What are the pros and cons of a gastric sleeve and a gastric bypass?

Sleeve vs Bypass. You should have a detailed conversation about this with a bariatric surgeon. Briefly, a gastric sleeve is a simpler, shorter operation with less perioperative and nutritional complications. However, the long term results aren't quite as good as bypass. I'm barely scratching the surface of this issue, so again you need to make this decision after and in-depth evaluation with a bariatric surgeon. .

Related Questions

What is the difference between a gastric sleeve and a mini gastric bypass?

Don't go mini! A "mini-gastric bypass" usually refers to a loop gastric bypass. This is a procedure you should NOT have. It will put you at risk for severe bile reflux gastritis. A gastric sleeve is removal of the outer portion of the stomach and is a procedure that is safe and well studied. . Read more...

How is the gastric sleeve and the gastric bypass procedure done?

Laparoscopic. More steps involved with bypass. The current picture shows bypass. The last question i answered for you has the picture of sleeve. Read more...
Laparoscopically. Using slender instruments and cameras through small ports or tubes, the stomach is stapled and divided. In the lap sleeve the outer 85% is removed and the stomach is reshaped into a thin banana shape. In lap gastric bypass the stomach is divided leaving a small pouch of stomach that is connected to a limb of small bowel and the food diverted. The rest of the stomach remains but doesn't "see" food. Read more...
Small holes . Both bypass and sleeve are laparoscopic (small holes). Both use special staplers which are standard. For the bypass, a pouch is made by dividing the upper stomach. Then the small bowel is divided and the far part is brought up to the pouch. The sleeve uses staplers to make a thinner stomach. Both take about one hour. Read more...

Do gastric sleeve or gastric bypass work better for losing weight?

It varies. There are reports that indicate that gastric bypass is superior to sleeve as far as long term weight loss is concerned. But there are obviously surgeons that get great loss with the sleeve. The bottom line is that both procedures are simply tools that must be added to lifestyle changes to get the greatest benefit. The more the tool helps to change a person's eating and exercise habits the bette. Read more...
Both similar. The sleeve and bypass work in almost all patients. Our experience is to expect about an 80% excess body weight loss with the bypass and 70% with the sleeve. So if you weigh 250 and you are supposed to weigh 150, then you have an excess weight of 100 lbs. Most patients make their decision based on side effects or risks. Both are great. Read more...
Very similar. Weight loss with both operations is in the range of 60-80% excessive weight loss. The risk profile for both operations is the same too. The only thing that leans me toward recommending a gastric bypass more than a sleeve would be severe reflux or long standing type ii diabetes. These two medical conditions seem to be better managed after gastric bypass. Read more...

Which is the most effective: lap band, gastric bypass or gastric sleeve?

You are. It isn't the surgery that is effective, it is the patient. While the bypass will lose most weight in the first year, followed by the sleeve, then the band- it is an average. What counts most is how you use the tool - i've had patients lose all their weight in a year with all of these operations, and patients who have lost none. The key- change your eating habits, healthy food, small portions. Read more...
Operations. In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. Read more...

Which is better, to covert a gastric sleeve into a dueodenal switch or to a gastric bypass?

Neither. Iy is my opinion that if you had a sleeve gastrectomy for morbid obesity, and it didn't work, there is not a reasonable expectation that another procedure will work. The operation is only one tool in a box that also must contain dietary modification and some calorie restriction, along with an exercise program and and a perspective that these changes are sustainable for the rest of your life. Read more...
Bypass or switch. Duodenal switch with biliopancreatic diversion (dsbpd) is done far less frequently than gastric bypass in the us. It tends to cause excessive malnutrition which is why gastric bypass (lrygb) is preferred and is the most commonly performed operation. I have had to reverse dsbpd patients who were malnourished and have never had to do that with bypass patients. I would recommend gastric bypass. Read more...

Need doctor's help! What do you reccommend gastric sleeve or gastric bypass?

Bariatric surgery. There are many different options for surgical weight loss at this time. It is best to discuss your individual situation with your bariatric expert (surgeon). Read more...