All posts in Weight Loss Surgery Basics

revision from lap band

What to Expect from a Lap-Band Revision to VSG, RNY, or DS

Tens of thousands of people have had success losing weight and improving their health with a laparoscopic adjustable gastric band (lap-band). For those who haven’t met their weight loss goals, or who have had a band-related complication, a revision is an option: conversion to a vertical sleeve gastrectomy (VSG), Roux-en-Y gastric bypass (RYGB), or duodenal […]

bariatric vitamins redone

Are Bariatric Vitamins Best for WLS Patients?

Vitamin supplementation often causes a lot of confusion after surgery.  There is an entire industry of vitamin manufacturers who focus exclusively on postoperative weight loss surgery patients.  While this industry meets a very important need, it also contains players who sell poor quality vitamins at inflated prices. Most surgery practices offer vitamins for sale in […]

type 2 diabetes dr northrup

Treating Type 2 Diabetes with Weight Loss Surgery

In 2016, a number of diabetes associations began to recommend metabolic weight loss surgery as a standard treatment for patients diagnosed with type 2 diabetes (T2D).  Metabolic surgery, which is more commonly known as bariatric surgery or weight loss surgery, is a gastrointestinal operation designed to cause weight loss. Though this procedure was once thought […]

commercial weight loss progras

Yay or Nay: Commercial Weight Loss Programs For Regain?

“Regain” is the word that all post-ops fear to experience. Unfortunately, it is a normal physiological response to extreme weight loss, as well as a side effect of slipping back into old habits. But what help is out there for those of us struggling with regain? Take a look at the resources below and consider […]

sleeve reconstruction

Differences Between a Sleeve Reconstruction and 2nd Step DS

If you have already had a high-efficiency bariatric surgery, such as the Gastric Sleeve (VSG), and had insufficient weight loss, there are options available that can help you. You have the options of a 2nd step Duodenal Switch (DS) or a Sleeve Reconstruction. To determine which option is best for you, each case needs to […]

lap-band pouch image 3

How Do I Know If My Lap-Band Pouch Still Works?

OK ok, STOP being concerned.  You have the Lap-Band, the ONLY operation that gives successful long-term weight loss.  So, yes, your pouch still works.  Of course, you have not tried to ruin your pouch with bread, rice or carbonated beverages….ever.  You never drink when you eat…ever; and the only reason you seem to be able […]

type 2 diabetes

Resolution of Type 2 Diabetes with WLS

18 years ago, when I started my career as a bariatric surgeon, we thought that we knew everything about how bariatric surgery worked – we were wrong. At the first World Congress on Interventional Therapies for Type 2 Diabetes, held in September 2008, a number of experts in the surgical treatment of obesity and in […]


When to Use Probiotics With Weight Loss Surgery

Probiotics are live microorganisms (bacteria and yeast) that have health benefits. Many probiotics help your body function properly, especially your digestive system. The body is full of bacteria, both good and bad. Bacteria that naturally reside in your intestines help your body digest food, produce vitamins (specifically vitamin K), and play a role in immunity. […]

prep your own meals

8 Reasons to Cook and Prep Your Own Meals

If you are like most people, your weight has been an issue at some point in your life. For me, it has been my whole life. I used to have a love-hate relationship with food. It has changed over the years and a big reason is how I deal with food. Once it had power […]

vertical sleeve bougie size

Vertical Sleeve – Does Bougie Size Matter?

The Vertical Sleeve Surgery Calibration Tube The calibration tube is made out of soft and flexible silicone with the capacity for internal aspiration. This serves to aspirate the stomach during vertical sleeve surgery. It is inserted through the mouth once the patient has his airway secured to avoid the risk of aspiration pneumonia, the anesthetist […]