Dr. Paya is a board certified general surgeon and has a fellowship in weight loss surgery. He is very experienced. He performs three different operations for weight loss which are laparoscopic gastric bypass, laparoscopic gastric banding (Lap-Band), and laparoscopic sleeve gastrectomy. He performs all these surgeries through keyhole incisions by using very thin instruments while he is watching the monitor. The benefits are that patients leave the hospital much quicker, and the chance of wound infections and pneumonia are dramatically decreased. Cosmetically the abdomen looks a lot better.
Laparoscopic roux-en-y gastric bypass surgery causes the most amount of weight loss. In the first year patients will lose anywhere between 70-90 percent of their excess body weight. During the bypass surgery, Dr. Paya will make a smaller stomach out of your original stomach. He also reroutes the bowel, resulting in both a restrictive and malabsorptive operation. Consequently, small portions will fill the patient up and decrease absorption. After the operation, the patient stays in the hospital for 2 nights and recovery at home usually takes around 1 week.
The second operation that Dr. Paya performs is the Lap BandLap Band surgery is a purely restrictive operation. By definition it limits how much you can eat at one time. Small portions will fill you up. Lap Band Los Angeles is done laparascopy with keyhole incisions, takes forty-five minutes to perform, and is outpatient. Patients come to the hospital or surgical center in the morning, and leave to go home in the afternoon. Weight loss with Lap Band Los Angeles is more gradual and patients are usually required to come into the office 3-5 times in the first year for tightening or adjustment and rarely ever after that.
The advantage of LapBand Los Angeles is that we do not cut the stomach or the small bowel or do any rerouting. We simply put the silicon band around the upper portion of the stomach which is adjustable and reversible.
The third operation is the laparoscopic sleeve gastrectomy. In this operation we take out about 85% of the stomach so the patient is left with a very tiny stomach, and as a consequence, small portions will fill them- leading to very good weight loss. Another beneficial aspect of this operation is that it decreases appetite dramatically like the gastric bypass. The operation takes approximately one hour to perform and patients are required to stay one night in the hospital. The weight loss is rapid with sleeve mastectomy. For particularly obese patients, with BMI’s greater than 60, sleeve gastrectomy can easily be converted to laparoscopic gastric bypass for further weight loss.
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