Gastric Sleeve Or Gastric Bypass: Which One Is The Best For You?

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With the endless array of information available, deciding whether the gastric sleeve or gastric bypass procedure is best for you can be overwhelming. You’ve come to the right place, as we’re going to cover the particulars of these surgeries, including the complications, and the benefits of each. Gastric sleeve, gastric bypasses, and other weight-loss procedures come under the umbrella of bariatric surgery. Bariatric surgery has been shown to help patients lose weight quickly and reduce the risk of chronic disease. Research shows that bariatric surgery:

  • improved or resolved Type 2 Diabetes in 86% of people
  • improved high cholesterol in 70% of people
  • improved or resolved high blood pressure in 78% of people
  • improved or resolved obstructive sleep apnea in 83% of people

What is the difference between them?

Now that the benefits of weight loss surgery are apparent, let’s address the difference between the two most common surgery performed, the gastric sleeve and the gastric bypass operation. While both surgeries have similar results, the procedures themselves are very different.

  • Gastric Sleeve: Gastric sleeve surgery is a laparoscopic operation that requires a few small openings in the abdomen. Most of the stomach is eliminated, leaving about 20% of its original size to the remaining part. The new stomach is now a sleeve-shaped tube, and no longer a pocket to accommodate a greater amount of food. Since the stomach is much smaller now, patients feel fuller more easily and for longer periods. Complications for this procedure are:
  • Leakage where the stomach was stapled
  • Abdominal abscess
  • Stricture, or narrowing of the newly formed stomach
  • Gastroesophageal reflux, also known as heartburn
  • Gastric Bypass: In comparison, gastric bypass surgery can be either laparoscopic or open, in which a typical incision is made in the abdomen where the surgery is performed. Your doctor will decide which approach is best for you by weighing the advantages and risks of each. In either case, a pouch of the size of an egg is made using the upper part of the stomach. This new stomach pouch is then attached further down the small intestine, leaving a section of the stomach and intestine bypassed. This new stomach pouch is then attached further down the small intestine, leaving a section of the stomach and intestine bypassed. Complications for this procedure are:
  • Bowel obstruction
  • Gastrointestinal bleeding
  • Changes in tolerance to alcohol
  • Ulcerations where the new stomach pouch is connected to the intestines

After bariatric surgery, you will stay in the hospital for several days. Your doctor will give you advice on the operation after you are discharged to your home. Most of them will return to normal activities within 6-8 weeks. Bariatric surgery will change the way your body absorbs nutrients. You will also find that your tolerance for certain foods is also changing. Immediately after surgery, you will be put on a simple diet of liquids and eventually progressed to soft and solid foods. After the initial healing period has passed there are a few key areas in your diet that will require more attention than before. These are using your vitamins and protein intakes and exercise. If you follow all instructions, you will get successful results for losing weight.

To get more information about both procedures please contact us! MAYCLINIK family always here to help you.

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