Weight Loss Surgery Comparison

Weight Loss Surgery Which one to go for? Gastric Bypass Gastric Band Gastric Sleeve Duration (1.30 h Duration (40 min Duration 2 h Hospital (2 days +) Hospital (1 day + Hospital (3 days * Note that surgery time and hospital stay may vary due to a number of factors T WHAT ARE THE BENEFITS OF WEIGHT LOSS SURGERY? o Greater weight loss than after band O Most commonly done O Most researched O Reversible surgery O Least invasive O Fast recovery O Digestive tract not changed O No risk of malnutri - tion O No dumping syndrome DIABETES resolved after Gastric Bypass Gastric sleeve Gastric Band 84% 48% 72% HYPERTENSION resolved after 75% 55% 48% All three surgeries also showed improvement of sleep apnea, asthma, arthritis and gastroesophageal reflux 2 WHAT ARE POSSIBLE DISADVANTAGES OF WEIGHT LOSS SURGERY? O Insufficient nutrition ● Risk of dumping syndrome O Anastomotic leakage • Lowest weight loss O Need for constant band adjustment O Risk of band slippage • May need revision surgery O Little data on long term results • Break of staple line 3 OBESITY RATES WHO QUALIFY FOR SURGERY? UK US BMI from 35; if a peson has diabetes II from 30 23% 34% Has obesity related disorder • Good psychological state • Did not manage to lose weight in any other ways BMI > 30 BARIATRIC SURGERY performed per 10,000 residents HOW MUCH WEIGHT DO YOU LOSE? US 80 -% UK 70 - GASTRIC SURGERIES 60 performed in UK Gastric Other Bypass 50 - 23% Gastric Bypass 19% 58% Gastric Band 40 - Gastric Gastric Sleeve Band 30 6 months Weight loss is not a race, be patient 1 year 2 year З уear Open gastric Modifiations of bypass Vertical gastric sleeve gastric band Laporascopic Laporascopie gastric bypass & Open gastric open gastric sleeve band First WLS gastric sleeve performed 1969 1971 1978 1986 1993 1994 Sources http://www.nebi.nlm.nih.gov/pubmed/20339873 http://www.oecd.org/els/healthpoliciesanddata/49716427.pdf http://www.nordbariatric.com/ http://www.ic.nhs.uk/webfiles/publications/o03_Health_Lifestyles/opadı1/Statistics_o n_Obesity_Physical_Activity_and_Diet_England_2011_revised_Aug11.pdf I http://www.nhs.uk/news/2012/o8august/Pages/gastric-bypass- I surgery-up-fivefold-in-six-years.aspx http://www.ama-assn.org/amednews/2012/04/23/bisa0423.htm http://link.springer.com/article/10.1007%2FS11695-009-9818-6 http://www.sciencedirect.com/science/article/pii/S1550728909005309 I Phillip R. Schauer & Bruce D. Schirmer et.al. 2007. Minimally Invasive Bariatric I Surgery. Springer Science+Business Media, LLC. I Buchwald, H and Y. Avidor, et al. 2004. Bariatric Surgery: a Systematic Review And Meta-Analysis. JAMA. Oct 13;292(14):1724-37. Buchwald, H. 2011. Buchwald's Atlas of Metabolic and Bariatric Surgical Techniques and Procedures. Saunders. Rogers, J. 2010. Gastric Bypass: Surgical Procedures, Health Effects and Common I Complications. Nova Science Publishers. Inc Brought to you by nordbariatric.com gastric surgery clinic