LAP-BAND® System

Weight Loss Surgery Comparison

Which is Right for You?

The National Institutes of Health's Consensus Development Panel established general guidelines and indications for bariatric surgery in 1991.¹  Weight loss surgeries are well established and have been performed for more than 25 years. 

The most common forms of bariatric surgery are laparoscopic gastric band, laparoscopic gastric sleeve and laparoscopic gastric bypass. All three of these procedures are offered at WellStar West Georgia Medical Center. 

These procedures are performed using minimally invasive (laparoscopic) techniques, meaning faster operations, less anesthesia, much smaller incisions and less scarring, all of which contribute to faster healing and recovery.

For more information, call Rachel Hand, RN, MSN, at (706) 880-7318.

1.  Saber AA, Elgamal MH, McLeod MK. Bariatric surgery: the past, present, and future. Obes. Surg. 2008;181(1):121-128.

 

Weight Loss Surgery Comparison

When comparing the different types of weight loss surgery, one must weigh the benefits and risks to determine which procedure is best for you. The following is an assessment of various weight loss surgeries and their characteristics:

 

Gastric Bypass

 

Procedure:
A small stomach pouch is created and the small intestine is re-routed and attached directly to the pouch.

Goals & Outcomes:
70-80 percent of excess weight loss, 79% remission of Hypertension, 66% remission of hyperlipidemia, and 66% remission of obstructive sleep apnea within the 1st year.2

Diet Changes:
Must avoid sugar and fats to prevent the “dumping syndrome”. Has a more complex multi vitamin and mineral regimen due to malabsorption.

Potential Risks:
Anemia
Bowel obstruction
Dumping syndrome
Leaks
Ulcers
Osteoporosis
Vitamin/mineral deficiencies
Vomiting

Average Hospital Stay:
2 days.

 

 

Gastric Sleeve

 

Procedure:
A thin vertical sleeve of the stomach is created, which is approximately the size of a banana. The stomach is restricted  by stapling and dividing it, removing approximately 80%. 

Goals & Outcomes:
60-70 percent of excess weight loss, 68% remission from hypertension, 35% remission from hyperlipidemia, and 62% remission from obstructive sleep apnea within the 1st year.2

Diet Changes:
Allows for the most “normal” eating with few food intolerances. Relatively safe option for "ill” or older patients with pre-existing complications. Has a lower complication rate due to the simplicity of the surgery.

Potential Risks:
Nausea
Vomiting
Heartburn
Leaks

Average Hospital Stay:
1.5 days.

 

Gastric Band

 

Procedure:
A gastric band is placed on the upper portion of the stomach, creating a smaller upper pouch. The tightness of the band affects how
much food you can eat.

Goals & Outcomes:
 40-50 percent of excess weight loss at one year.  Gastric Band is reversible or can be altered to another bariatric surgery in the future, if desired.

Diet Changes:
Must avoid certain foods that can get “stuck” if eaten
including rice, bread, dense meats, nuts, and popcorn, as these can cause pain and vomiting. Can’t drink fluids during meals.

Potential Risks:
Slower weight loss
Band slippage
Band Erosion
Infection
Port problems
Device malfunction

Average Hospital Stay:
1 day.

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