| |
Gastric Bypass
|
LAP-BAND®
|
Sleeve Gastrectomy |
Procedure
|
Complex operation involving
multiple areas of the abdomen; changes normal process of
digestion Not reversible |
Minimally invasive procedure;
no stomach stapling, cutting or intestinal re-routing
Reversible |
Laparoscopic; leaves stomach
openings intact so digestion occurs normally Not
reversible
|
| Implanted Device
|
No significant hardware in body |
Requires implanted medical
device |
No significant hardware in body |
| Advantages |
Improvement in comorbid
conditions Rapid initial weight loss
Slightly increased total weight loss
|
Improvement in comorbid
conditions Lower risk of surgical complications
Lower risk of malnutrition
No Dumping Syndrome1
Lowest mortality rate
|
Improvement in comorbid
conditions Suited for patients with health conditions that
do not make them good candidates for other weight loss
surgeries
Lower risk of surgical complications
Lower risk of malnutrition
No Dumping Syndrome1 |
| Risks or Complications |
Standard risk of surgery
(bleeding, infection, adverse risk of anesthesia) Nausea,
vomiting
Deficiency in mineral absorption, requiring long-term
supplements
Staple leakage or separation requiring minor revision
surgery
Dumping Syndrome1
Gastritis, gall stones |
Standard risk of surgery
(bleeding, infection, adverse risk of anesthesia) Nausea,
vomiting
Possible nutritional deficiencies due to decreased
intake; long term supplements may be recommended
Band may slip or erode, reducing effectiveness
Access port may leak, requiring minor correction surgery |
Standard risk of surgery
(bleeding, infection, adverse risk of anesthesia) Nausea,
vomiting
Possible nutritional deficiencies due to decreased
intake; long term supplements may be recommended
Staple leakage or separation requiring minor revision
surgery
Deep vein thrombosis, pulmonary embolism, gall stones |
Hospital Stay
|
48-72 hours |
24-48 hours |
24-48 hours |
| Recovery |
Normal activity within one
week; full recovery within two to three weeks |
Normal activity within one
week; full recovery within two to three weeks |
Normal activity within one
week; full recovery within two to three weeks |
| Follow-Up |
Regular follow-up to track
progress |
Regular follow-up and
adjustments necessary for best results |
Regular follow-up to track
progress |
| Weight Loss |
Rapid weight loss over 3-6
months, settling at final weight 18-24 months after surgery |
Slow and steady weight loss,
settling at final weight around two years after surgery
|
About 50% of desired weight
loss within two years; about 80% of desired weight loss at
about three years. May require additional malabsorptive
procedure to achieve total weight loss goal.
|
| 1An
intolerance to sugars, fats and some carbohydrates
frequently developed after gastric bypass. Patients may
experience nausea, flashing and sweating, light-headedness
and watery diarrhea. These risks can be significantly
reduced by following your dietitian’s guidelines very
carefully, especially during the first two months after
surgery. |
