The most common surgical procedure we perform for weight loss is the Roux-en-Y Gastric Bypass. This is currently considered to be the “top standard” weight loss surgical procedure.
This results in weight loss mostly by reducing the size of your stomach so you can not eat so much, and partly by bypassing some of your small intestine so you absorb less fatty foods. This operation is accepted by obesity surgeons and the major obesity physician societies as being the most effective in weight loss and maintaining weight loss.
For your insurance company is the code for this finding procedure: CPT 43644 and ICD-9 code for diagnosis of morbid obesity is 278.0 01.
We prefer to perform surgery with laparoscopic techniques, avoiding a large incision in the abdomen, but an abdominal incision is occasionally needed based on your weight, body shape, and previous surgery.
The decision to proceed with laparoscopy versus open surgery will be performed during your third clinic visit when you discuss options with your surgeon.
The surgical procedure is only slightly different whether done by laparoscope or an open procedure.
A small stomach pouch is created with a stapler device. The small intestine is then divided and one end was brought up and connected o the small stomach pouch with a stapler. The intestines are reconnected as shown.
Different studies have shown that people who encounter significant weight loss can develop gallstones. On the other hand, people who have, or who later build up gallstones, often feel no consequences or even know they have them.
Due to the required site of trocar sites to perform surgery weight loss, removal of the gallbladder at a Roux-en-Y gastric bypass is quite difficult. In many cases likely to take the gall bladder at the same time may well exceed any benefits.
For this reason, unless you currently have gallstones that are causing problems, we do not routinely remove the gallbladder at the time of your weight loss surgery operation. If you are known to have gallstones, we will discuss the possible risks of removing it with you and use our common sense with regard to its removal at the time of surgery.