Malabsorptive vs. Restrictive Bariatric Surgery
Dr. Jacqueline Osuna offers both restrictive and malabsorptive bariatric surgery at her Guadalajara and Tijuana, Mexico, offices. Restrictive surgeries will reduce the size of your stomach so that you become full more quickly. Ultimately, this will decrease your caloric intake. Malabsorptive surgeries restrict the amount of calories and nutrients that your body can absorb. The different procedures offer unique benefits, though one type may be more suited to your needs. Usually, combining the two methods will achieve the most dramatic results. Dr. Osuna will thoroughly explain malabsorptive vs. restrictive bariatric surgery. Based on your health requirements and weight loss goals, she will help you choose the right type of surgery for you.
Restrictive Bariatric Surgeries
Restrictive bariatric surgeries will reduce the size of your stomach, but they will not alter the course of your digestive system.
- Gastric sleeve plication: Your surgeon will create folds in your stomach through tiny incisions, using sutures to hold the folds in place. She will not need to remove any tissue, meaning the surgery is reversible and less invasive than other types of bariatric surgery.
- Gastric sleeve: This procedure has similar results to gastric sleeve plication. However, Dr. Osuna will permanently alter the size of your stomach by removing up to 80 percent of the tissue. The remaining part of your stomach will have a narrow sleeve shape, and it will remain attached to your small intestine.
- LAP-BAND® System: The LAP-BAND is an adjustable band that Dr. Osuna will place around your stomach, creating a pouch. By closing off the rest of your stomach, it will help you feel full faster. Because the band is removable, this type of bariatric surgery is reversible.
These procedures are the simplest type of weight loss surgeries. Therefore, they typically involve a shorter recovery and carry fewer risks. At the same time, they typically result in less dramatic weight loss than malabsorptive procedures.
Like many patients, you may achieve the best possible results if Dr. Osuna combines restrictive and malabsorptive techniques. In addition to reducing the size of your stomach, she will alter the course of your digestive system.
Combining Restrictive and Malabsorptive Bariatric Methods
Like many patients, you may achieve the best possible results if Dr. Osuna combines restrictive and malabsorptive techniques. In addition to reducing the size of your stomach, she will alter the course of your digestive system. Thus, you will consume fewer calories overall, and your body will absorb less of what you actually do consume.
- Gastric bypass: As with gastric sleeve surgery, your doctor will remove a large portion of your stomach. However, with this procedure, she will also reroute your small intestine, connecting it to this smaller stomach pouch.
- Mini gastric bypass: In some cases, Dr. Osuna will suggest this less-invasive method, which results in a slightly larger stomach pouch.
- Duodenal switch: This is the most extensive form of bariatric surgery that we offer. It is similar to gastric bypass, but your surgeon will attach your stomach pouch much lower down on your small intestine.
These more extensive surgeries can achieve truly spectacular results. In fact, you could lose up to 80 percent of your excess weight within a year of your surgery. At the same time, however, the treatments do involve more risks and a longer recovery. The most significant risk of malabsorptive surgery is that you will not receive enough nutrients. In some cases, this can lead to anemia, osteoporosis, and related problems. However, when you follow appropriate dietary guidelines and take vitamins and supplements, these risks are much lower. Additionally, with Dr. Osuna’s skill, the surgery itself can be quite safe.
In a mini gastric bypass, Dr. Osuna will remove a portion of your stomach and reroute your intestine.
Determining the Right Type of Weight Loss Surgery for You
Both restrictive and malabsorptive surgeries can be quite successful. Typically, the type for you will depend on the amount of weight that you want or need to lose. Restrictive surgeries are appropriate for those with more moderate weight loss goals. If you have a BMI over 35, LAP-BAND or gastric plication may be appropriate. Gastric sleeve is usually suitable if you have a BMI of 40 or above.
On the other hand, if you are severely obese, we will usually recommend a more extensive surgery. Gastric bypass is appropriate if you have a BMI of at least 40. Since duodenal switch is the most extensive form of bariatric surgery, we typically reserve it for patients with at least 100 pounds of excess weight and a BMI over 45.
Contact Us to Learn More about the Types of Bariatric Procedures
To learn more about our different treatment options and to help choose the right surgery for your needs, contact our office online. You can also reach our Tijuana offices at (619) 576-8287 or (333) 611-4474 or our Guadalajara office at (331) 270-4839.
“My experience with Dr. Osuna and her staff was better than I could have imagined. She was absolutely amazing...The city was beautiful and safe, the hospital was beautiful and clean, the staff were great, I could not have asked for more.” Natalie P.