Combined Surgeries

Combined surgeries employ malabsorptive and restrictive methods to encourage weight loss.  The procedure restricts how much food the stomach can hold while reducing the amount of calories it can absorb. However, it does so to a smaller extent than procedures which are exclusively malabsorptive. The combination of these two types of procedures has proven to be a great formula for long term weight loss. Combined procedures make up approximately 90% of all gastric bypass surgeries in the United States.

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Roux-en-Y Gastric Bypass

Often abbreviated as RYGB, Roux-en-Y Gastric Bypass is considered the gold standard for weight loss surgeries and is the most commonly performed procedure in the United States. It provides superior results with minimal side effects.

This procedure starts by reducing the size of the stomach using surgical staples or the vertical banding method. Then, a Y-shaped piece from the small intestine is attached to the stomach for food to bypass through. This allows the body to reduce the number of calories it absorbs, leading to weight loss.

Roux-en-Y Gastric Bypass Infographic

Long Limb Roux-en-Y Gastric Bypass

The standard RYGB procedure will use less than 100 centimeters (cm) of the small intestine for the Y-shaped section that is attached to the smaller stomach pouch. In the long limb RYGB procedure, the section of small intestine is increased to at least 150 cm. This longer section results in greater weight loss for the patient. However, this type of bariatric surgery isn’t right for all patients. Your surgeon will discuss if you are a good candidate.

Biliopancreatic Diversion with Duodenal Switch

During a biliopancreatic diversion with duodenal switch, about 80% of your stomach will be removed and your small intestine will be rerouted to bypass a small portion of it. The small intestine will be divided into the alimentary limb, which connects to the stomach pouch, and the biliopancreatic limb, which separates the digestive juices produced by the pancreases and gallbladder. The two sections will then meet at a common channel to continue the digestive process. This combined bariatric surgery reduces the amount of food you need to feel full, therefore minimizing the number of calories your body absorbs.

Biliopancreatic Diversion – Duodenal Switch Infographic

Is Combined Surgery Right for You?

Laparoscopic and Endoscopic Surgery Institute welcomes patients at its convenient Alpharetta location. Contact us to schedule your bariatric surgery consultation. Our doctors will be able to assess your current health status as well as discuss your weight loss goals to find the right solution for you. Don’t waste any more time being unhappy or unhealthy. Contact us today to get started on your journey to a better version of you!

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Testimonials

Extremely Pleased With Care

★★★★★
February 9, 2025

We couldn’t be happier with the care we have received from Dr Curtis and his staff. My dad had to have hernia repair surgery as well as a dysfunctional peritoneal catheter removed and a new catheter placed. This was a big surgery for an 87 year old with congestive heart failure, COPD and end stage Kidney failure. Dr Curtis is kind, caring, a great communicator and an excellent surgeon. We are very grateful to have been in his care. We HIGHLY recommend him!

Wonderful Surgeon for Emergency Surgery

★★★★★
December 19, 2024

Dr Curtis is a wonderful surgeon! He performed my recent colon surgery which happened to be an emergency, at Emory John’s Creek Hospital. I could not have been in more experienced hands! In addition, Dr. Curtis visited me every day the following week in the hospital! He is a very skilled and caring person. Many thanks to him as well as to his super office staff! Thank you.

Best People in the Universe

★★★★★
December 16, 2024

Best Folks in the Universe! Dr. Curtis literally saved my life with his unsurpassed skill. His staff took excellent care of me and treated me like family! THANK YOU Dr. Curtis and staff!! Ben Morris

Intestinal Surgery Success

★★★★★
December 6, 2024

Dr. Brendon Curtis performed intestinal surgery to correct a serious problem I had. All went well and I am very much recovered after just 2-weeks. He is very capable and helpful and personable.

Best Doctor I’ve Ever Known

★★★★★
December 15, 2024

Dr. Brendon Curtis is the best Doctor i have ever known he treated me with the best attention and care a patient could ever require and his team at Laparoscopic & Endoscopic Surgery Institute, P.C. Are so supportive and professional this is the best place in the world for any surgical need.

Our Location

Alpharetta, GA

5755 North Point Parkway, Suite 223, Alpharetta, GA 30022

(770) 282-1322
Fax: (770) 500-3664

Monday – Friday: 9 AM – 4 PM

Lunch break: 12 PM – 1 PM

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Your Journey to Weight Loss Success Can Begin Today

We are committed to not only treating your immediate surgical needs but also helping you achieve lasting health by making informed decisions about your weight and establishing healthy habits. Our staff are excited to meet you and begin helping you with your weight loss journey!

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