Compare Procedures

Wed,22Feb2012

Compare Bariatric Surgical Procedures

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Comparison Table

Type of Operation Duodenal Switch Gastric Bypass Adjust Lap Band
% excess wt. loss 75-95% Approx 50-60% Approx 50%
Stomach size 100-140 cc 3cc-30cc 15cc-25cc
Preservation of stomach physiology Yes No Yes
Stenosis of entero gastrostomy No Yes No
Vomiting No Yes Yes
Band slip, obstruction, erosion, infection No No Yes
Port migration - infection rate No No Yes
Esophageal dilatation No Yes Yes
Early perforation of staple line Yes Yes No
Connecting system leak No No Yes
Possibility of anemia * Yes Yes No
Possibility of protein malabsorption ** Yes Yes No
Vitamin and mineral supplements needed Yes Yes No
Risk of osteoporosis *** Yes Yes No
Risk of incisional hernia Yes x3 Yes x3 -openx1 lap Yes x1

* easy to control with oral intake- in some instances intravenous iron infusions necessary
** rare and temporary (in some cases requiring iv nutrition TPN)
*** easy to control - rare- if patient is compliant and patient is taking recommended supplements

[1]Balsiger BM, Poggio JL, Mai J, Kelly KA, Sarr MG, Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity, Gastrointestinal Surgery 2000 Nov-Dec;4(6):598-605

[2]Balsiger BM et all, Prospective evaluation of Roux-en-Y gastric bypass as primary operation for medically complicated obesity. Mayo Clinic proc. 2000 Jul; 75(7):669-72

[3] Oh CH, Kim HJ, Oh S, Weight loss following transected gastric bypass with proximal Roux-en-Y, Obesity Surgery 1997 Apr;7(2):142

[4]Reinhold Rb, Late results of gastric bypass surgery for morbid obesity, J Am College Nutrition 1994 Aug;13(4):326-31

[5]Avinoah E et all, [Long-term weight changes after Roux-en-Y gastric bypass for morbid obesity]. Harefuah 1993 Feb 15; 124(4):185-7,248

[6]Brolin RE et all, Lipid Risk profile and weight stability after gastric restrictive operations for morbid obesity, J Gastrointestinal Surgery 2000 Sep-Oct;4(5):464-9

[7]Scopinaro N; Adami GF; Marinari GM; Gianetta E; Traverso E; Friedman D; Camerini G; Baschieri G; Simonelli A, Biliopancreatic diversion, World J Surgery 1998 Sep;22(9):936-46

[8]Hess DS; Hess DW, Biliopancreatic diversion with a duodenal switch, Obesity Surgery 1998 Jun;8(3):267-82

[9] Baltasar A; Bou R; Bengochea M; Arlandis F; Escriva C; Mir J; Martinez R; Perez N, Duodenal switch: an effective therapy for morbid obesity--intermediate results, Obesity Surgery 2001 Feb;11(1):54-8

[10] Marceau P; Hould FS; Simard S; Lebel S; Bourque RA; Potvin M; Biron S, Biliopancreatic diversion with duodenal switch, World J Surgery 1998 Sep;22(9):947-54

[11] Marceau P; Hould FS; Potvin M; Lebel S; Biron S, Biliopancreatic diversion (duodenal switch procedure), European J Gastroenterology Hepatology 1999 Feb;11(2):99-103

[12] Mitchell JE, Lancaster KL, Burgard MA, Howell M, Krahn DD, Crosby RD, Wonderlich SA, Gonsell BA, Long iterm Follow up of patients? Status after Gastric Bypass, Obesity Surgery, August 2001,11(4) 464-468

[13]Sanyal AJ, Sugerman HJ, Kellum JM, Engle KM, Wolfe L.,Stomal complications of gastric bypass: incidence and outcome of therapy, Am J Gastroenterology 1992 Sep;87(9):1165-9

[14] Mallory GN, Macgregor AM, Rand CS, The Influence of Dumping on Weight Loss After Gastric Restrictive Surgery for Morbid Obesity. Obesity Surgery 1996 Dec;6(6):474-478

[15]McLean LD, Rhode BM, Sampalis J, Forse KA Results of the surgical treatment of obesity. Am J Surgery 1993;165:155 - 59

[16] Avinoah E, Ovanat A, Charuzi I., Nutritional status seven years after Roux-en-Y gastric bypass surgery. Surgery 1992 Feb; 111(2):137-42

Hospitals

  • Genesys Regional
  • St. Joseph Mercy
  • Crittenton Hospital
  • North Oakland

Contact Information

Oakland Bariatrics
Dr. Marek Lutrzykowski, M.D.

Address: 10 W. Square Lake. Rd., Ste.200
Bloomfield Hills MI 48302
Phone: (248) 322-1543