Bariatric Surgery Clinics
Gastric Bypass Center in San Francisco

WLS Obesity Clinics
Find a Weight Loss Surgeon
Surgery for Clinical Obesity

If you are obese and want to find a board certified gastric bypass surgeon located in San Francisco, use the contact details in the center panel. There are two types of bariatric stomach surgery - banding like Lap Band, and bypass like roux-en-y. Whichever you choose, be guided by your doctor. We wish you luck in your search for a clinic in the San Francisco area.

Find a Weight Loss Surgeon

San Francisco, California

Location and Contact Details

Laparoscopic Associates of San Francisco
2100 Webster Street, Suite #518
San Francisco, California 94115
Phone: 415-561-1310

Bariatric Surgeons

Dr. Gregg H. Jossart
Dr. Paul T. Cirangle
Dr. John J. Feng

Types of Weight Loss Surgery Performed

1. Roux-en-Y Gastric Bypass
2. Biliopancreatic Diversion/Duodenal Switch
3. LapBand

Laparoscopic Roux-en-Y Gastric Bypass
The Roux-en-Y gastric bypass operation has been performed more than any other weight loss procedure. This operation has been performed in the United States for more than 20 years. It is the procedure that Carnie Wilson had and is known by the common name of “gastric bypass.” A very small gastric pouch or “new stomach” is created – usually about 15-20cc (3-4 teaspoons) in size. A normal stomach is about 1000cc in size, therefore this greatly reduces the amount of food you can eat after this surgery. In addition, approximately 3-4 feet of the small intestine are bypassed (normally a person has about 20 feet total), and the new stomach pouch is connected to the bypassed segment of small intestine. Digestion (and therefore absorption of calories) cannot take place if the food that you eat does not come into contact with the digestive juices. This operation, therefore, works primarily by limiting or restricting the amount of food that you can eat and, to a much lesser extent, the amount which is absorbed or digested by your body. We routinely perform this surgery laparoscopically using 5 very small incisions (less than 1/2 inch) in all of our patients. It generally takes about 2 hours to perform the surgery, and most people stay in the hospital about 2 or 3 days. By the time you are released, you will be walking without difficulty and eating a liquid diet.

Laparoscopic Duodenal Switch
The Duodenal Switch procedure for weight loss was first developed by Doug Hess, MD in Bowling Green, Ohio in 1988. It achieves moderate restriction by reducing stomach volume and moderate malabsorption by allowing food and digestive juices to pass through the intestinal tract separately. About 80% of the stomach is removed leaving a 150cc new stomach pouch. The average amount that a normal stomach can hold is about 1000cc – so the capacity of the stomach is greatly reduced by this operation. The beginning part of the small intestine, known as the duodenum, is cut or divided just beyond where the stomach meets the small intestine. The distal or furthest part of the small intestine, known as the ileum, is then cut or divided about 7 feet before it enters into the large intestine. The ileum is then connected to the duodenum and the section of bypassed intestine which carries the digestive enzymes (bile and pancreatic juices) is connected to the small intestine 100 centimeters (about 3 feet) before the small intestine becomes the large intestine or colon. This portion of the bowel is known as the common channel or common limb because it becomes the only part of the small intestine where both food and digestive enzymes mix, limiting digestion to only a small portion of the total calories that are eaten. We routinely perform this operation laparoscopically in all of our patients. The surgery generally takes approximately 2.5-3 hours to perform and patients stay in the hospital for 3 days after surgery.

LapBand
The LapBand is the newest and simplest surgical weight loss procedure. Approved for use in the United Sates by the FDA in June of 2001, the LapBand has been in use in Europe, Central America, and Australia since the early 1990s. In addition to being simple to place, it is fully adjustable to allow an optimal weight loss for each individual patient. The band, which is actually a silastic (plastic) balloon that looks like a belt, is wrapped around the top of the stomach and secured in place with sutures.
The band serves three functions:

- to limit the amount of food that is consumed
- to delay emptying of the new small pouch and
- to create the sensation of being “full” all of the time so that the desire to eat is decreased.

The band is connected to a reservoir which sits under the skin on the abdominal wall. Saline solution (salt water) can either be added or removed from the reservoir to make the band tighter or looser. This allows each patient to have an individualized weight loss program which can be customized to their personal situation. The procedure is performed laparoscopically and takes approximately 30–40 minutes. Following the procedure, patients generally only need to stay in the hospital 1 night (less than 24 hours!).

Bariatric Surgery

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BARIATRIC & GASTRIC SURGERY INFORMATION

What Is Weight Loss Surgery | Gastric Surgery - How to Qualify | Types Of Weight Loss Surgery | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery | Success Rates | Health Benefits | Complications | Weight Loss Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass | Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Biliopancreatic Risks | Duodenal Switch Bypass | Duodenal Switch Details | Duodenal Switch Benefits/ Duodenal Switch Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Gastric Bypass Risks | Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Fobi Pouch Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers | Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details | Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling | Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment | Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Weight Loss Surgery Statistics | Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Weight Loss Surgery Health Complications | Nutrition after Bypass | Weight Loss Surgery Psychosocial Factors | Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | Plastic Surgery After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy | Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Plastic Surgery Information | Cosmetic Surgery | Lipoplasty | Liposuction Types | Health Risks of Liposuction | Tumescent Method | Liposuction Butt | Liposuction Inner Thighs | Liposuction Front Thighs | Cost of Liposuction | Information About Lipoplasty


Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources