Gastric Balloon

The gastric balloon is an inflatable balloon that is placed into the stomach temporarily. By reducing the available space in the stomach, patients feel full after having eaten less food. In addition, the balloon results in delayed emptying of the stomach, allowing for longer periods between meals. Weight loss is achieved by restricting daily caloric intake because of patient fullness. This is a great option to compliment a weight loss program or lifestyle changes to result in long term weight loss. Many patients who are not good candidates for surgery may choose this option. The procedure is an out-patient procedure, with patients leaving the clinic the same day of the procedure. The balloon is inserted by gastroscopy through the mouth under general anaesthesia, with no need to operate the stomach in any way. Patients may return to work within a few days after the procedure.

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Aspire Assist

The AspireAssist is a new form of treatment for obesity. The treatment works by giving the patient the ability to empty about 30% of his or her stomach safely and easily after meals. A tube (PEG) is installed by gastroscopy and under sedation from the patient’s stomach to her abdomen with a port attached on the outside of the abdomen. A pump can be used after every meal to remove a large portion of the meal before the calories are absorbed, leading to significant weight loss. Patients will require a new kit every year in order to be able to continue to use the AspireAssist.

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Laparoscopic Sleeve Gastrectomy

Dr. Gagner was the first surgeon to pioneer the use of laparoscopic Sleeve Gastrectomy (LSG), also known as gastric sleeve surgery, as a first-step in weight-loss interventions in high-risk patients. Since Dr. Gagner began performing this procedure in 2000, LSG has become a popular option for both patients with high risk due to co-morbidities and weight, and patients with low BMI as an alternative to gastric banding.

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Mini Gastric Bypass

The Mini Gastric Bypass (MGB) combines gastric reduction and intestinal malabsorption to achieve weight loss. The procedure involves creating a small gastric pouch near the esophageal sphincter. The first part of the intestine is attached to the newly formed gastric pouch about two meters down the intestine.

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Laparoscopic Roux-en-Y Gastric Bypass

Dr. Michel Gagner has been an instrumental agent in the evolution of the Gastric Bypass (GB) procedure into what it has become today. His team performed the second GB while he was working at the Cleveland Clinic in "95, and was the first to perform a hand-assisted GB in "96. He brought forth multiple modifications that were adopted worldwide and have become standard: the use of an antecolic and antegastric limb in "96, the use of a split omentum in "96, and the use of trans-oral techniques. Dr. Gagner is also an experienced revisionist of the GB, being the first surgeon to convert both a gastric band and a VBG into a GB by laparoscopy in "96.

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Single-Anastomosis Duodenal Switch

Single anastomosis duodenal switch (SIPS) primarily depends on intestinal malabsorption, but also utilizes gastric reduction to achieve weight loss. Firstly, a sleeve gastrectomy is performed to reduce the size of the stomach. The lowest part of the intestines, the ileum, is left undivided, but the duodenum is separated, leaving a small segment attached to the stomach and a longer free-hanging segment to which the liver and pancreas are attached. The ileum is brought up and re-connected to the duodenum segment. Digestion of protein and fat only occurs in the lower portion, about 7 feet long, of the lower intestines.

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Duodenal Switch

Dr. Gagner was the first surgeon to perform the Duodenal Switch (DS) laparoscopically during the summer of "99. Since then, he has continued to innovate with this surgery. He was the first surgeon to perform a DS in two stages in "00. He was also the first surgeon to convert a gastric Lap Band and a gastric bypass into a DS.

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Revisions

With all the years of experience Dr. Gagner has accumulated, it is no wonder he is one of the world’s foremost experts in highly complex bariatric surgery revision procedures. Dr. Gagner can accommodate for most patient cases. Once he has a chance to learn the peculiarities of a case, he can advise for the best course of action. While no two revisions are the same, there are some types of revisions performed more often than others...

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