Options For Weight Loss

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.
  • Expected Weight Loss: 70-80 percent of excess weight loss at one year.
  • Diet Changes: Must avoid sugar and fats to prevent the “dumping syndrome”. Has a more complex multi vitamin and mineral regimen.
  • Potential Problems: 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 vertically, removing approximately 80%.
  • Expected Weight Loss: 60-70 percent of excess weight loss at one year.
  • Diet Changes: Allows for the most “normal” eating with few food intolerances. Relatively safe option for “very ill” and older patients. Has a lower complication rate due to the simplicity of the surgical.
  • Potential Problems: 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.
  • Expected Weight Loss: 40-50 percent of excess weight loss at one year.
  • 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 Problems: Slower weight loss, Band slippage, Band Erosion, Infection, Port problems, Device malfunction
  • Average Hospital Stay: 1 day.