To meet the needs of as many patients as possible in the region, MedStar Franklin Square Medical Center offers several types of bariatric surgery. The majority of weight loss surgeries use a robotic technique, which is considered minimally invasive. Robotic surgery usually results in a shorter hospital stay, faster recovery, smaller scars and less pain than open surgical procedures.
Additionally, the Bariatric Surgery Center offers a number of outpatient procedures, designed to help patients suppress appetite and lose weight. Among these are the vBloc, which controls appetite through placement of a device on the vagus nerve. Another option available is OverStitch, which is available for patients who experience weight gain following bariatric surgery. These techniques are among the newest and latest treatments available to support patients in their weight loss journey. Your bariatric surgeon will help you determine which option is right for you.
To help patients make the lifestyle changes they need to ensure long-term weight loss, MedStar Franklin Square offers a variety of post-surgical support services, including weight management education, nutrition counseling, exercise guidance, cardiac risk reduction services and a support group led by a health professional experienced in bariatric surgery.
Learn more about the different types of bariatric surgery, including:
MedStar Franklin Square is fully accredited through the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).
How the LAP-BAND® System works to help you reduce weight
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.
The LAP-BAND® System procedure
Without any stomach cutting or stapling, the LAP-BAND® System reduces your stomach’s capacity, restricting the amount of food you are able to eat at one time. You feel full faster and stay full longer, so you wind up eating less.
This FDA approved device was developed in collaboration with leading bariatric surgeons and is specially designed with OMNIFORM® technology — with pre-curved sections (or pillows) that conform to fit your body better, minimizing leaks due to creases or folds. This offers a 360° inflation area for an even distribution of pressure, more secure placement, and complete coverage of stomach anatomy.
The result: a perfect fit right from the start. LAP-BAND is also designed for increased flexibility; with two sizes and a wider range of adjustments to suit your precise needs.
How a sleeve gastrectomy works to help you lose weight
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.
Watch a bariatric surgery video of Christopher You, MD, performing a laparoscopic sleeve gastrectomy with the assistance of the da Vinci surgical robot. WARNING, video contains graphic content.
The sleeve gastrectomy procedure
The length of time of the surgery varies. One study found that the average operative time was 1 to 2 hours and the average hospital stay was 1 day. Patients usually return to normal activities in 2 weeks and are fully recovered in 3 weeks.
Roux-en-Y Gastric Bypass
How Roux-en-Y gastric bypass works
Roux-en-Y 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.
There are two approaches to Roux-en-Y gastric bypass surgery available: open and laparoscopic.
With laparoscopic gastric bypass surgery, small incisions are made in the abdomen that allow for access to the stomach and intestines. This allows patients to avoid large incisions in the abdomen. However, some patients may require an open procedure based on their weight, body shape and medical history. With the open procedure, the surgical team uses a large incision. After the incisions are made, the surgical team then decreases the size of the stomach.
The gastric bypass procedure
Roux-en-Y gastric bypass surgery requires a 2 day hospital stay for the laparoscopic procedure. Patients who opt for an open procedure can expect a 4 to 6 day stay in the hospital. Patients can generally return to their normal activities 3 to 5 weeks post-procedure.
MedStar Franklin Square Medical Center's bariatric surgeons are trained in the latest technologies, including robotic surgery. With robotic surgery there is less scarring, less blood loss, shorter recovery times, and even more benefits for the patient.
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.
After Bariatric Surgery
Bariatric surgery (weight loss surgery) is usually very successful, both in terms of helping a patient achieve significant weight loss and minimizing complications. Unfortunately, some patients may experience problems with the surgery or not succeed in losing the expected amount of excess weight. In these situations, a follow-up bariatric procedure, known as a bariatric surgery revision, may be necessary to alter or repair the initial bariatric surgery.
Although it can be an emotional setback for obese patients when bariatric surgery does not lead to the expected amount of weight loss, the only failure is in giving up. Obesity is a chronic disease and not easily treated. As with any serious health condition, if the first treatment is not effective, then the doctor will recommend additional treatment options.
Read success stories of patients who had bariatric surgery at MedStar Franklin Square, including Drema's story.
To register for a free education seminar, please call 443-777-7900.
MedStar Franklin Square Medical Center
White Square Building
9105 Franklin Square Drive
Suites 305 and 307
Baltimore, MD 21237
MedStar Health Bel Air Medical Campus
12 MedStar Blvd.
Bel Air, MD 21015
Learn more about our education seminar.
- Bariatric Surgery
- Why Choose the MedStar Franklin Square Bariatric Program
- Bariatric Surgery Program
- Nutrition Education Center