- Sleeve Gastrectomy treatment guide
Sleeve gastrectomy removes much of the greater-curvature stomach and leaves a narrow gastric tube without rerouting the intestine. Usually through laparoscopic ports, the surgeon frees the greater curve and divides the stomach vertically with staplers over a sizing tube; the removed stomach is extracted and the staple line is inspected.
- Gastric Bypass (Roux-en-Y) treatment guide
Roux-en-Y gastric bypass creates a small stomach pouch and connects it to a Roux limb of small bowel while digestive juices meet food farther downstream. The surgeon divides the upper stomach into a pouch, measures bowel limbs, creates gastrojejunal and jejunojejunal joins, and closes or addresses mesenteric defects according to the operative plan.
- Mini Gastric Bypass (OAGB/MGB) treatment guide
One-anastomosis gastric bypass creates a long gastric pouch joined to a loop of small bowel, producing restriction and intestinal bypass through one gastrojejunal connection. The surgeon forms a narrow gastric pouch and brings up a measured loop of jejunum for one gastrojejunal anastomosis; the selected bypass length must be individualized and documented.
- Gastric Balloon treatment guide
A gastric balloon is a temporary space-occupying device placed in the stomach endoscopically or, for selected products, swallowed and then filled under the product protocol. For an endoscopically placed balloon, the clinician inspects the upper gut, positions the device in the stomach and fills it to the product protocol; placement and planned removal belong to one care pathway.
- Endoscopic Sleeve Gastroplasty (ESG) treatment guide
Endoscopic sleeve gastroplasty uses full-thickness internal sutures to fold the stomach into a narrower tubular shape without removing stomach or making abdominal incisions. Under general anaesthesia or deep sedation, a therapeutic endoscope and suturing platform place a planned pattern of full-thickness sutures that plicate and shorten the stomach.
- Metabolic Surgery for Type 2 Diabetes treatment guide
Metabolic surgery uses a selected bariatric operation—commonly sleeve or gastric bypass—to alter gastrointestinal anatomy as part of type 2 diabetes and obesity care. The actual operation must be named—such as sleeve, Roux-en-Y or OAGB—because pouch, staple line, bowel joins, risks and nutritional obligations differ.
- Gastric Sleeve Revision Surgery treatment guide
Gastric sleeve revision re-operates on a prior sleeve to address a defined problem such as severe reflux, stenosis, twisting, dilation, fistula or clinically important recurrence after reassessment. The surgeon enters an adhesed upper abdomen, defines the prior staple line and hiatus, then performs the planned repair, re-sleeve or conversion—often to Roux-en-Y—only if current findings support it.
- SADI-S Surgery treatment guide
SADI-S combines a sleeve stomach with division just beyond the pylorus and one duodeno-ileal anastomosis, leaving a shortened common channel for nutrient absorption. The surgeon creates or assesses a sleeve, divides the duodenum beyond the pylorus and joins it to a measured distal ileal loop, preserving one duodeno-ileal anastomosis.
- Duodenal Switch (BPD/DS) treatment guide
BPD/DS combines sleeve gastrectomy with duodenal division and two bowel connections that separate food from biliopancreatic secretions until a short common channel. After creating or confirming a sleeve, the surgeon divides the duodenum, constructs an alimentary limb and a biliopancreatic limb, then joins them to form the measured common channel.
- Gastric Banding (Lap-Band) treatment guide
Adjustable gastric banding places an inflatable silicone band around the upper stomach and connects it to a subcutaneous port for later fluid adjustments. Through laparoscopic access, the surgeon passes the adjustable band around the upper stomach, secures it and connects tubing to a port fixed under the abdominal skin.
- Gastric Band Removal treatment guide
Gastric band removal explants the adjustable band, tubing and port from previously operated anatomy, with additional repair guided by slippage, erosion, scarring or infection. The surgeon releases adhesions, disconnects and removes the port, tubing and band, and assesses the fibrous capsule and stomach; erosion may require endoscopic, laparoscopic or staged repair.