Bariatric Surgery Clinic
In accordance with Health Affairs (HA) Policy 07-006, Active Duty Service Members are not eligible for bariatric surgery.
Are You A Candidate?
If your Body Mass Index is greater than 40. If your BMI is greater than 35 with significant co-morbidities such as type 2 diabetes, hypertension or hyperlipidemia.
If you meet these criteria, please contact your Primary Care Manager for an appointment to discuss the possibility for surgery and referral.
We ask that new bariatric patients complete the New Patient Packet
We offer four types of weight loss procedures at Womack Army Medical Center.
The Vertical Sleeve Gastrectomy is a restrictive form of weight-loss surgery where approximately 85 percent of the stomach is removed. The part of the stomach that is cut away is responsible for producing the hormone, grehlin which is partly responsible for stimulating hunger. This surgery is NOT reversible.
This surgery is not approved for patients wishing to be seen by surgeons outside of a military treatment facility.
Roux-en-Y Gastric Bypass
The Roux-en-Y procedure involves creating a small stomach pouch and attaching it directly to the small intestine, bypassing a large part of the stomach and duodenum. This new stomach pouch is approximately 30cc (the cap that comes with Nyquil) which will hold only small amounts of food. The food will then bypass the duodenum which is responsible for most of the fat absorption.
Lap Band (Gastric Banding)
A procedure that places an adjustable band around the top portion of the stomach to create a smaller pouch. A port is placed beneath the skin to allow a certified bariatric doctor access to either inflate or deflate the band. This weight-loss procedure works purely by restriction. While lap banding is a reversible procedure, it is not an easy one.
In this procedure, a larger portion of the stomach is left intact, including the pyloric valve that regulates the release of contents from the stomach into the small intestine. The duodenum is divided near this valve, and the small intestine divided as well. The portion of the small intestine connected to large intestine is attached to the short duodenal segment next to the stomach. The remaining segment of the duodenum connected to the pancreas and gallbladder is attached to this limb closer to the large intestine. Where contents from these two segments mix is called the common channel, which dumps into the large intestine.