients with uncontrolled type II diabetes or severe acid reflux.

The Adjustable Gastric Band, known as the Lap-Band
Once a popular option, the Lap-Band has declined in use due to higher long-term complication rates. It involves placing an inflatable band around the top of the stomach without altering the gastrointestinal tract. Some patients may still benefit from this procedure, and revisional surgery is available for those who previously had a band placed and wish to have it removed.