Bariatric Surgery Comparison
Bariatric Surgery Comparison
Today's main event is Band vs Sleeve, Band vs Bypass, and Sleeve vs Bypass
After studying bariatric surgeries for over a decade, we're not sure that there is a single best procedure for every patient. They each have their merits and their drawbacks, their staunch supporters and their haters. However, they are all powerful tools to help fight obesity. Your own medical history, lifestyle, and personal preferences play a huge role in choosing which one you want to help you.
We have prepared a comparison of some of the procedures and included some important pros and cons of each procedure. Try not to just count the number of pros or cons, because the elements are not always equal to each other in regards to frequency or seriousness. For example, band system leaks might occur more often than staple line leaks, but staple line leaks are usually far more serious.
Looking at lists of surgical risks can be frightening. However, remember that bariatric surgery is designed to help you treat obesity, and the risk of remaining obese can be devastating. Obesity may increase your risk for numerous health problems such as:
Diabetes
Fatty liver disease
Gallbladder and pancreas diseases
Heart disease
High blood pressure
Infertility
Osteoarthritis
Some cancers
Stroke
These lists are not exhaustive. There are other elements, some big and some small, that did not make our lists. For example, we did not include elements that were shared amongst all the surgeries (like infection risk), or mild effects (like the desire to take some time off work after surgery). We also did not include every bariatric surgery in existence, just some of the more common options. We hope that you can get a fuller understanding of these surgeries by reviewing these lists, but continue your own research and ask your surgeon for details.
Adjustable Gastric Banding
Pros
Adjustable
Removable
Avoids stomach stapling
Lower chance of complications that cannot be definitively treated with a single surgery
Cons
Risk of band slippage
Risk of band erosion
Risk of band system leak
Risk of port infection
Risk of stomal obstruction
Sleeve Gastrectomy
Pros
Increased average excess body weight loss
No need for adjustments
Lower risk of complication development after the first year of an uncomplicated course after surgery
Cons
Irreversible with risk of complications that cannot be definitively treated with a single surgery
Risk of uncontrollable reflux
Risk of staple line leak or bleeding
Risk of bleeding into the gastrointestinal tract
Risk of ulcer
Gastric Bypass
Pros
Increased average excess body weight loss
No need for adjustments
More likely to treat some forms of diabetes and reflux
Cons
Irreversible with risk of complications that cannot be definitively treated with a single surgery
Risk of internal hernias, small bowel obstruction, strangulation, and necrosis
Risk of staple line leak or bleeding, including bleeding into the gastrointestinal tract
Risk of ulcer
Risk of fistula
Increased risk of excessive malnutrition and increased need for injected vitamins