Our Procedures

At the Nicholson Clinic, we specialize in finding the right weight loss solution for each individual person. We do not believe in a one-size-fits-all approach, which is why Dr. Nick is a specialist in multiple bariatric procedures. He wants each person to have the best chance at weight loss success, which he believes comes from being educated in all the options. We encourage you to sign up for a free consultation with Dr. Nick to ensure that all your questions are answered straight from the source.

Additionally, you may find the descriptions below helpful as you begin to understand which, if any, bariatric surgery option is right for you. Laparoscopic Weight Loss Surgery differs from traditional surgery, so we help make your decision based on solid research and the best medical advice available. Your success and health depend on it!

Gastric Bypass • Laparoscopic Gastric Band Surgery
Revisional Surgery • Sleeve Gastrectomy

Gastric Bypass

Gastric Bypass surgery makes the stomach smaller and allows food to bypass part of the small intestine. The most common gastric bypass surgery is a Roux-en-Y Gastric Bypass. The stomach is made smaller by creating a pouch at the top of the stomach. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine. Most people return to their normal activities within 2 to 4 weeks after Gastric Bypass surgery. The result of the surgery is that you will feel full more quickly than when your stomach was its original size. This reduces the amount of food you eat and the calories consumed. Bypassing part of the intestine also results in fewer calories being absorbed. It is important to remember surgery may require you to make several changes in how you eat, such as eating only a few ounces of food at a time because the surgery creates a much smaller stomach.

Gastric Bypass Facts: Technically a higher risk surgery. On average 70%-80% excess weight loss at one year. Faster resolution of co-morbidities. Non-reversible.

LAP-BAND^® Surgery/REALIZE^™ Band

Laparoscopic banding is the only procedure available in the U. S. that is adjustable and completely reversible.

By reducing the capacity of the stomach, the LAP-BAND/REALIZE Band restricts the amount of food that can be consumed.

Since there is no cutting, stapling or intestinal rerouting involved, this surgery is considered the least traumatic of all weight loss surgeries. The laparoscopic approach to surgery generally means less post-operative pain and quicker recovery. Like a wrist-watch, the Lap-Band is fastened around the stomach. As a result, you experience an earlier sensation of “fullness” and are satisfied with smaller amounts of food.

Because the LAP-BAND/REALIZE band is adjustable, it can work with your individual needs. For example, pregnant patients can have fluid removed from their band to allow for adequate nutrition, and patients who aren’t experiencing significant weight loss can have their bands tightened.

LAP-BAND/REALIZE Band Surgery Facts: Technically lower risk. On average 36%-40% excess weight loss at one year. Average of 60%-65% excess weight loss at 3-5 years. Reversible.

Sleeve Gastrectomy

The Sleeve Gastrectomy is sometimes the best solution for those who are concerned about the potential long-term side effects of a Gastric Bypass. People who need to take anti-inflammatory medications may also want to consider this. Typically, these medications need to be avoided after a Gastric Bypass because the risk of developing ulcers from these medications may increase.

This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by dividing it vertically. This part of the procedure is not reversible. The stomach that remains is shaped like a banana. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded.

Sleeve Gastrectomy Facts: Lower risk than Gastric Bypass. Higher risk than LAP-BAND/REALIZE Band. Long- and short-term weight loss between Band and Bypass. No dumping syndrome. No need for Band fills.