Epworth Center for Bariatric Surgery, Australia
Bariatric surgery, Obesity surgery

Obesity Surgery

Laparoscopic Adjustable Gastric Banding :: Sleeve (Tube) Gastrectomy
:: Bilio Pancreatic Diversion (BPD) :: Gastric Bypass

Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Find out more about Laparoscopic Adjustable Gastric Banding with the following links.

Lap Band Video
Interactive Movie
Laparoscopic Adjustable Gastric Banding
Text version
Laparoscopic Adjustable Gastric Banding
Patient Info handout


Tube Gastrectomy

This is a relatively new approach. It is the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically ( keyhole surgery) but is not reversible. It basically leaves a stomach tube instead of a stomach sack.

Find out more about Tube Gastrectomy with the following links.

Gastrectomy Video
Interactive Movie
Tube Gastrectomy
Text version
Tube Gastrectomy
Patient Info handout


Bilio Pancreatic Diversion

These operations combines removal or exclusion of 2/3rds of the stomach along with a long intestinal bypass which significantly reduces the absorption of fat. The capacity to eat is greater than with the other operations, and the eventual weight loss is the best of all the operations but if fatty foods are overeaten e.g. a hamburger and fries then diarrhoea and foul flatus will result.

Find out more about Bilio Pancreatic Diversion with the following links.

BPD Video
Interactive Movie
Bilio Pancreatic Diversion
Text version
Bilio Pancreatic Diversion
Patient Info handout


Gastric Bypass

Here a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the absorption of nutrients and thereby reduces the calorie intake.

Find out more about Gastric Bypass with the following links.

Gastric Bypass Video
Interactive Movie
Gastric Bypass
Text version
Gastric Bypass
Patient Info handout

 

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