Types of Bariatric Surgery

To meet the needs of as many patients as possible in the Southern Maryland and Washington, D.C. region, MedStar St. Mary's offers several types of weight loss surgery in conjunction with MedStar Washington Hospital Center and MedStar Georgetown University Hospital. The majority of weight loss surgeries use a laparoscopic technique, which is considered minimally invasive. Laparoscopic surgery usually results in a shorter hospital stay, faster recovery, smaller scars, and less pain than open surgical procedures.

As with any abdominal surgery, potential risks exist; however, with bariatric surgery, these risks are further complicated because of the patient's extra weight. You should discuss the benefits and risks of each type of surgery in detail with your surgeon and our bariatric surgery team, to determine which one is right for you.

Our board-certified surgeon leads our multi-disciplinary bariatric team. A nurse program coordinator, dietician, and an exercise physiologist coordinate your care and guide you through the entire process of bariatric surgery. Extensive follow-up care provides the support you need well after whichever procedure you have.

Lap-Band System™

At MedStar St. Mary's Hospital, Dr. Tapazoglou offers lap-band system adjustments. Laparoscopic gastric banding, commonly known as Lap-Band®, is the least extreme surgical option. During Lap-Band System™ surgery, an adjustable gastric band is placed around the upper part of the stomach. The band creates a smaller stomach pouch, decreasing the amount that can be ingested at any one time, as well as the time it takes for the smaller stomach pouch to empty. These bands are adjusted in a minor office procedure until optimal weight loss is achieved. 

Sleeve Gastrectomy

During a sleeve gastrectomy, a thin vertical sleeve of stomach is created using a stapling device, and the rest of the stomach is removed, reducing the stomach to approximately 15 percent of its original size. By reducing the size of the stomach, the amount of food that can be ingested is decreased.  Additionally, the hormone responsible for signaling hunger is contained in the portion of the stomach removed.

Gastric Bypass

Gastric bypass may be right for individuals whose excess weight and weight-related medical conditions threaten to shorten their lives. During gastric bypass surgery, the stomach is divided to make a smaller pouch. This smaller pouch is then attached to a portion of the intestine, bypassing the larger stomach and the first part of the smaller intestine. The surgery changes the absorption rate of food, as well as decreasing the amount that can be ingested.

Robotic Surgery

MedStar Health’s bariatric surgeons are trained in the latest technologies, including robotic surgery. The da Vinci® Surgical System is used for laparoscopic gastric bypass and sleeve gastrectomy procedures. During a robotic procedure, the surgeon inserts tiny robotic instruments and a camera into small incisions in the abdomen. The surgeon then controls the surgery from a nearby console. Learn more about robotic surgery here

Schedule a Consultation 

Body Composition Analysis

Ready to start that new fitness plan or want to measure the progress of your current fitness routine? The analysis includes measurements and an in-depth look at body composition. Cost is $15. To request an appointment with a dietician, call 301-475-6019.

Bariatric Surgery and Preparation

To schedule an appointment with Nicholas Tapazoglou, MD, General & Bariatric Surgeon, call 240-434-4088.

Dr. Nicholas Tapazoglou is available from 8 a.m. to 4:30 p.m. daily. He is board-certified in general surgery and specializes in bariatric surgery. He is able to coordinate patient care through a wide range of specialty physicians available through the MedStar Health system. 

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