Bariatric surgery is a safe and effective treatment option for those affected by severe obesity. Gastric bypass surgery is a type of weight-loss surgery. It's important to understand risks and results of gastric bypass and other types of bariatric surgery.
2. What is Bariatric Surgery?
• To treat the person with severe obesity.
• The procedures cause weight loss by restricting the amount of
food the stomach can hold.
• These are minimally invasive techniques.
3. Different Types of
Bariatric Surgery
Procedures?
• Gastric Bypass
• Sleeve Gastrectomy
• Gastric Banding
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4. Candidate for Bariatric Surgery
• Body Mass Index is 40 or more.
• BMI is 35 and one who has serious health
problem like type 2 diabetes and high blood
pressure.
5. Gastric Bypass
• It is a surgical procedure in which the stomach is divided into a
small upper pouch and a much larger lower "remnant" pouch.
• The small intestine is re-connected to both pouches of the
stomach.
• This make changes to the digestive system to help lose weight by
limiting how much one can eat or by reducing the absorption of
nutrients, or both.
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6. Advantages of Gastric
Bypass
• Produces significant long-term weight loss (60 to 80 percent
excess weight loss)
• Restricts the amount of food that can be consumed
• May lead to conditions that increase energy expenditure
• Produces favorable changes in gut hormones that reduce
appetite and enhance satiety
7. Disadvantage of Gastric Bypass
• Can lead to long-term vitamin/mineral deficiencies
• Longer hospital stay than the gastric band
• Requires adherence to dietary recommendations
• Life-long vitamin/mineral supplementation
• Greater complication rates Gastric Banding
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8. Sleeve Gastrectomy
• It is a surgical process in which the
stomach is reduced to 25% of its
original size by removal of the large
pouch of the stomach, leaving a
banana-shaped “sleeve” that connect
the esophagus to the small intestines.
• Permanently reduces the size of the
stomach.
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9. Sleeve Gastrectomy Risk Factor
• Blood clots and infections
• Aversion to food and nausea
• Vomiting
• Esophageal spasm / pain
• Infection
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10. Advantages of Sleeve Gastrectomy
• Short hospital stay
• Fewer food intolerances than with gastric banding.
• Weight loss generally is faster.
• The surgical risk is lower than with gastric bypass procedures.
• No need of band or device.
11. Disadvantages of Sleeve Gastrectomy
• Non-reversible procedure
• Long-term vitamin deficiencies
• Higher early complication rate than the Gastric
Banding
12. • Also known as laparoscopic
adjustable gastric band (LAGB)
• An inflatable band that is placed
around the upper portion of the
stomach, creating a small stomach
pouch above the band, and the rest
of the stomach below the band.
Gastric Banding
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13. Advantages of Gastric Banding
• Fully reversible
• No cutting or stapling of Stomach
• Short stay in hospital
• Reduces & restricts food intake
• Band can be adjusted to increase or decrease food intake
• Does not affect digestion & absorption
• Least invasive weight loss surgery hence less painful
14. Disadvantages of Gastric Banding
• Slow Process
• Requires a foreign device to remain in the
body
• Possibility of band slippage or band erosion
• strict adherence to the postoperative diet
• Highest rate of re-operation
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15. Comparison
Gastric Bypass Gastric Banding
Sleeve
Gastrectomy
Expected Weight
Loss
55 – 70 % 40 % 50 – 60%
Length of stay 2 -3 days 0 – 1 day 3-4 days
Reversibility Easily not reversed
Band can be
removed easily
Non-reversible
Nutrient
Absorption
Some minerals not
easily absorbed
Not affected Not affected
Risk of
Complication
Moderate Low
Low - Moderate
Foreign device No Used No
16. Risk of Bariatric Surgery
• The amount of weight lost through surgery varies
• There is no guarantee the surgery will be successful
• If diet guidelines are not followed, the weight could return
• Some procedures are not reversible
• Extreme weight loss can result in cosmetic issues such as
excess hanging skin
• Possible complications include ulcers, malnutrition, re-
hospitalization, and even death
17. What to Expect from Bariatric
Surgery?
• Long term weight loss success
• Improved longevity
• Improvement of coexisting diseases (obesity & diabetes)
• Improved physical appearance
• Improved overall quality of life
18. Change your life & Avail Bariatric
Surgery Now….
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