Implantable Gastric Stimulation Device vs. Mini Gastric Bypass

Implantable Gastric Stimulation Device

Overview

Implantable gastric stimulation is a relatively new way to treat obesity. It does not change a patient’s anatomy or rely on malabsorption issues for weight loss, and it takes less than an hour to complete. It is also reversible. Using a laparoscopic approach, a device that is an electrical pulse generator, similar to a pacemaker, is implanted along the front part of the abdomen. Electrode leads are then placed in the gastric muscular wall. Once the surgery is complete and the patient has recovered, the device will be turned on, and the gastric stimulation will begin. The purpose of the device is to make patients feel fuller faster, which may help with overeating and binge eating. It is believed that when the device stimulates the stomach, a message is sent to the brain telling it that it is full.

Patient Eligibility

The ideal candidate for this procedure has a BMI over 40 or a BMI between 35 and 40 plus serious weight-related health problems.

Average Weight Loss Results

Since this is a relatively new procedure, there is not a large amount of data available regarding weight loss results. In general, it appears that patients typically lose between 5 and 17 percent of excess body weight from implantable gastric stimulation. It has been reported that some patients did not lose any weight and others actually gained weight after this procedure. Approximately 80 percent of patients have reported some weight loss, and 60 percent lost more than 10 percent of their body weight within 2 ½ years. In general, it appears that diet and lifestyle changes are necessary for weight loss to occur.

Recovery Time

Most patients are given approximately 4 weeks to recover from the procedure. Once the recovery is complete, the stimulation will begin.

Common Side Effects

Possible side effects from this procedure include abdominal pain, generalized pain, fever, and flatulence. Nausea, constipation, and hypoglycemia may also occur, but they are relatively rare.

Cost

The cost of this procedure varies, but it is likely to fall somewhere around $15,000 in the US. Insurance may or may not pay for a portion of this procedure.

References:
https://commons.pacificu.edu/cgi/viewcontent.cgi?article=1242&context=pa

Mini Gastric Bypass

A Lighter Me helps patients receive the mini gastric bypass surgery.

Overview

During a mini gastric bypass surgery, the stomach is made smaller, and the intestines are rerouted. It is performed laparoscopically by making 4 to 6 small incisions in the abdomen. The stomach is reduced by up to 90 percent, and then it is attached approximately 6 feet down the small intestines; this allows for food to bypass the upper intestines. It is sometimes chosen over a regular Roux-en-Y gastric bypass because it has a lower likelihood of complications, it has less side effects, and it is reversible. The weight loss results for mini gastric bypass are usually fairly comparable to those of Roux-en-Y gastric bypass. Mini gastric bypass makes patients feel fuller faster, allows for less absorption of calories and minerals, and is known to significantly improve overall health. Weight loss with this procedure is often fast and dramatic. Most people are also able to keep the weight off long term.

Patient Eligibility

In general, the best candidates for mini gastric bypass are those with a BMI over 40 or those with a BMI between 35 and 40 plus other weight-related health conditions.

Average Weight Loss Results

On average, within the first 3 months after the surgery, patients lose about 30 percent of their excess body weight. Within a year, 60 to 75 percent of excess body weight is often gone. After 10 years, most patients still show a total weight loss of 70 percent of their excess body weight. Results depend upon the patient’s adherence to diet and lifestyle changes.

Recovery Time

Patients typically must stay in the hospital for a day or two after surgery. They can usually return to work in 10 to 14 days, and most should be fully recovered after 3 weeks.

Common Side Effects

Patients may experience gallstones from the rapid weight loss and kidney stones from not drinking enough fluids. Hair loss is also somewhat common during the first 3 to 6 months after surgery. Sagging skin can also happen due to the rapid shedding of a significant amount of weight.

Cost

Most insurances do not cover mini gastric bypass. The average cost of the surgery ranges from $15,000 to $25,000 in the US. A Lighter Me helps patients receive the mini bypass surgery at a fraction of the cost. Learn more about the mini gastric bypass.

References:
https://commons.pacificu.edu/cgi/viewcontent.cgi?article=1242&context=pa