All posts in Weight Loss Surgery Basics

hypothalamus appetite

Low Carb Diets, Appetite, and Weight Loss: the Basics

“Tell me what you eat, and I will tell you what you are.” — Jean Anthelme Brillat-Savarin It’s obvious to anyone who has ever been obese that what we eat matters greatly.  What is not as obvious are the subtle effects that our choices can have on the body or the mind.  It’s difficult to […]

VSG Revision

What to Expect from a VSG Revision to RNY or DS

The Vertical Sleeve Gastrectomy (VSG) is rapidly emerging as one of the weight loss surgery procedures that patients choose the most. For some bariatric surgeons and patients, the VSG has replaced the Proximal Roux-en-Y (RNY) Gastric Bypass as the most popular weight loss surgery currently done. Removal of the upper outer stomach – the primary […]

Socializing after Bariatric Surgery

Socializing after Bariatric Surgery: Risks and Rewards

Bariatric surgery brings about a life change that can be stunning in its complexity. No aspect of living remains untouched, nor any person in the personal sphere of a bariatric patient unaffected by these changes. The physical, emotional and mental adjustments of both the patient and their support system are perhaps never more visible than […]

ulcers after wls

Ulcers After WLS: Causes, Symptoms and Treatments

Think of an ulcer as a sore in the lining of your stomach. They can cause pain, bleeding or make a hole in the stomach called a perforation.  They can develop within a few months or even years out from surgery. It is important for bariatric patients to know what are the causes and symptoms […]

17 things you should know about the duodenal switch

17 Things You Should Know About the Duodenal Switch (DS)

Making the decision to undergo weight loss surgery is a life-changing proposition. It is imperative when devising an informed and educated decision, in collaboration with your surgeon, regarding the short and long-term outcomes of weight loss surgical procedures. Duodenal Switch (Bilio-pancreatic diversion with Duodenal Switch) has the best long-term excess weight loss maintenance of all […]

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 […]

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 […]

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 […]