Chart of Various, Standard Bariatric Procedures

Laparoscopic Gastric Bypass Roux en Y

"GOLD STANDARD" in bariatric Surgery

Good Long Term Results

Produce 60-80% EWL

Maintain > 50% EWL

Best for Diabetic Patients

Produce favorable hormonal changes reducing appetite.

Reduce Carbohydrate Intake

Moderate Malabsorption

Require dietary Follow-up

Technically Difficult - Should be done in Center of Excellence

Laparoscopic Duodenal Switch

Most Aggresive Bariatric Procedure

For Super Obese Patients

Profound Weight Loss

EWL > 70% at 5 years

Reduce Fat Absorption

Severe Malabsorption with Significant Long Term Side Effects

High Rate of Complications

ONLY PERFORMED IN SPECIFIC CLINICAL SETTINGS

Laparoscopic Band Placement

Least Invasive Procedure

Adjustable Gastric Band

Significant Rate of Mechanical Complications

Foreign Body to remain in place

Higherst rate of reoperation

Moderate Weight Loss Results

Laparoscopic Sleeve Gastrectomy

Newest Bariatric Procedure

Good Long Term Results

At 5 Years, EWL> 50%

Good for Younger Patients

Replacing LapBand

No Malabsorption

Should be done in Center of Excellence

Non-reversible Procedure

No Long Term Data Available

PATIENT PROFILE AND INDICATIONS

PROS

CONS