Weight Management - Bariatrics

Start your journey to a healthier you

The Center for Surgical and Medical Weight Loss at Ascension Saint Thomas is a premier weight loss surgery program.

Center for Surgical and Medical Weight Loss

The Saint Thomas Medical Partners, Center for Surgical and Medical Weight Loss meets all criteria as a Comprehensive Center according to national quality standards established to deliver safe, high quality bariatric patient care. Our care team prides itself on having a multi-specialty team approach that provides both surgical and medical treatment options for weight loss. The Midtown team is committed to integrating patients into their patient-centered family with ancillary support from dietitians, a psychologist, and a nurse practitioner.

Together, we treat the whole patient, mind, body and spirit, embodying the Center’s goal to help transform lives.

We provide patients with proven surgical options to correct metabolic deficiencies, both open and laparoscopic. By providing patients a choice of surgical procedures, we believe the treatment team and patient will select a procedure that will ensure your best chance for success. It is important to understand the procedures and risks associated with weight loss surgery as well as the commitment required of the patient.

Surgical weight loss procedures

  • Laparoscopic Roux-en-Y Gastric Bypass (Gastric Bypass)
  • Laparoscopic Sleeve Gastrectomy (Sleeve)
  • Intragastric Balloon
  • Removal of Laparoscopic Adjustable Gastric Band System

Laparoscopic Roux-en-Y Gastric Bypass

This procedure is the most frequently performed weight loss procedure in the United States. It involves creating a small 1-ounce pouch from the original stomach and thereby limiting food intake. To allow food to pass in the intestine, a new connection must be created between the intestine and the newly-formed pouch. This operation works mainly through restriction, though there is some level of malabsorption.

Laparoscopic Sleeve Gastrectomy

The sleeve gastrectomy is a restrictive procedure in which two-thirds of the stomach is removed. A long tube or “sleeve” of stomach remains. The valve at the outlet of the stomach remains. The removal of the large portion of the stomach helps decrease hunger hormones like grehlin. If inadequate weight loss were to occur, this procedure could be converted to a Roux-en-Y Gastric Bypass.

Intragastric Balloon

The Intragastric Balloon is a non-invasive, weight loss procedure. The balloon is made of soft, durable silicone rubber. Under anesthesia, the empty balloon is passed through your mouth, down your esophagus, and into your stomach. Once in place, it is filled with saline. It then becomes about the size of a grapefruit. The filled balloon floats in your stomach and takes up space, giving the patient a feeling of fullness sooner. At six months the balloon is removed through the esophagus and mouth while the patient is under anesthesia. After removal, your surgeon will discuss your options such as continuing your healthy diet and exercise regimen, replacing your balloon with a new one after a minimum of thirty days, or potentially transitioning to a permanent weight loss surgery.

Medical weight loss

“Fad diets”, also known as restrictive dieting, produce short term results but ultimately result in weight regain and a sense of failure. Our medical weight loss program instead focuses on sustainable lifestyle changes tailored to your specific needs. Our ultimate goal is to help you turn broken and destructive relationships with food into healthy relationships - ones focused on balance and moderation instead of guilt and deprivation. At The Center for Surgical and Medical Weight Loss, we are dedicated to helping you succeed. We hope you will include us on your journey to discovering a healthier and happier you.

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