The Center for Bariatrics in Oklahoma
The Center for Bariatrics at Bailey Medical Center in Owasso provides comprehensive care for patients needing weight loss surgery. Our interdisciplinary team of bariatric surgeons, physicians, dietitians, exercise specialists, post-operative navigators, and other healthcare professionals will work together to ensure you receive exceptional care tailored to your needs. Our bariatric surgery options include gastric bypass surgery, gastric sleeve surgery (also known as sleeve gastrectomy), and SADI-S sleeve gastrectomy. No matter your needs, our highly skilled bariatric team is here to guide you on your journey to a healthier life.
About the Center for Bariatrics
The Center for Bariatrics at Bailey Medical Center features some of the most experienced and respected medical weight loss specialists and bariatric surgeons near Tulsa. Our team understand that the weight loss journey doesn’t end after surgery, which is why we offer comprehensive support through our post-operative navigators to ensure you achieve your long-term weight loss goal.
As one of the most technologically advanced hospitals in the region, Bailey Medical Center’s bariatric department is designed to be comfortable and convenient for our patients. We offer furnishings and equipment specifically made to accommodate obese patients, and our surgeons use the latest technology available.
Roux-en-Y gastric bypass
The Roux-en-Y gastric bypass, often called gastric bypass, has been performed for more than 50 years. It is one of the most common operations and is very effective in treating obesity and obesity-related diseases. The name is a French term meaning “in the form of a Y.” Gastric bypass surgery starts with the stomach being divided into a smaller top portion (pouch) about the size of an egg. The larger part of the stomach is bypassed and no longer stores or digests food.
The small intestine is also divided and connected to the new stomach pouch to allow food to pass. The small bowel segment, which empties the bypassed or larger stomach is connected into the small bowel approximately three to four feet downstream, resulting in a bowel connection resembling the letter Y. Eventually, the stomach acids and digestive enzymes from the bypassed stomach and first portion of the small intestine will mix with food that is eaten.
Like many bariatric surgeries, the newly created stomach pouch is smaller and able to hold less food, which means fewer calories are ingested. Additionally, the food does not meet the first portion of the small bowel, and this results in decreased absorption. The modification of the food course through the gastrointestinal tract can decrease hunger, increase fullness, and allow the body to reach and maintain a healthy weight.
The impact on hormones and metabolic health often results in the improvement of adult-onset diabetes even before any weight loss occurs. The operation also helps patients with reflux (heartburn) and often the symptoms quickly improve. Along with making appropriate food choices, patients should avoid tobacco products and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.
Advantages of roux-en-y gastric bypass include:
- Effective for remission of obesity-associated conditions
- May have positive impact on metabolic health
- May help improve quality of life by reducing physical limitations, increasing mobility, and improving self-esteem and body image
- Refined and standardized technique
- Reliable and long-lasting weight loss
Disadvantages of this surgery include:
- May cause “dumping syndrome,” a feeling of sickness after eating or drinking, especially sweets
- More vitamin and mineral deficiencies than sleeve gastrectomy or gastric banding
- Risk of developing ulcers, especially with NSAID or tobacco use
- Risk of small bowel complications and obstruction
- Technically more complex when compared to sleeve gastrectomy or gastric band
SADI-S surgery
The Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy, referred to as the SADI-S or Loop Duodenal Switch, is the newest procedure to be endorsed by the American Society for Metabolic and Bariatric Surgery (ASMBS).
The surgery starts the same way as the sleeve gastrectomy, making a smaller tube-shaped stomach. The first part of the small intestine is divided just after the stomach. A loop of the intestine is measured several feet from its end and is then connected to the stomach. This is the only intestinal connection performed in this procedure.
When the patient eats, food goes through the pouch and directly into the latter portion of the small intestine. The food then mixes with digestive juices from the first part of the small intestine. This allows enough absorption of vitamins and minerals to maintain healthy levels of nutrition. This surgery offers weight loss along with less hunger, more fullness, blood sugar control and diabetes improvement.
Advantages of SADI-S surgery include:
- Excellent option for a patient who already had a sleeve gastrectomy and is seeking further weight loss
- Highly effective for long-term weight loss and reduced risk of obesity-related health conditions
- May result in improved metabolic health
- Simpler and faster to perform (one intestinal connection) than gastric bypass or BPD-DS
Disadvantages of SADI-S surgery include:
- Newer operation with only short-term outcome data
- Potential to worsen or develop new-onset reflux
- Risk of looser and more frequent bowel movements
- Vitamins and minerals are not absorbed as well as in the sleeve gastrectomy or gastric band
Sleeve gastrectomy surgery
The laparoscopic sleeve gastrectomy, often called the “sleeve,” is performed by removing approximately 80% of the stomach. The remaining stomach is the size and shape of a banana. The stomach is freed from organs around it, then surgical staplers are used to remove 80% of the stomach, making it much smaller. The new, smaller stomach holds less food and liquid helping reduce the amount of food (and calories) that is consumed.
By removing the portion of the stomach that produces most of the “hunger hormone,” the surgery influences the metabolism. It decreases hunger, increases fullness, and allows the body to reach and maintain a healthy weight as well as control blood sugar. The simple nature of the operation makes it very safe without the potential complications from surgery on the small intestine.
Advantages of sleeve gastrectomy include:
- Can be performed in certain patients with high-risk medical conditions
- Effective weight loss and improvement of obesity-related conditions
- May be performed as the first step for patients with severe obesity
- May be used as a bridge to gastric bypass or SADI-S procedures
- May help improve quality of life by reducing physical limitations, increasing mobility, and improving self-esteem and body image
- May help reduce symptoms of depression and anxiety
- Technically simple and shorter surgery time
Disadvantages of sleeve gastrectomy include:
- Less impact on metabolism compared to bypass procedures
- May worsen or cause new onset reflux and heart burn
- Non-reversible procedure