Surgical Procedure

• Reversible
• Laparoscopic procedure
• A hollow band of special material is placed at the upper end of the stomach.
• No stomach stapling, cutting or intestinal re-routing required

• Not Reversible
• Laparoscopic procedure
• Involves removal of part of the stomach leaving behind a much smaller stomach tube
• Requires stapling

• Not Reversible
• Laparoscopic procedure
• A small stomach pouch is created to which a section of the small intestine is attached.
• Requires stomach stapling

Use of implant

A medical device is implanted

No use of implant

No use of implant

Advantages

• Lowest rate of early complications
• Operation usually takes less than an hour
• Overnight hospital stay
• Low risk of malnutrition
• Minimal vitamin supplementation needed
• Return to work in one to two weeks
• The gastric band is adjustable so it can  be customized to individual needs of the patient
• Adjustable for nutrition needs of pregnancy

• Decreased stomach volume
• Stomach functions normally allowing most foods to be eaten, just in smaller amounts
• Feel full with less food
• Stomach portion that produces hunger stimulating hormone  is removed
• No adjustments required after surgery
• Fewer long term problems

• Weight loss continues for 18-24 months post surgery
• Greater weight loss than Band and Sleeve

Disadvantages

• Regular follow up is critical for optimal results
• Band adjustments are required
• Long term problems such as Band Slip, Erosion, Infection, and Pouch Dilatation may occur
   

• Newest weight loss procedure
• 1% chance of leak from staple line
• Longer term results (10-15yrs) uncertain
• Dilation of the sleeve may occur affecting weight loss and leading to weight gain
• Four night hospital stay

• Serious risks are involved as it is  major surgery
• Malnourishment and anaemia may occur requiring lifelong vitamin and mineral supplementation.
• Dumping syndrome may occur. Nausea, reflux, diarrhoea can occur after ingesting high sugar foods
• Hospital stay of 5 days 
• Increased risk of hair loss

Expected weight loss

50-60% excess weight lost over 2 years

60-70% excess weight loss over 1 year

65 -80% excess weight loss over 18 months