Gastric Sleeve vs. Gastric Bypass2018-09-04T17:01:09+00:00

Gastric Sleeve vs. Gastric Bypass

Gastric Sleeve (Sleeve Gastrectomy)

A Lighter Me recommends the gastric sleeve procedure. Speak with one of our coordinators about a gastric sleeve surgery.

Overview

A sleeve gastrectomy is typically performed laparoscopically. During this procedure, approximately 80 percent of the stomach is removed. The stomach then becomes more of a tube shape, similar in shape to a banana. The surgeon will make small incisions in the upper abdomen and then insert small instruments through those incisions to complete the procedure. Since the stomach becomes much smaller, the amount of food a person can consume after this procedure is much more limited. This surgery also prompts hormonal changes, which often causes weight loss as well. The hormonal changes can also help with certain weight-related health conditions, such as high blood pressure and heart disease.

Patient Eligibility

Individuals who have a BMI of 40 or higher are often good candidates for this procedure. This surgery may also be an option for those who have a BMI between 35 and 40 and also have serious weight-related health problems, such as type 2 diabetes, high blood pressure, or sleep apnea. Someone with a BMI as low as 30 may be eligible for this surgery if he or she has very serious weight-related health problems.

Average Weight Loss Results

Individuals who have this surgery may lose up to 60 percent of their total body weight, sometimes even more, within two years. The likelihood of success greatly depends on the person’s adherence to lifestyle changes and eating habits.

Recovery Time

For the first week after the procedure, the patient is only allowed to consume sugar-free, noncarbonated liquids. The next three weeks will consist of only pureed foods. After that, patients are typically able to resume a normal diet. Over the first few months after surgery, patients will need to have frequent checkups to ensure that everything is going smoothly.

Common Side Effects

Patients often experience body aches, tiredness, feeling cold, dry skin, hair thinning and loss, and mood changes for up to 6 months after the surgery.

Cost

The cost of this procedure varies greatly. The total cost in the US can sometimes exceed $20,000. A Lighter Me provides access to quality surgeons in Mexico who perform this surgery at a fraction of this price.

References:
https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183
https://www.medicinenet.com/lap_band_surgery_gastric_banding/article.htm#who_are_candidates_for_the_lap_band_system

Gastric Bypass (Roux-En-Y)

A Lighter Me helps patients receive affordable, quality gastric bypass surgery in Mexico. Speak with one of our coordinators about a gastric bypass surgery.

Overview

Gastric bypass surgery is sometimes completed laparoscopically. It typically takes several hours. During the procedure, the surgeon will staple off the upper section of the stomach so it is just a small pouch, about the size of an egg. This pouch is then attached to a part of the small intestine called the Roux limb. This forms a “Y” shape, which is why this procedure is often referred to as Roux-en-Y. This not only reduces the amount of food the patient can consume, it also forces the food to bypass the rest of the stomach and the upper part of the small intestine. After the procedure, the amount of fat and calories that is absorbed from food is reduced and so is the amount of vitamins and minerals. Dramatic weight loss is common after this procedure, and it can also help to reduce or eliminate other health-related problems, such as heartburn, reflux, and other conditions that are common in overweight individuals.

Patient Eligibility

The ideal candidate will have a BMI over 40 or a BMI between 35 and 40 and a weight-related health condition, such as sleep apnea, high blood pressure, heart disease, or type 2 diabetes.

Average Weight Loss Results

The amount of weight loss depends upon the patient’s adherence to diet and lifestyle changes, but on average, people will lose about 100 pounds after gastric bypass surgery. Weight loss typically happens fairly quickly. One year after the surgery, weight loss stops and a patient’s weight stabilizes. At this time, it is very important to maintain healthy eating and exercise habits in order to not regain the weight that was lost.

Recovery Time

Patients are often required to stay in the hospital for a day or two after surgery. An all-liquid diet is required during the first week or two; soft foods are then slowly added into the patient’s diet, and within a month of surgery, regular food can be consumed. Normal activities can also typically be resumed at this time.

Common Side Effects

Patients may experience body aches, dry skin, mood changes, temporary hair thinning, tiredness, and feeling cold during the first year following surgery. This is due to the rapid weight loss. Once the weight loss stops, these symptoms usually go away.

Cost

Some insurances will cover part of the cost of gastric bypass surgery. In the US costs range anywhere between $8,000 and $27,000 without insurance.

References:
https://www.hopkinsmedicine.org/healthlibrary/test_procedures/gastroenterology/roux-en-y_gastric_bypass_weight-loss_surgery_135,65