|
|
GASTRIC BANDING |
SLEEVE GASTRECTOMY |
GASTRIC BYPASS |
|
% OPERATIVE MORTALITY |
0.1% |
0.19% |
0.5% |
|
NEWER PROCEDURE |
YES |
VERY NEW |
NO |
|
% MEAN EXCESS WEIGHT LOSS |
40-50% |
50-60% |
60-85% |
|
RISK OF MALNUTRITION, VITAMIN/MINERAL DEFICIENCIES |
LOW |
LOW |
MORE |
| LONG TERM (> 15 YEARS) COMPLICATIONS KNOWN |
NO |
NO |
YES |
| LONG TERM DURABILITY | UNKNOWN | UNKNOWN |
DURABLE |
|
REVERSIBILITY |
EASIER |
NOT POSSIBLE |
DIFFICULT |
|
USUAL HOSPITAL STAY |
1 DAY |
1-2 DAYS |
2 DAYS |
|
EFFECTIVENESS WITH “SWEET-EATERS” |
DECREASED |
OK |
GOOD |
|
REQUIRES MAINTENANCE “FILLS” |
YES |
NO |
NO |
|
REQUIRES RE-ROUTING/CUTTING OF THE INTESTINES |
NO |
NO |
YES |
|
INVASIVENESS OF SURGERY |
LEAST |
MODERATE |
MOST |
|
REOPERATION RATE |
HIGHER |
LOW |
LOW |
COMPARISONS: Band vs. Sleeve vs. Bypass