Q&A Surgical Slim-Down Proven, Powerful Weight-Loss Procedures NorthShore is one of the nation’s only health systems offering a full range of bariatric surgery options, including a trio of new choices with proven results. NorthShore Division Chief of General Surgery Michael Ujiki, MD, is an expert in these game-changing, minimally invasive surgeries for weight loss: • Gastric balloon • Endoscopic sleeve gastroplasty • Loop duodenal switch Dr. Ujiki, who holds an academic appointment at the University of Chicago Pritzker School of Medicine, answers commonly asked questions about weightloss surgeries: Q. It sounds like there are more surgical choices than ever before, correct? A. There are several minimally invasive options resulting in less pain and a faster recovery. The two most common bariatric surgeries are gastric bypass and sleeve gastrectomy. Both are performed laparoscopically, via small incisions in the abdomen. These procedures work well for patients who are morbidly obese with conditions like diabetes, hypertension or sleep apnea. The new gastric balloon and endoscopic sleeve gastroplasty procedures also are promising, because they can impact people before they become morbidly obese and develop troubling health conditions. Q. How do those two surgeries work? A. There are no incisions, as everything is done through the mouth. With the gastric balloon, we place a deflated balloon inside the stomach and then inflate that to about the size of a softball. With the endoscopic sleeve gastroplasty, we also go through the mouth and suture the stomach in a tubular formation. Both procedures result in people feeling fuller after eating. Q. Who are the best candidates for these two surgeries? A. These procedures can benefit patients with a body mass index greater than 40 who have tried diet and exercise but struggled to secure results. Q. What are the benefits of these procedures? A. Since there are no incisions, this lowers surgical risk, reduces pain and speeds recovery. Patients can be back at work the next day. With the endoscopic sleeve gastroplasty, for instance, people are losing about 50 percent of their excess weight and maintaining it two years later. Q. Who would be a candidate for the third new bariatric alternative: the loop duodenal switch surgery? A. Similar to traditional gastric bypass surgery, loop duodenal switch surgery is ideal for morbidly obese patients with a body mass index greater than 50 who suffer from related conditions, including diabetes and high blood pressure. This surgery results in greater weight-loss and also is done laparoscopically for less pain and faster recovery. ARE YOU A CANDIDATE? NorthShore’s free bariatric information sessions are offered the third Tuesday of every month from 6 to 7 p.m. at 501 Skokie Blvd. in Northbrook. Visit northshore.org/L25 or make an appointment by calling (847) 492-5700 (Ext. 1280).
Published by Staywell/NorthShore University. View All Articles.
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