Comparing Bariatric Surgery Options

There are many different bariatric procedures available. It can be difficult to pick an ideal weight loss surgery for your needs. Dr. Matthew St. Laurent takes time to discuss all bariatric surgery options so patients in the Houston, TX, area can achieve a lower BMI. Let's compare gastric bypass, gastric banding, gastric sleeve (sleeve gastrectomy), loop duodenal switch (SADI-S), and the Orbera® gastric balloon...

Procedure


Gastric Bypass	Gastric Band	Sleeve Gastrectomy	Loop Duodenal Switch (SADI-S)	Orbera Gastric Balloon
Minimally invasive laparoscopic surgery Shrinks stomach and reroutes the small intestine Potentially reversible	Minimally invasive laparoscopic surgery Places a band to alter the size of the stomach without stapling or incisions Reversible	Minimally invasive laparoscopic surgery Removes part of the stomach to reduce overall size Not reversible	Minimally invasive laparoscopic surgery Changes stomach and reroutes the small intestine Not reversible	Non-surgical procedure No general anesthesia No stomach stapling, cutting, or intestinal rerouting Reversible

Implanted Device


Gastric Bypass	Gastric Band	Sleeve Gastrectomy	Loop Duodenal Switch (SADI-S)	Orbera Gastric Balloon
No medical devices implanted in the body	Requires an implanted gastric band	No medical devices implanted in the body	No medical devices implanted in the body	Requires a temporary intragastric balloon

Advantages


Gastric Bypass	Gastric Band	Sleeve Gastrectomy	Loop Duodenal Switch (SADI-S)	Orbera Gastric Balloon
Rapid initial weight loss Slight increase in total loss of weight Addresses comorbidities and conditions associated with obesity Improved health and quality of life Low mortality rate Low complication rate	No changes to digestion or nutrient absorption No dumping syndrome Addresses comorbidities associated with obesity Improved health and quality of life Low mortality rate Low complication rate	Rapid initial weight loss Less complicated than bypass and SADI-S No changes to digestion or nutrient absorption No dumping syndrome Addresses comorbidities associated with obesity Improved health and quality of life Low complication rate	Rapid initial weight loss Increased total loss of weight compared to bypass and sleeve No dumping syndrome Addresses comorbidities associated with obesity Improved health and quality of life Low mortality rate Low complication rate	No changes in digestion or nutrient absorption No dumping syndrome Addresses comorbidities associated with obesity Improved health and quality of life Lowest mortality rate Lowest risk of surgical complications

Risks and Complications


Gastric Bypass	Gastric Band	Sleeve Gastrectomy	Loop Duodenal Switch (SADI-S)	Orbera Gastric Balloon
Changes digestive process, with a chance of vitamin and mineral deficiencies Staple separation or gastric leak Potential difficulty seeing some organs with x-ray or endoscopy Ulcers Dumping syndrome Increased gas	Band slippage, leakage, or erosion Port may dislodge Tube and port complications (kinks, infection, and disconnection) Esophageal spasm Inflammation of the esophagus (esophagitis) Gastroesophageal reflux disease (GERD)	Staple separation or gastric leak Ulcers Dyspepsia (upset stomach or indigestion) Esophageal dysmotility Fistula (an abnormal connection between organs or vessels)	Changes digestive process, with a chance of vitamin and mineral deficiencies Staple separation or gastric leak Potential difficulty seeing some organs with x-ray or endoscopy Ulcers Dyspepsia (upset stomach or indigestion) Frequent bowel movements	Cramps and nausea during first week to two weeks Intragastric balloon deflation Possible gastric erosion or ulcer without the use of antacid medication

Kristal's Story She Lost a Total of 240 Pounds

Kristal Maris felt there were issues with the gastric bypass surgery she underwent in 2004. After considering her options, she underwent bariatric revision surgery with Dr. St. Laurent. Since the bariatric surgery revision at our office serving the greater Houston area, she lost an additional 140 pounds on top of her original 100 pounds. Positive results like these are possible.

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Recovery


Gastric Bypass	Gastric Band	Sleeve Gastrectomy	Loop Duodenal Switch (SADI-S)	Orbera Gastric Balloon
Return to normal activity within one week Full recovery within two to three weeks	Return to normal activity within one week Full recovery within two to three weeks	Return to normal activity within one week Full recovery within two to three weeks	Return to normal activity within one week Full recovery within two to three weeks	Return to normal activity within one week Full recovery within two to three weeks

Follow-Up Care


Gastric Bypass	Gastric Band	Sleeve Gastrectomy	Loop Duodenal Switch (SADI-S)	Orbera Gastric Balloon
Follow-up visits every two to three months during the first year to two years Annual follow-up visits once patient achieves a stable weight	Follow-up visits and band adjustments every four to six weeks for the first year to two years Annual follow-up visits once patient achieves a stable weight	Follow-up visits every two to three months during the first year to two years Annual follow-up visits once patient achieves a stable weight	Follow-up visits every two to three months during the first year to two years Annual follow-up visits once patient achieves a stable weight	Follow-up visits every four weeks for the first year Annual follow-up visits once patient achieves a stable weight

Weight Loss and BMI


Gastric Bypass	Gastric Band	Sleeve Gastrectomy	Loop Duodenal Switch (SADI-S)	Orbera Gastric Balloon
Rapid weight loss for the first three to six months Final weight achieved 18-24 months after weight loss surgery	Gradual and steady weight loss Final weight achieved five years after weight loss surgery	Approximately 50-70 percent of total weight in the first year after weight loss surgery Approximately 80 percent of total weight loss achieved by the end of year two	Rapid weight loss for the first three to six months Final weight achieved 18-24 months after weight loss surgery	Steady loss of weight while the balloon is in place for the first six months Slower loss of weight once balloon is removed Final weight achieved at the end of a year

Which Bariatric Surgery Is the Right One for Me?

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Gastric sleeve, gastric banding, gastric bypass surgery, and other procedures can be effective tools for reducing BMI, lowering your blood pressure, and improving your health. Laparoscopic techniques have made these surgeries safer and more effective than ever before. During your visit with Dr. St. Laurent, he can compare different surgical options and determine which would be most effective for your weight loss journey.

5-Star Bariatric Surgery Helping the People of Houston Make Informed Decisions

Dr. St. Laurent and his staff are amazing. Everything they told me about my surgery was spot on from day to day. Best EndoSurgical doctor in the state of Texas. I strongly recommend him.

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The most beautiful and professional people I have ever met. The team is courteous and organized. Your health concerns are thoroughly addressed, the procedure is thoroughly explained, and they don't waste your time.