The Newest Weight Loss Surgeries Available

December 27th, 2011 - Posted to Weight Loss

Marina Weight Loss of Marina Del Rey Hospital in greater Los Angeles is at the forefront of innovation in weight loss surgery. We offer several of the latest effective surgical procedures for our patients so they can achieve weight loss success with the method that is the most suitable for them.

Gastric Sleeve

The bariatric procedure called sleeve gastrectomy surgery, or "gastric sleeve," involves the surgeon cutting away part of the stomach.

The remaining portion, about the size of a small banana, cannot hold much food.

The result: patients are full faster, consume fewer calories, and lose weight.

Sometimes used as the first step in a two-stage surgical solution, followed by gastric bypass surgery, gastric sleeve surgery is also an effective option when used by itself.

Gastric Plication

Gastric plication, a new procedure that is already showing promising results, also creates a smaller, sleeve-shaped stomach. The difference here is that the doctor does not remove any part of the organ. Instead, he folds the stomach over on itself and sutures the folds, so that the stomach's capacity is much smaller.

Recently, success has been reported with a combination of the gastric plication and lap-band procedures. Marina Weight Loss is excited to be the first bariatric program in Los Angeles to offer this combination — called "banded plication" — in treating morbid obesity. This combination procedure may provide improved initial weight loss after surgery; patients who have had a previous lap-band surgery and want to lose additional weight would also be potential candidates.

This is just one of the ways Marina Weight Loss assists people who are determined to improve their health by conquering obesity. We are passionate about helping our patients successfully meet their health goals, and gastric plication is a new method that we're excited to offer.


While the laparoscopic adjustable gastric band, commonly known as the Lap-Band, has been around for a while, its popularity has seen a recent surge. It is now on a level with gastric bypass, the most popular weight loss operation in America.

Lap-band surgery consists of implanting an inflatable band around the upper stomach, along with a fill port that is located just beneath the skin. Once in place, the band is adjusted by the doctor, who injects saline into the port to fill the band. This creates a virtual pouch that is much smaller than the stomach as a whole, but leaves the patient’s anatomy entirely intact.

All of these operations – gastric sleeve, gastric plication and Lap-Band, are performed laparoscopically. This means the doctor uses instruments inserted into small incisions in the abdomen, allowing for quicker recovery time and reducing the risks of possible complications.

Revision Surgeries

For patients whose weight loss results after surgery were not as they had hoped, or for patients who regain significant weight, revision surgery may be an option. Although these cases are not common, the doctor can provide you with several alternatives. For some gastric bypass patients whose surgery is no longer producing results, success has been seen with the lap-band — a procedure called "band-over-bypass." For others, the ROSE surgery is an attractive option. In ROSE — short for Restorative Obesity Surgery, Endolumenal — the doctor guides his surgical implements down the esophagus and into the stomach, where he gathers folds of the stomach and sutures them. This limits the stomach's capacity. ("Endolumenal" means "through the esophagus.")

If you are interesting in learning more about any of the newest weight loss surgeries available, schedule an appointment with Dr. Korman and see if you qualify.