Table 8.
Comparison of the three major bariatric surgery procedures for the treatment of severe obesity
Gastric bypass | Gastric band (adjustable) | Sleeve gastrectomy | |||
---|---|---|---|---|---|
Very long technical experience | Three decades of experience | One decade of experience | |||
Stomach and small intestine bypassed and stomach reduced to a very small pouch size | Band placed around upper part of the stomach (adjustable externally) | Stomach restricted vertically (80% removed) | |||
Food intake volume considerably reduced; absorption of nutrients reduced | Restricts food volume (variable as it is voluntarily adjusted) | Restricts food volume | |||
Massive weight loss expected (14–20 units of BMI) | Significant weight loss expected (8–12 units of BMI) | Very significant weight loss expected (10–18 units of BMI) | |||
Partly reversible procedure | Fully reversible procedure | Irreversible procedure |