There are two procedures we offer patients at the Surgical Weight Loss Program at Clinch Valley Medical Center:
Laparoscopic Sleeve Gastrectomy (VSG)
The sleeve gastrectomy is a restrictive procedure in which two-thirds of the stomach is removed, which provides a decreased appetite and quickly feeling full. The remaining stomach looks like a long tube, hence the name sleeve, which restricts food intake by allowing only a small amount of food to be consumed at one time. Weight loss is achieved by both a reduction in stomach capacity and the production of the hormone ghrelin, which is associated with hunger and appetite. This procedure is also performed laparoscopically, which means less scarring, less pain and a faster healing time. This procedure works by restricting food intake without involving bypass of the intestinal track of a foreign object being placed around the stomach.
Laparoscopic Roux-en-Y Gastric Bypass (RYGBP)
A small stomach pouch is created which restricts food intake resulting in a sense of fullness following even small meals. Therefore, as gastric bypass implies, food is re-routed past most of the stomach and the first part of the small intestine. RYGBP achieves weight loss through both gastric restriction and malabsorption.