​​BARIATRIC SURGERY

         PICTURE

ADVANTAGES

DISADVANTAGES

SLEEVE GASTRECTOMY

 SLEEVE GASTRECTOMY

1.Safer than gastric bypass operation with lesser complications 1-3% and low  mortality (0.1%)

2.Cheaper than  gastric banding operation

3.Decrease ghrelin secretion and thus, hunger sensation

1.The surgery once performed is irreversible

2.Possibility for gastroesophageal reflux

 

GASTRIC BYPASS SURGERY

GASTRIC BYPASS SURGERY

1. Better and faster weight reduction with 30 -35% decrease in body weight in the 1st year

2. Effective treatment for diabetes mellitus

1. Surgery more complicated with 1-5% complications and 0.3 -1% mortality

2. Trace mineral absorption deficiency, anemia and other complications; require long term iron, calcium, folic acid, vitamin B complex, etc. supplementation

3. Impossible to perform gastroscopy for early gastric cancer detection

ADJUSTABLE GASTRIC BANDING

ADJUSTABLE GASTRIC BANDING

1.Simple operative procedures with less complications (<0.5%) and mortality (<0.1%)

2.Adjust the tightness of band as necessary

3.Removed completely in the future

 

1.Less dramatic effect with 20% weight loss in the first year and 25% in the 2nd year

2.Require up to 1 year of adjustment of the gastric band for desired effect

3.Infection may occur or a second operation may be required for band slippage

4.Has to avoid high calorie liquids

IMPLANTED GASTRIC BALLOON

IMPLANTED GASTRIC BALLOON

1.Painless, no operation done, relatively safe

2.Reduce up to 10 -15% of body weight

 

1.Ineffective for those with poor diet control

2.May experience vomiting during the first 3.Days, but gradually improved later on

3.As the implanted balloon has to be removed after 6 months, there is the danger of patients regaining weight after its removal