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What types of bariatric procedures are performed with the da Vinci robot?

There are three bariatric procedures approved in the U.S.: The adjustable gastric band, also known as the lap band, the gastric sleeve and gastric bypass. 
The adjustable gastric banding procedure involves a hollow band that is placed around the upper end of the stomach. The placement of the band creates a small pouch and a narrow passage into the rest of the stomach, thereby limiting the amount of food that can be consumed. What’s more, the band can be tightened or loosened periodically, which changes the size of the passageway to the stomach.
The gastric band was popular a few years ago because of its simplicity and very low complication profile. However, patients who had this procedure had to be very committed to maintain success. Therefore, this procedure has fallen out of favor.
To understand the gastric sleeve procedure, it’s important to know that the average stomach is shaped almost like a half gallon of milk. During this operation, we remove about 60 to 70 percent of the stomach, leaving the remainder shaped like a banana. This restricts the amount of food the patient can eat, and therefore helps with weigh loss.
The gold standard of bariatric surgery is the gastric bypass, which has been performed since 1967. During this procedure, we reduce the size of the stomach, creating a small pouch the size of an egg or walnut. This pouch is then connected to the small intestine, bypassing the stomach and rerouting the digestive system. The bypass controls both aspects of eating behavior – the quantity of food a person can eat as well as the quality or type of food.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.