Prisma Health Weight Management Center – Columbia

Gastric bypass surgery

With this surgery, first, the stomach is stapled to make a smaller pouch. Additionally, part of the small intestine is bypassed causing you to absorb less of the food you eat. The result is that you cannot eat as much and you absorb fewer calories and nutrients.

Gastric sleeve surgery

Sleeve gastrectomy surgery involves removing a substantial portion of the stomach so that patients feel full after smaller meals. The weight loss resulting from sleeve gastrectomy can rival that seen with gastric bypass surgery.

Gastric banding surgery (LAP-BAND or Realize bands)

Adjustable gastric banding restricts the amount of food the stomach can hold by placing an inflatable silicone band around the upper part of the stomach. 

The new, smaller pouch limits the amount of food that can be consumed at one time, and a narrowed stomach outlet increases the time it takes for the stomach to empty. Both factors result in weight loss.

Laparoscopic biliary pancreatic diversion with duodenal switch surgery (BPD with DS)

We are proud to be one of the few centers in the United States to offer the Biliary Pancreatic Diversion with Duodenal Switch (BPD with DS). 

This is a standard bariatric procedure that has been performed for over 30 years and has the highest associated excess weight loss of all approved operations. Patients can reasonably expect to achieve an excess weight loss of approximately 80 to 85 percent, which allows patients with BMI over 50 to achieve a healthy weight.

Modified duodenal switch (SIPS)

The Modified DS with Single Anastomosis (SIPS/SADI) procedure combines both restrictive and malabsorptive surgical components that allow patients to maximize weight loss quickly and maintain weight loss long term. It involves creating a gastric sleeve followed by a re-routing of the intestines.

We continue to provide more options for patients who are interested in lifestyle changes and weight loss, as well as less invasive non-surgical tools to help them accomplish their goals. We are one of the few centers in the United States to offer these endoscopic non-surgical weight loss options:

ReShape® integrated dual balloon system

Prisma Health is proud to be the first center in South Carolina to offer the ReShape® Integrated Dual Balloon System, a non-surgical option that is performed endoscopically.

ReShape is recommended for adult patients who have failed weight loss with diet and exercise alone. Weight loss has been reported to range between 25-70 pounds.

Endoscopic sleeve gastroplasty (ESG)

Also known as the accordion procedure or the non-surgical sleeve, endoscopic sleeve gastroplasty (ESG) is a newer, less invasive procedure that reduces the size of the stomach by 70-80% through the use of an endoscopic suturing device. 

The suturing prevents the stomach from widening or lengthening while eating and tends to decrease the appetite at least in part by decreasing the level of our hunger hormone.

Patients may experience the need for revisions or reversal of their original operation for a variety of reasons. 

Options for revisional/reversal surgeries may include:

• LAP-BAND to sleeve gastrectomy
• LAP-BAND to gastric bypass
• Sleeve gastrectomy to gastric bypass
• Sleeve gastrectomy to SIPS or duodenal switch
• Gastric bypass to SIPS or duodenal switch
• Reversal of gastric bypass to the normal anatomy

We are pleased to offer non-surgical, less invasive revisional options for patients who previously had bariatric surgery, initially achieved good weight loss results, and slowly over time regained some of the weight back. These are only tools to assist in weight loss, and without any dietary and lifestyle changes, weight loss results can be disappointing.