Stomach Folding vs. Mini Gastric Bypass2018-09-04T19:53:28+00:00

Stomach Folding vs. Mini Gastric Bypass

Stomach Folding

A Lighter Me does not recommend the stomach folding surgery. For a better option, speak with one of our coordinators about a gastric sleeve surgery.

Overview

Stomach folding, also known as gastric plication, is a relatively new procedure that is considered experimental and is performed laparoscopically. It is a minimally invasive surgery, and it usually takes just about an hour to complete. During the procedure, the surgeon makes five small incisions in the abdomen in order to reach the stomach. The surgeon then folds the stomach into a smaller, more compact size, typically reducing its volume by about 70 percent. Depending on the size of the stomach of the patient, the surgeon will do one or two folds, and the folds will be held with non-absorbable sutures. This surgery is potentially reversible, so if the stomach needs to be returned to its original size for any reason, that will most likely be possible. With a smaller stomach, patients typically feel fuller faster, and they often have a decrease in appetite as well. This surgery does not usually result in any severe food restrictions. With surgery and lifestyle changes, many patients are able to reduce or eliminate their need for blood pressure, diabetes, and depression medications.

Patient Eligibility

In order to be eligible for this surgery, individuals must have a BMI of at least 27. The ideal candidate will have a BMI of 40 or more, or they will have a BMI over 35 with at least one weight-related health problem.

Average Weight Loss Results

Patients can typically lose 2 pounds per week after the completion of this procedure. In total, most patients lose between 40 and 60 percent of their excess body weight within a year.

Recovery Time

Patients often must stay in the hospital for a day or two after the surgery, but within a week, they can usually return to work. Full recovery takes about 4 weeks. The first 2 weeks after surgery, the patient is required to consume an all liquid diet. The patient will then be able to add in thicker liquids, yogurt, and fruit. Eventually, regular foods can be consumed, but most people are only able to eat up to four spoonfuls of food per meal.

Common Side Effects

The most common side effects are nausea and vomiting, but oral medication can be given to minimize these effects. Even without medication, these side effects typically disappear within a week.

Cost

The average cost of stomach folding is approximately $10,000 to $15,000. Insurance does not typically cover this procedure.

References:
https://health.ucsd.edu/news/releases/Pages/2012-03-09-stomach-origami.aspx

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