Bariatric Options Review| Gastric Sleeve vs Bypass vs Mini Gastric Bypass For Surgical Weight Loss

This is a comparison of Gastric Sleeve vs Bypass vs Mini Gastric Bypass For Surgical Weight Loss. it is a bariatric options review done by Dr Kedar Patil, the most qualified bariatric surgeon in Pune. He takes us through how each of these surgical weight-loss procedures is carried out and the pros and cons of each of these options of surgical weight loss. Gastric Sleeve, also known as Laparoscopic Sleeve Gastrectomy, is a very popular option in this part of India. Dr Kedar Patil is very adept at all these surgical weight loss options. The weight loss associated with Gastric Sleeve vs Bypass - it is almost 80 to 90% of the excess body weight as far as Gastric Bypass is concerned whereas Gastric Sleeve produces about 60 to 70% loss of excess weight in 1.5 years. A Bariatric surgeon cannot justify performing a single procedure for all Obesity procedures. According to Dr Kedar Patil, Obesity surgery should be a customized procedure based on the patient's health, comorbid conditions and weight loss requirements. Dr Kedar Patil offers an option of 3 of the commonest surgical procedures for weight loss, in this video. He also offers Morbidly Obese patients the additional options of Intra-gastric balloon procedure and a combination of Sleeve plus Bypass, known as Sleeve Plus.
In a Sleeve Gastrectomy, almost 2/3 rd part of the stomach is removed, including the Ghrelin producing part of the stomach. This hormone is responsible for generating the feeling of hunger and by removing it, the person feels satiated quickly, thereby restricting the intake of food. Almost 70% of all procedures performed worldwide are Laparoscopic Sleeve Gastrectomies. It is best suited for younger patients with low comorbidities and is a low maintenance surgery, not requiring a high intake of post-op dietary supplements as seen in Gastric Bypass.
Advantages of Gastric Sleeve: The smaller stomach still functions normally, so you can tolerate most foods, just in small amounts
Can later be converted to a Roux-En-Y gastric bypass, if desired
Eliminates the upper portion of the stomach that produces hormones that stimulate hunger (ghrelin), so your appetite often lessens
Less acid secretion, so less chance of an ulcer
Because the intestine remains intact, less chance of intestinal obstruction (blockage), anaemia, osteoporosis, and protein and vitamin deficiency
No adjustments or foreign bodies (like with adjustable gastric bands) that may cause obstruction, slippage or erosion.

Disadvantages
Not reversible, because part of the stomach is removed
Weight loss may be more difficult or lessened without the intestinal bypass
The body still tolerates carb-rich and high-fat foods, which can slow weight loss
No dumping syndrome (discomfort from eating foods rich in carbs)
Because stomach stapling is involved, a potential for leaks and other complications exists
In Laparoscopic Gastric Bypass, a small pouch is created from the stomach, which is attached directly to the small intestine, bypassing a substantial portion of the digestive tract. This procedure is preferred in patients with comorbid conditions like Diabetes, Hypertension, heart disease, PCOD, Endometriosis, Infertility, etc and can produce up to 90% loss of excess body weight in 1.5 to 2 years. However, Gastric Bypass is a high maintenance Obesity surgery which necessitates regular and life-long supplementation of vitamins, minerals, iron, Calcium, etc. and periodic reviews with the Bariatric surgeon. Long-term results up to 10 years are excellent.
Mini Gastric Bypass is preferred in North India. Indications differ from those for Bypass. The primary benefit of the mini gastric bypass is that it can be performed in less time than a traditional gastric bypass. By estimates, a mini gastric bypass is 50 minutes faster. The surgery is also less complicated than a traditional gastric bypass and theoretically results in fewer complications.
Traditional gastric bypass surgery is typically recommended for people who have a BMI of 40 or higher or who have a BMI of 35 and also suffer from a comorbidity related directly to their obesity.
Thanks to gastric bypass surgery, conditions such as diabetes, hypertension, heart disease, and cancer can be successfully alleviated. Life expectancy is increased and the risk of arthritis is lowered.
The primary difference between Bypass and Mini Bypass is the surgery time and the means by which the procedure is performed. iMini Bypass reduces surgery time by almost an hour and the complication rate is also lower. Some studies have found that the weight loss achieved through mini gastric bypass is similar to traditional gastric bypass surgery and sometimes greater. There are some unique potential risks with the mini gastric bypass. The most significant issue involves a high risk of severe acid reflux. Moreover, not all surgeons are well trained.
There are some unique risks associated with mini gastric bypass, a high risk of severe acid reflux being one.

[Bonitachulax]

Im soon getting gastric sleeve or gastric bypass what ever my dr decides which is best for me I did my research about gastric sleeve and gastric bypass for many years now ❤

[adog]

I’m trying to understand the Doctor. I simply cannot figure out what he is saying.

[dann]

If I could have understood the doctor I may have appreciated the information abt the mini by-pass surgery but for the most part some parts of the conversation was just unintelligible.😔

[roo]

Wtf cant make sense of what you saying!