515-955-6797 or 800-684-1317
310 2nd Ave South | Fort Dodge, IA 50501

Options for Treatment

gastric bypass

Below are the most common operative procedures we perform at Iowa Bariatrics. We will decide the best approach for your unique situation through consultations and in office appointments. To learn a bit about what each procedure entails, read below and visit our Weight Loss Surgery page for even more information. Feel free to contact us if you have any questions or would like to schedule an office visit today.

Roux-en-Y Gastric Bypass

The most common operative procedure we perform for weight loss is the Roux-en-Y Gastric Bypass. This is currently considered to be the "gold standard" weight loss surgical procedure.

This procedure results in weight loss by reducing the size of your stomach, so you cannot eat as much, and by bypassing some of your small intestines so you absorb less fatty foods. This operation is accepted by obesity surgeons and the major obesity physician societies as being the most effective in weight reduction and maintenance of weight loss.

At Iowa Bariatrics, we prefer performing this surgery using laparoscopic techniques, to avoid a large incision in your abdomen, however an abdominal incision is sometimes necessary based on your weight, body shape, and previous surgical history. The decision to proceed with laparoscopy versus open surgery will be made during your third clinic visit when you discuss options with your surgeon.

For your insurance company, the code for this operative procedure is: CPT 43644 and the ICD-9 code for the diagnosis of morbid obesity is 278.01

Laparoscopic or Open Roux-en-Y Gastric Bypass Procedure

obese woman looking list weight loss

This surgical procedure is only slightly different than the procedure described above.

A small stomach pouch is created with a stapler device. The small intestines are then divided and one end brought up and connected to the small stomach pouch using the stapler. The intestines are then reconnected.

Main Advantage of Weight Loss Surgery

Most patients lose between 80 and 140 pounds after their surgical procedure. The exact amount of weight you lose will depend on your compliance with the dietary instructions and commitment to exercise. Most of the weight is lost during the first eight months.

You will need to watch your diet very carefully after your weight stabilizes as failure to continue to restrict your intake can result in some weight regain.

Main Disadvantage of Weight Loss Surgery

Several studies have shown that people who experience significant weight loss can develop gallstones. On the other hand, people who have, or who subsequently develop gallstones, often do not suffer any consequences or even know they have them.

Due to the required location of the trocar sites to perform the weight reduction surgery, removal of the gallbladder at the time of a Roux-en-Y gastric bypass is somewhat difficult. In many cases the risk of taking the gallbladder out at the same time may well exceed any potential benefit.

For this reason, unless you currently have gallstones that are causing trouble, we do not routinely remove the gallbladder at the time of your weight loss surgery operation. If you are known to have gallstones, we will discuss the possible risks for removing it with you and use our best judgment with respect to its removal at the time of surgery.

Iowa Bariatrics |
310 2nd Ave South| Fort Dodge, IA 50501
| 515-955-6797 | 800-684-1317 | info@iowabariatrics.com
Office Hours: Monday - Friday 9:00AM - 4:30PM