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Bariatric Sleeve Gastrectomy Procedure Available at RGHS

Physician Connection

Winter 2013

Bariatric Sleeve 

Since 2010 the skilled surgeons of the RGHS-affiliated Bariatrics of Western New York have become regional leaders in the innovative sleeve gastrectomy procedure, which offers distinct benefits to some patients seeking surgical assistance in relieving obesity and related conditions. This procedure was previously covered only by private insurers, but with the approval for reimbursement from the Centers for Medicare & Medicaid Services (CMS) in 2012, the sleeve gastrectomy is now an option for all patients suffering from obesity.

Bariatrics of Western New York offers this procedure in addition to laparoscopic adjustable gastric banding, in which a band is placed around the uppermost part of the stomach; and the Roux-en-Y gastric bypass, in which small stomach pouch is created as a “bypass” through which food is able to skip parts of the small intestine, reducing the absorption of calories and nutrients.

The non-reversible sleeve gastrectomy procedure involves removing 85 percent of the stomach, creating a smaller stomach cavity that results in the patient feeling full after eating less food. The new stomach is about the size and shape of a banana. Because no foreign body is involved, the procedure requires fewer follow-up visits than gastric banding; and the procedure has been found to offer improved resolutions of commonly encountered co-morbidities including high blood pressure, diabetes and heart disease. Additionally, unlike gastric bypass the sleeve technique does not require re-routing the intestines or altering the natural pathway for food.

While the other bariatric surgical procedures also have their advantages, sleeve gastrectomy patients have tended to lose more weight with this new procedure than via the gastric banding procedure, according to Alok Gandhi, DO.

As with the gastric bypass and lap-band bariatric procedures, RGHS sleeve gastrectomy patients benefit from personalized care plans, and a focus on communication, counseling and education that begins prior to surgery and continues for the life of each patient. Close attention to lifestyle changes and nutritional and behavioral adjustments helps RGHS bariatric patients enjoy longer, healthier lives.

RGHS has been named a Bariatric Center of Excellence by the American Society for Metabolic and Bariatric Surgery for consistently delivering the safest, highest-quality care to bariatric surgery patients.

To learn more about whether bariatric surgery may be right for a patient, or to further explore these different procedures, call 585.922.2900 or visit www.rochestergeneral.org/bariatric.