Adjustable Gastric Band vs. Gastric Bypass Surgery
| ADJUSTABLE GASTRIC BAND | GASTRIC BYPASS |
| SURGERY | |
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Placed through several small incisions in the patient’s abdomen, the band creates a small pouch in the stomach, which restricts the amount of food the patient can eat.
| Through several small incisions, a small pouch at the top of the stomach is created using staples. The new stomach is connected directly to the middle portion of the small intestine.
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| HOSPITAL STAY | |
| Usually, a 1 day hospital is involved. The patient is up and walking the day of surgery and is released the same day or the next morning. | A 3 day inpatient stay is usually required for this procedure. |
| RECOVERY | |
| Recovery time is approximately 1-2 weeks. | Many patients recover in 4-6 weeks after surgery. |
| ADJUSTABILITY | |
| The Adjustable Gastric Band is adjustable. An adjustment, called a “fill” is done in a doctor’s office. | The Gastric Bypass is not adjustable. |
| REVERSABILITY | |
| Although it is designed to be permanent, the Adjustable Gastric Band is reversible and can be removed if necessary. | The Gastric Bypass is not a reversible surgery. |
| WEIGHT LOSS | |
| The average weight loss is 1-2 pounds per week. At 3 years, total average excess body weight loss is 62%. | Patients can expect to lose weight rapidly in the first 6 months after surgery. A person usually settles on a final weight about 18-24 months after surgery. At 3 years, total average excess body weight loss is 60%. |
| COMPLICATION RATES | |
Mortality Rate .05%
Total Complications 9%
Major Complications .2%
Complications include:
Nausea and Vomiting
Band slippage
Stomach obstruction | Mortality Rate 5%
Total Complications 23%
Major Complications 2%
Complications include:
Nausea and Vomiting
Separation of stapled areas
Leaks from staple lines
Malnutrition
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