Bariatric surgery procedures: differences
| Gastric Band Surgery | Sleeve Gastrectomy | Gastric Bypass Surgery | Mini Gastric Bypass Surgery | Principal | A silicone band is placed around the upper part of the stomach; therefore creating an hourglass shape.. |
The stomach is reduced to a vertical tube through which food passes. The latter is rapidly evacuated in the small intestine; therefore reducing appetite. |
The stomach is reduced so that what the patient eats is handled by the midpart of the small intestine. This allows to concretely reduce the quantity of absorbed nutriments |
The stomach is reduced so that what the patient eats is handled by the midpart of the small intestine. The size of the stomach is less reduced than in the regular bypass, and a single suture is realized between the small intestine and the stomach. |
|---|---|---|---|---|---|
| Mode of operation | Slowing down food passage in the stomach |
Slowing down food passage in the stomach Its effect on hunger (ghrelin) |
Slowing down food passage in the stomach Its effect on hunger (ghrelin) Incomplete digestion Dumping syndrome |
Slowing down food passage in the stomach Its effect on hunger (ghrelin) Incomplete digestion Dumping syndrome |
|
| Technique of operation | Coelioscopy | Coelioscopy | Coelioscopy | Coelioscopy | |
| Difficulty | Easy | Slightly difficult | Difficult | Difficult | |
| Recovery period | One week | Two weeks | Two weeks | Two weeks | |
| Nutritional status |
Very limited Emesis |
Limited Rare emesis |
Slightly limited Rare emesis |
Slightly limited Rare emesis | |
| Medical follow-up | Very binding | Slightly binding | Binding | Binding | |
| Vitamin deficiencies | Very rare | Rare | Vitamin supplements are necessary to avoid deficiencies | Vitamin supplements are necessary to avoid deficiencies | |
| Early complications |
Very rare Bleeding |
Rare Fistula and bleeding |
Rare Fistula and bleeding |
Rare Fistula and bleeding |
|
| Late complications |
Enlargement of the pouch Migration of the band to the stomach |
Heartburn Rare vitamin deficiencies Fistula, enlargement, stenosis |
Rare vitamin deficiencies Ulcers, stenosis, occlusion |
Rare vitamin deficiencies Occlusion |
|
| Weight loss (in five years) | 50% of excess | 70% of excess | 80% of excess | 70% of excess | |
| Reversibility | Possible | Impossible | Possible, but complex | Total and easy |
