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Comparison of surgical procedures

Laparoscopic Adjustable Gastric Banding (LAP-BAND)
Roux-En-Y Gastric Bypass (RYGB)
Laparoscopic Sleeve Gastrectomy
Laparoscopic Adjustable Gastric Banding Gastric Bypass sleeve gastrectomy

Procedure

  • No change in the anatomy or stomach stapling is required
  • Regular follow-ups allow for optimal results
  • Requires cutting and stapling of the stomach and bowel
  • Requires cutting and stapling of the stomach and bowel

Short-term (1 year) excess weight loss

  • 42% average weight loss 1 year after surgery
  • 67% average excess weight loss 1 year after surgery
  • 46% to 83% weight loss 1 year after surgery

Long term (>5 years) excess weight loss

  • 55% average weight loss 5 years after surgery
  • 58% average excess weight loss 5 years after surgery
  • No follow-up reported > 3 years
  • May require second surgery

Postsurgical mortality (short-term)

  • 0.05%
  • 0.50%
  • 0.39%

Early complications

  • 1.5%
  • Up to 25.5% reported
  • Up to 25.5% reported

Postsurgical complications (long-term)

  • Band slippage
  • Stoma obstruction
  • Gastroesophageal reflux
  • Nausea and vomiting
  • Hernia
  • Marginal ulcer
  • Bowel obstruction
  • Iron, vitamin B12, folic acid & calcium deficiencies
  • Dumping syndrome
  • Gastric remnant dilatation
  • Surture line bleeding and leaking
  • Gastric strictures
  • May require second surgery

Adjustability

  • Adjustable
  • Reversible
  • Nonadjustable
  • Permanent
  • Nonadjustable
  • Permanent
  • May require second surgery, doubling the risks associated with surgery and anesthesia
LAP-BAND after gastric bypass
Gastric bypass

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