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Our Procedures

Weight Loss Surgery Comparison Chart

LAPAROSCOPIC ADJUSTABLE gASTRIC banD (Lapband, REALIZE or midband)

LAPAROSCOPIC SLEEVE GASTRECTOMY

LAPAROSCOPIC GASTRIC BYPASS

Graphic Representation
How it Works An adjustable band is placed around the stomach creating a small upper pouch and lower stomach. The band acts as an adjustable channel that slows the passage of food into the lower part of the stomach, the appetite is satisfied faster and longer with smaller portions. The band is adjustable tool allowing patients to set individual levels of restriction. Performed laparoscopically, surgeons remove up to 85% of the stomach. The remaining stomach has a restricted capacity but retains its original function. The surgery reduces food intake but does not lead to decreased food absorption. A small stomach pouch is created in the upper portion of the stomach and bypassed to the jejunum (a portion of the small intestine). The lower part of the stomach is sealed from the top portion; however digestive enzymes still flow into the intestines. The smaller stomach pouch reduces food consumption. Caloric absorption is reduced as digestion bypasses the lower portion of the stomach and first portion of the small intestine and food enters the second part of the small intestine.
Type of Surgery Laproscopic Restrictive Laproscopic Restrictive Laparoscopic Restrictive & Malabsorptive
Reversible Yes No No
Adjustable Yes No No
Typical Results 1-2 lbs/week in the first 1-2 years 2-3 lbs/week in the first 1-2 years 2-3 lbs/week first 1-2 years
Hospital Stay Same Day release or overnight Typically 2-3 nights Typically 3 -4 days
Recovery Time 1 Week 1-2 Weeks 2-3 Weeks
Advantages
  • Adjustable
  • Effective tool for longterm weight loss
  • Effective treatment for obesity comorbidities
  • Reversible
  • Minimally invasive
  • Reduction of hunger stimulating hormone
  • Effective treatment for obesity comorbidities
  • Rapid weight loss
  • No bypass of intestinal tract
  • Rapid and significant weight loss
  • Effective treatment for obesity comorbidities
  • Combination procedure, restrictive and malabsorptive
Diet/Lifestyle Modifications For successful weight loss it is necessary that patients work to achieve the required restriction to lose and maintain weight loss. Patients must adhere to healthy lifestyle and diet modifications. Certain foods can be difficult to tolerate and may get stuck such as bread, dense meat, nuts, and popcorn. No liquids with meals For any successful weight loss surgery, intake should be reduced along with the introduction of healthy foods and lifestyle modifications. The restrictive nature of this procedure allows patients to feel satisfied while consuming less food. Patients are encouraged to consume small protein rich meals and not consume liquids at meals. Patients are required not to consume foods high in sugar and fat to avoid dumping syndrome. Patients are also encouraged to eat several small meals rich in protein and nutrients. Drinking during meals should be avoided, and lifelong vitamin and mineral supplementation is mandatory.
Lifelong Nutritional Supplementation None None Lifelong Vitamin and Mineral Supplementation
Complications
  • band erosion, band slippage, port displacement
  • port disconnection, tubing kinking
  • band leak
  • esophageal spasm
  • gastroesophageal reflux disease (GERD)
  • inflammation of the esophagus or stomach
  • port-site infection.
  • blood clots in the deep leg veins
  • damage to adjacent organs
  • leakage of digestive contents through the staple line
  • additional procedure may be needed to obtain adequate weight loss
  • blood clots in the legs
  • leakage at the staple line
  • incisional hernias
  • narrowing of the opening between the stomach and small intestine
  • dumping syndrome
  • vitamin and mineral deficiencies in rare cases death
Cost $10,000 USD $13,500 USD $15,500 USD