Comparison of the three common procedures


 

Adjustable Gastric Banding

Sleeve Gastrectomy

Gastric Bypass

Graphic

How it Works?

Restrictive

Restrictive

Restrictive + malabsorptive

How is it done?

A silicone band with an inflatable balloon is implanted around the top of the stomach to restrict food intake. This creates a small pouch (15-30 ml) and a narrow passage to the lower stomach.

85 % of the stomach is removed so that it takes the shape of a tube or sleeve (75-125 ml).

A small new stomach pouch (15-30 ml) is created, restricting the amount of food that can be eaten. The stomach and about one meter of the small intestine are bypassed.

What surgical approach is used for me?

Laparoscopy

Laparoscopy

Laparoscopy

What's about Adjustment?

Adjustable

Not adjustable

Not adjustable

I have a 30 BMI with other obesity related disease, which surgery fit for me?

Yes, indicated

No

No

I am a sweet eater, which surgery fit for me?

Not preferred

Not preferred

Yes, indicated

Is there any foreign body in my body?

Yes

No

No

Is there any stapling?

No

Yes

Yes

Are there any connections in my gut?

No

No

Yes

What's about my gut shape?

Normal tract

Normal tract

Changed tract (Bypass)

What is the operative risk?

Minimal

More

More

What is the most threatening complication after this surgery?

Band Infection

Leakage

Leakage

Can I reverse this operation?

Yes (easy)

Never

Yes (but difficult)

What's about vomiting after the operation?

Present

Rare

Very rare

Do I require taking nutritional supplements for life after this surgery?

First year only

First year only

Yes for life

What's about long life complications?

More

Less

More

What weight loss can I expect with this surgery?

50-60% of excess weight

60-70% of excess weight

70-80% of excess weight

Adjustable Gastric Banding


Gastric banding is an adjustable gastric band that alters the anatomy of the stomach to help you reduce your food intake.

It is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision.

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Sleeve Gastrectomy?


Sleeve gastrectomy, or vertical sleeve gastrectomy, is one of the relatively newer types of weight loss surgery.

This surgery can also be referred to medically as gastric sleeve resection, gastric sleeve surgery or tube gastrectomy.

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Gastric Bypass


Gastric bypass (Roux-en-Y Gastric Bypass) is regarded internationally as the “gold standard” of weight loss surgery designed to reduce your food intake if you have tried and failed to lose weight through diet and exercise. Follow up to 15 years after surgery has shown patients maintain weight loss after gastric bypass surgery.

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