YOU HAVE CHOICES IN WEIGHT-LOSS SURGERY
Laparoscopic Roux en Y
The most time proven weightloss surgery. A small stomach pouch is created and
attached directly to the proximal small bowel. Food intake is decreased due to the
small stomach. Some hormonal changes occur when the proximal small bowel is
bypassed. The majority of the patients lose their appetite. The surgery discourages
the patients from eating large amounts of carbohydrates since they can develop
uncomfortable symptoms of dumping syndrome.
Laparoscopic Adjustable Banding
A surgical procedure wherein a band is placed around the upper stomach. The
band is tightened to restrict the passage of food from the upper stomach to the
lower stomach. A port is placed under the skin. Saline is injected into the port that is
connected to the band. This will make the band thicker thus making the food stay
longer at the upper part of the stomach.
Laparoscopic Gastric Sleeve
A surgical procedure that removes 70% to 80% of the stomach. This will restrict the
amount of food a patient can eat during meals. There is also a decrease in the
amount of hormone that is secreted by the stomach that makes us hungry.
There are some cases when the Lap Adjustable Banding surgery does not result in the desired
weight loss and has to be converted to Lap Roux en Y Gastric Bypass or Lap Gastric Sleeve. This
is done by removing the band and performing the desired weight loss surgery. This surgery is more
complex because of the presence of scar tissue which can weaken the stomach wall. There is a
slight increase in the complication rate with conversion surgery.
A procedure done to revise the surgery to either help in losing more weight or to correct any problem
pertaining to the weight loss surgery. Conversion of gastric sleeve to gastric bypass for failure to
lose adequate weight.
Dr. Luis V. Gorospe did his Surgical Internship at Hillcrest Medical Center and finished his
General Surgery Residency at Oklahoma University. Dr. Gorospe has held academic positions as
Clinical Assistant Professor of General Surgery at OU - Tulsa Medical School and OSU College of
Osteopathic Medicine. He has held the positions of Chief Of Staff, Chief of Surgery and Chairman of
Quality Assurance Surgery at Doctors’ Hospital.
Among many accomplishments, Dr. Gorospe was the first to perform Laparoscopic Colon Resection
in Tulsa; the first to perform hand assisted Laparoscopic Colon Resection in Tulsa; the first to
perform Laparoscopic Roux-En-Y Gastric Bypass in Oklahoma; certified to perform ABBI and
Mammotome Breast Biopsy; performed a large number of Laparoscopic Fundoplications for control
of Gastroesophogeal Reflux Disease and was the first Doctor from Oklahoma to be a member of the
American Society of Bariatric Surgeons.
1200 West Cherokee St. | Wagoner, OK 74467
(918) 252-2800 || 705 W. Queens St. || Broken Arrow
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