What are the Most Common Surgical Procedures You Perform?

Incredible advancements in modern medicine have led to the development of multiple procedures and techniques for weight loss surgery. With his extensive experience in this field, bariatric surgeon Dr. Metz most commonly performs the following three procedures to help patients achieve lasting weight loss.


1. Vertical Sleeve Gastrectomy

Often called the “gastric sleeve” procedure, the vertical sleeve gastrectomy is quite popular in our practice. During the procedure, Dr. Metz removes the stretchy part of the stomach and staples the remainder into a sleeve-like shape. With this modification, the stomach cannot expand as it previously could, and this causes the patient to feel fuller sooner when eating food. Dr. Metz also removes the fundus of the stomach during surgery, which significantly reduces production of Ghrelin (the appetite hormone). As a result, the patient feels less hungry and needs less food to feel full.

The gastric sleeve procedure takes only 45 minutes and typically requires a one-night hospital stay. It is performed laparoscopically and promises the patient smaller scars, a faster recovery, and reduced pain in comparison to traditional surgery. The procedure does not rearrange any anatomy or place any foreign object within or around the stomach. The body continues to digest and absorb nutrients as it did before surgery. With dedication accompanied by regular checkups in our practice after their procedure, patients can experience significant weight loss success with vertical sleeve gastrectomy.

2. Roux-en-Y Gastric Bypass Surgery

The Roux-en-Y gastric bypass surgery has been around since 1965 and has been well-honed and modified into the modern form that Dr. Metz performs today. It is usually performed laparoscopically in one to two hours, and the patient is usually required to stay in the hospital for two nights.

During the surgery, Dr. Metz makes the stomach smaller by separating out a substantial portion and leaving a pouch only one to two ounces in size. This restricts the amount of food the patient can eat, and the patient will feel full after eating only a very small amount of food. While the pouch will stretch over the year after surgery, it will remain much smaller than the patient’s original stomach, and the patient will continue to feel full after consuming small to moderate amounts of food.

Additionally, Dr. Metz manipulates the anatomy by bypassing some of the small intestine and hooking the intestine up to the stomach in a Y-shape construction. Rerouting the anatomy in this way reduces the amount of calories and nutrients the body can absorb after eating. This rearrangement of the patient’s anatomy is extremely safe as performed by Dr. Metz and can improve health in extraordinary ways. As patients carefully follow the vitamin and dietary recommendations we provide and continue with follow-up visits and nutritional guidance, they can ensure that they successfully lose weight while receiving the appropriate amount of nutrients and vitamins.

3. Loop Duodenal Switch

The duodenal switch procedure is another highly popular procedure performed by Dr. Metz in our practice. Since the 1980s, this procedure has been used to combine restrictive and malabsorptive components to ensure weight loss for struggling patients. Dr. Metz is the first bariatric surgeon in this region to offer this laparoscopic procedure.

Dr. Metz most often performs the Loop Duodenal Switch technique, which is even safer than the traditional approach. During the procedure, he makes the stomach smaller and brings up a loop of small intestine, hooking it up just past the pylorus (the valve at the bottom of the stomach). This technique significantly lowers the risk of internal hernia and leakage, and it also prevents the bile reflux that is associated with similar techniques. Preserving the valve minimizes dumping and helps the patient feel fuller longer. In addition, bypassing part of the intestine limits the amount of fat that is absorbed from the diet.

The loop duodenal switch offers dual benefits. First, the patient cannot eat as much food because the stomach has been resized. Second, the patient will not absorb as much fat from the food because part of the small intestine has been looped or bypassed. This looping of the small intestine is reversible if desired by the patient. Of all bariatric procedures, Dr. Metz maintains that this technique leads to the best long-term weight loss. As with all weight loss procedures, the patient can expect the best results by carefully following all dietary and exercise recommendations and attending all postoperative checkups.

Choosing Your Procedure

All three of these procedures are effective weight loss tools. Dr. Metz carefully tailors each one to the individual patient to make sure it is the right choice. We will help you select the best procedure for your needs so that you can achieve the better health, lasting weight loss, and quality of life that you desire.