Bariatric Surgery Procedures

At the Denver Bariatric Surgery Center at Rose, we offer five minimally invasive options for surgical weight loss. Our surgeons are trained and equipped with the most technologically advanced minimally invasive protocols, and procedures to provide you with safe and effective options.

Gastric Bypass: Roux-en-Y (RGB)

This operation is the most common and successful type of malabsorptive surgery. Malabsorptive operations restrict both food intake and the amount of calories and nutrients the body absorbs and are the most common gastrointestinal surgeries for weight loss. .

First, 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 amount of calories and nutrients the body absorbs.

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Adjustable Gastric Banding (AGB)

Commonly known as Lap Band surgery, this is known as a restrictive bariatric surgery because it restricts food intake and does not interfere with the normal digestive process. 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 lap band is then inflated with a salt solution. It can be tightened or loosened over time by increasing or decreasing the amount of salt solution to change the size of the passage, and thus the amount of food the body needs to feel full.

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Sleeve Gastrectomy

The vertical sleeve gastrectomy is a restrictive form of bariatric surgery in which approximately 85 percent of the stomach is removed, leaving a cylindrical or sleeve-shaped stomach. With this surgery, the outlet valve and the nerves to the stomach remain intact and, while the stomach is drastically reduced in size, its function is preserved. The sleeve gastrectomy is not reversible.

The gastric sleeve surgery results in fewer restrictions on the foods that patients can consume after surgery, although the quantity of food eaten is still considerably reduced. It does not involve any bypass of the intestinal tract, and it can be performed laparoscopically.

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Plication

Similar to the sleeve gastrectomy, the Plication procedure is restrictive. As opposed to cutting the stomach like the Sleeve procedure, the stomach is simply folded and stitched. This additional procedure is not currently covered by insurance agencies and is considered investigational. We offer affordable pricing for the placation and our patients. Additionally, we offer a gastric band with a plication for additional weight loss – our patients are seeing increased weight loss of up to 20% in the first months following surgeries.

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Band Over Bypass

Stretching can occur several years after a bypass surgery and is usually a result of patients being more flexible with their diet after surgery. Placing a gastric band over a pre-existing bypass addresses the above mentioned issues and further helps the restrictiveness of your diet. Often times, the restriction provided by the band over bypass may offer even better results than the original surgery.

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Revisions

Bariatric surgery is typically very successful – quality of life, weight loss, and improved health. Unfortunately, some patients may experience problems with the surgery or they do not succeed in losing their expected amount of excess weight. In these situations, a bariatric revision surgery may be necessary to alter or repair the initial bariatric surgery.

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