G. Daniel Gonzalez, M.D., F.A.C.S.
John A. Ehrenfried, M.D., F.A.C.S.
Andrew P. Kramer, D.O., F.A.C.O.S.
Beth M. Jackson-Misenar, M.D.

Weight Loss Surgical Options

Holston Valley Medical Center and the Comprehensive Weight Management Center in collaboration with Surgical Associates of Kingsport, offers our patients Laparoscopic Roux-en-Y Gastric Bypass, Open Roux-en-Y Gastric Bypass,  Laparoscopic Adjustable Gastric Banding (LAP-BAND), REALIZE Band, Laparoscopic Sleeve Gastrectomy and revisional procedures.

Types of Weight Loss Surgeries

Malabsorptive procedures effectively shorten the digestive tract

  • Biliopancreatic diversion with/without duodenal switch (BPD/DS)

Restrictive procedures reduce how much the stomach can hold

  • Vertical Banded Gastroplasty (VBG)
  • LAP-BAND; Realize Band
  • Laparoscopic Sleeve Gastrectomy

Combined procedures shorten the digestive tract and reduce how much the stomach can hold

  • Roux-en Y Gastric Bypass

Revisional procedures help to reduce the size of a stretched pouch after bariatric surgery

  • StomaphyX -Transoral Gastric Plication

The Lap-Band System

A silicone band is placed around the upper part of the stomach. From this a small pouch is created making the stomach holds less food and inducing the feeling of satiety.

Advantages of the Lap-Band

  • Adjustable – customized per patient
  • Least invasive option
  • No stomach stapling, cutting or intestinal rerouting
  • Lowest operative complication rate – Low malnutrition risk
  • Satiety-inducing procedure
  • OR time = 1 hour or less
  • Overnight hospital stay in most cases

Learn more about LAP-BAND Adjustable Gastric Banding

Laparoscopic REALIZE Band Surgery

REALIZE Band surgery offers many of the same advantages as the LAP-BAND System procedure. Designed to result in significant weight loss by limiting the stomach’s ability to store large amounts of food, the REALIZE Band procedure creates a small stomach chamber without cutting or stapling and is known for its quick recovery and minimal scarring. The REALIZE Band can be loosened or tightened over time to allow more or less food to be digested. The goal of the procedure is to give you a feeling of fullness earlier than usual, allowing you to lose weight and reduce the risk of developing obesity related conditions such as diabetes and heart disease.

Learn more about REALIZE Band surgery

Open Roux-en-Y gastric bypass

This operation is the most common and successful combined procedure in the United States. First, the surgeon creates a small stomach pouch to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This reduces the amount of calories and nutrients the body absorbs.

Learn more about Open Roux-en-Y Gastric Bypass surgery

Laparoscopic Roux-en-Y Gastric Bypass

When a laparoscopic operation is performed, a small video camera is inserted into the abdomen. The surgeon views the procedure on a separate video monitor. Most laparoscopic surgeons believe this gives them better visualization and access to key anatomical structures.

The camera and surgical instruments are inserted through small incisions made in the abdominal wall. This approach is considered less invasive because it replaces the need for one long incision to open the abdomen. A recent study shows that patients having had laparoscopic weight loss surgery experience less pain after surgery resulting in easier breathing and lung function and higher overall oxygen levels. Other realized benefits with laparoscopy have been fewer wound complications such as infection or hernia, and patients returning more quickly to pre-surgical levels of activity.

Learn more about Laparoscopic Roux-en-Y Gastric Bypass surgery

Laparoscopic Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy is an innovative option for some patients.  It initially creates a restrictive sleeve or tube which functions without any foreign body placement (adjustable band), and leaves open the option for conversion to a malabsorptive procedure in the future if additional weight loss is required.

Learn more about Laparoscopic Sleeve Gastrectomy

Please contact our bariatric weight loss surgeons for more information, or to schedule a consultation.





Surgical Associates of Kingsport, Inc.
Copyright 2009