Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Home » WRHA Surgery » WRHA Centre for Metabolic and Bariatric Surgery » Types of Bariatric Surgeries Offered

Types of Bariatric Surgeries Offered

Laparoscopic Roux-En-Y Gastric Bypass (RYGB)

Laparoscopic Roux-En-Y Gastric Bypass Diagram

Indication: It is considered the “Gold Standard Procedure” in North America for both weight loss and Co-Morbidity resolution.

Anatomy: Small gastric pouch is created and connected to the small intestine bypassing the stomach.  The surgery will route food past most of the stomach and the first part of the small intestine.

How it works: In addition to restricting food intake, a Roux-en-Y Gastric Bypass reduces caloric and nutrient absorption.

What surgical approach is used? Laparoscopic or minimally invasive. Several small cuts are used.

What Weight Loss can I expect? Typical weight loss at 1year post-op is ~ 20-40% of your highest body weight

Improvement in these conditions:

  • Type 2 Diabetes         
  • High Blood Pressure  
  • High Cholesterol 
  • Obstructive Sleep Apnea  
  • Degenerative Arthritis  
  • Reduction in Weight Related Death Rate  

Diet / lifestyle changes required:

  • Patients must monitor their daily calorie and protein intake long-term. Food must be eaten in 3 small meals with 1-2 snacks. 
  • Long-term daily supplements MUST be taken to prevent vitamin deficiency  
  • Must maintain regular physical activity  
  • Must remain smoke free 

What is the period of recovery? The usual time off of work is 4-6 weeks. 

Is the operation reversible? Unlikely – reversals are not typically performed. 

Note: Patients must make the commitment to return for regular follow-up and maintain the lifestyle changes long term.

Laparoscopic Vertical Sleeve Gastrectomy (VSG)

Laparoscopic Vertical Sleeve Gastrectomy Diagram

This procedure is generally reserved for patients who are unable to undergo RNY due to medical or surgical reasons. In this procedure a large portion of your stomach is removed in a "vertical fashion", leaving a "sleeve".  The new, smaller stomach is about the size of a banana. This will limit the amount of food you can eat as you will feel full more quickly than when your stomach was its original size. This allows food to pass quickly down the gut, reducing your appetite.

How is the Surgery Performed?

This procedure is done by making several small incisions and using small instruments and a camera to guide the surgery (‘key hole' or laparoscopic approach).

Please note that other procedures such adjustable gastric banding, duodenal switch, andintragastric balloons are not offered through our program at this time.