Expert Bariatric Surgeon Serving Plano & Dallas Fort Worth
Dr. Malladi is an experienced and trusted bariatrics surgeon serving Plano, Dallas, and the DFW area. She is a highly respected member of the medical community in the local North Texas area and throughout the United States. She is a Fellow of the American College of Surgeons (FACS), a Fellow of the American Society of Metabolic and Bariatrics Surgeons (FASMBS), and serves on the technology committee for the Society of Gastrointestinal and Endoscopic Surgeons. She received her education and medical training at prestigious medical institutions including UCLA, Stanford, Northwestern University, and UTSouthwestern Medical School. Please consult Dr. Malladi’s biography page for more information.
Contact Dr. Malladi to discuss which one of the bariatric procedures is right for you and your weight loss goals.
Our Bariatric Surgery Procedures for the DFW Area
Gastric Bypass
Roux-en-Y gastric bypass is the most commonly performed bariatric weight loss surgery. In this surgery, a small pouch is created by stapling the upper part of the stomach. The smaller portion of the stomach is then attached directly to the small intestine, bypassing a large portion of the stomach and the upper part of the small intestine (duodenum). In this minimally invasive procedure, the stomach is made smaller to limit food intake and suppress hunger, & the intestines are modified to limit calorie absorption.
Gastric Sleeve
In this minimally invasive procedure, the stomach is surgically made smaller in order to limit the food intake and suppress hunger.
Gastric Band
In this procedure, an inflatable band is placed minimally invasively around the top part of the stomach to limit food intake and suppress hunger.
Band Adjustments
In Adjustable Gastric Banding surgery, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch (about 7 ounces) with a narrow passage leading into the larger remainder of the stomach. Oftentimes, patients require this band to be “adjusted” to remain effective. During a band adjustment, a sterile saline is infused into the port underneath the skin in order to inflate or deflate the adjustable gastric band around the stomach. The adjustment leads to a decrease in appetite and an increase in the sensation of fullness.
Revisional surgery
Band-to-Sleeve: Certain patients who experience issues with their band or have inadequate weight loss may benefit from having their band and port removed and converted to a gastric sleeve. These individuals may be candidates for revisional bariatric surgery.
Band-to-Bypass: Certain patients with issues with their band or inadequate weight loss may benefit from having their band and port removed and converted to a gastric bypass.
Sleeve-to-Bypass: Certain patients who may have nausea or reflux after a sleeve or inadequate weight loss may benefit from having their gastric sleeve converted to a gastric bypass.
Other revisional operations for gastric band, gastric sleeve and gastric bypass are also available. Please contact our office and medical staff to discuss your situation and needs in more detail.
Bariatric Surgery FAQs
Am I Eligible for Bariatric Surgery?
If you meet any of these criteria, you may be eligible for bariatric surgery or one of the below bariatric procedures in either our Dallas or Plano medical center:
- Your BMI (Body Mass Index) exceeds 40.
- Your BMI is 35 and you experience severe health problems as a result of your weight.
- You are over 100 pounds overweight.
- Previous efforts to reach a healthy body weight have been unsuccessful.
Before you go in for bariatric surgery, you need to be certain that Dr. Malladi’s Dallas & Plano bariatric weight loss surgery procedures are right for you.
How Long is Bariatric Surgery Recovery?
Recovery from minimally-invasive bariatric procedures is generally relatively brief in comparison to the longer recovery periods associated with open abdominal surgeries. Patients who have gastric bypass or gastric sleeve procedures typically spend 1-2 nights in the hospital but they can stay longer if needed.
Every patient is different and total recovery time depends on many factors such as the procedure, your personal energy level, types of activities you like, etc. Some patients find that they are able to go back to work as soon as 4-7 days after surgery. Most patients find that they need to take 2-3 weeks away from work to rest and recover before they are able to safely resume work and other normal activities.
What are the Risks of Bariatric Surgery?
Every surgery comes with risk factors, even with minimally invasive procedures from experienced bariatric surgeons. These include the risks associated with general anesthesia and any risk that might be encountered with any procedure such as infection, blood clots, etc. Health problems specific to bariatric weight loss surgery include dumping syndrome, nausea, vomiting, dilation of the esophagus, acid reflux and not achieving the desired weight loss results. The chances of developing any of these problems are small, however. Most patients who have the surgery and commit to the required lifestyle changes find that they achieve significant weight loss and improvement in their overall health. You should discuss these are any other potential risks with your bariatric surgeon before making a decision.
