The bariatric procedures are divided into 2 types:
“Restrictive Bariatric” and “Restrictive Mal-Absorptive Bariatric”
LAGB | LGCP | LSG (SLEEVE) | OAGB (MINI-BYPASS) | RYGB (GASTRIC BYPASS) | SADI | |
---|---|---|---|---|---|---|
HOW IT WORKS | Smaller gastric pouch, Early satiety | Smaller stomach volume, No foreign body, No stapling material | Smaller gastric pouch, Decrease in appetite, Hormonal effect | Smaller stomach volume, Incomplete digestion, Sugar intolerance, Decrease in appetite, Greater malabsorption | Smaller gastric pouch, Incomplete digestion, Sugar intolerance, Decrease in appetite | Smaller gastric pouch, Incomplete digestion, Greater malabsorption, Decrease in appetite |
CANDIDATES | Compliant patient, Young patient | Compliant patient, Hyperphagic patient, Class I & II obesity | Hyperphagic patient, Super obese, Patients on anti-coagulation or anti-epileptic drugs − Young and adolescents | Binge eater and hyperphagic patient, Sweet eater, Diabetic patients | Binge eater and hyperphagic patient, Sweet eater, Patients with gastroesophageal reflux disease (GERD), Diabetic patients | Binge eater and hyperphagic patient, Sweet eater, Ideal for weight regain after failure of restricive procedures, Diabetic patients |
OPERATIVE TIME | 30 to 45 minutes | 1 hour to 1 hour and 30 minutes | 1 hour | 1 hour and 30 minutes | 2 hours | 2 hour and 30 minutes |
SINCE | 1993 | 2009 | 1999 | 1997 | 1967 | 2007 |
POSSIBLE SIDE EFFECTS RELATED TO THE SURGERY | Infection / Bleeding, Migration, Erosion, Esophageal dilatation | Bleeding, Hypersialorrhea, Gastric diverticula | Risky fistula, Bleeding, Gastroesophageal reflux disease (GERD), Gastric pouch dilatation, Pulmonary embolism, Stenosis, Incisional hernia | Fistula, Bleeding, Vitamins and nutrients deficiencies, Internal hernia (rare), Bile reflux, Pulmonary embolism, Dumping syndrome, Ulcer, Stenosis, Incisional hernia | Fistula, Bleeding, Vitamins and nutrients deficiencies, Internal hernia, Small bowel obstruction, Pulmonary embolism, Dumping syndrome, Ulcer, Stenosis, Incisional hernia | Bleeding, Leak, Steatorhea, Vitamins and nutrients deficiencies, Internal hernia |