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There are a variety of surgical weight loss options available today for the treatment of morbid or severe obesity. Before drawing any conclusions on which weight loss surgery is best for you, it is important to understand that all weight loss surgeries are not alike. Each one carries its own set of advantages and disadvantages. The information provided below will help familiarize you with some of types of surgery we currently perform at MultiCare Auburn Medical Center. By becoming educated on the pros and cons of each, you’ll have a better understanding of the surgery and what to expect. You can then make a better choice among the available options.

If you are in the Seattle/Tacoma area or plan to travel to the area for surgery and have any questions about the weight loss surgery options please contact us today: (206) 353-8146. You can also schedule an initial consultation online. As a first step, I strongly recommend that you schedule to attend one of our free, no-obligation, informational seminars.

Procedures that we offer:

Sleeve Gastrectomy (SG) also called Vertical Sleeve Gastrectomy produces weight loss by limiting how much can be eaten (that is a restrictive type of bariatric surgery). During this laparoscopic (minimally invasive) surgery, the surgeon removes the bigger bag-like portion of the stomach (including the fundus) and part of the body of the stomach, amounting to approximately 60-80% of the stomach. The stomach becomes reduced to the shape of a near-tube from the esophagus to the duodenum, and we call it the "sleeve." There is actually no "sleeve" inserted. The term is just descriptive of how the remaining stomach looks like.

There is evidence that the sleeve gastrectomy may do more than just restricting how much to eat. By removing the fundus of the stomach, the main source of Ghrelin is removed. Ghrelin is the "Hunger Hormone". So, there may be also a benefit related to a hormonal effect, helping to suppress appetite, independent of the restriction.

Roux-en-Y gastric bypass (pronounced roo-en-why, or simply RYGB) is a combined restrictive and malabsorptive procedure, to produce long term weight loss. Restriction is achieved by creating a small stomach pouch, and malabsorption is achieved by bypassing the remaining part of the stomach and a certain portion of the small intestine. RYGB is considered the "gold standard" of weight loss surgery in the United States. RYGB provides excellent long-term weight reduction along with the resolution or elimination of co-morbidities (i.e., medical conditions that exist in addition to obesity).