Gastric Sleeve vs Gastric Bypass

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You may be considering bariatric surgery if you’ve struggled to reach and maintain a healthy weight or if you suffer from obesity-related health problems. When combined with a comprehensive weight-loss program, bariatric surgery is extremely effective.

Since there is more than one option for Bariatric Surgery we’ll explain the difference between Gastric Sleeve and Gastric Bypass.

It can not only facilitate you in losing weight, but it can also assist in the improvement or complete elimination of obesity-related conditions such as high blood pressure, high cholesterol, and diabetes.  Gastric bypass and gastric sleeve are two of the most successful types of bariatric surgery. While both procedures can result in significant weight loss within 1-2 years of surgery, there are some differences.

What’s the difference between these two surgeries?

Gastric sleeve surgery

The surgeon permanently removes about 80% of your stomach during gastric sleeve surgery. What’s left is packed into a stomach tube. There are no other changes.

Gastric bypass surgery

During this procedure, a small portion of the stomach is isolated, and the end of the small intestine is connected to the new stomach pouch, rerouting food around a large portion of the digestive system.

Gastric Bypass Surgery

Is there a difference in recovery?

Gastric bypass surgery is more time-consuming to perform than gastric sleeve surgery. This is because gastric bypass requires more modifications to the digestive system than the sleeve.  Both gastric sleeve and gastric bypass surgery are generally performed through laparoscopic surgery. To perform the surgery, lighted scope with a camera called a laparoscope and other tools are inserted through several small incisions in your abdomen. After gastric sleeve surgery, you should be able to return home in one or two days.

Who is a good candidate for this surgery?

CRITERIAGASTRIC BYPASSGASTRIC SLEEVE
BMI 40+✔️✔️
BMI 35-39.9 and additionally 2 or more related metabolic conditions✔️✔️
Metabolic syndrome✔️✔️

*Gastric sleeve is recommended to patients with metabolic syndrome

Do I need to make dietary changes?

YES. Dietary changes before and after either surgery are required. Dietary changes after gastric sleeve surgery and gastric bypass surgery are essentially the same.

Timeline:

  • You will need to be on a liquid diet for about 2 weeks after your surgery.
  • You will need to eat pureed food and soft food for the next 2 weeks, then  softer food.
  • You’ll be able to eat normal food 30 to 40 days after surgery. 

The size of your stomach pouch, which affects how much you can eat, is the most significant difference in your postoperative diet. The pouch created by either gastric sleeve or bypass surgery holds about 3 ounces.

Following are some important dietary guidelines to follow after your gastric sleeve or gastric bypass surgery:

  • Eat small portions and stop when you’re satisfied.
  • Thoroughly chew your food
  • Eat slowly and take time to digest 
  • Take vitamins and supplements that are recommended by your doctor
  • Drink enough water to stay hydrated
  • Avoid difficult-to-digest foods like tough meat and bread
  • Carbonated beverages should be avoided 

Over time, your stomach pouch will stretch. After bariatric surgery, it’s critical not to overeat because your pouch can stretch to allow you to regain the weight you lost.


What are the pros and cons?

Pros and cons of gastric sleeve surgery

PROS

  • Up to 65 percent of your excess body weight can be lost.
  • Compared to gastric bypass, recovery time is shorter.
  • Absorption of nutrients and vitamins is not impaired.
  • Dumping syndrome is not as common

CONS

  • In comparison to gastric bypass, less weight is lost.
  • It can’t be reversed 


Pros and cons of gastric bypass surgery

PROS

  • Up to 80% of your excess body weight can be lost.
  • Bypassing the small intestine, fewer calories are absorbed.
  • It is possible to reverse the process, though it is difficult.

CONS

  • Since it implies more anatomical changes, there’s a higher chance of complications.
  • Intestinal bypass causes nutrient and vitamin malabsorption, which can lead to deficiencies.
  • Dumping syndrome is more common.
  • Risk of internal hernias, intestinal obstruction, or ulcers.

A gastric sleeve is a procedure that involves removing a portion of the stomach. A gastric bypass involves the creation of a small gastric pouch and the rerouting of the small bowel. Because the small bowel is rerouted, it is more invasive than the sleeve. Have an open and honest discussion with your surgeon about your fears and your goals. You should walk away confident that you chose the best procedure for you.

DISCLAIMER

If you have any medical questions or concerns, please talk to your healthcare provider.

How Can a Gastric Plication Help You Lose Weight?

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What Is Gastric Plication?

Gastric plication is a type of bariatric surgery that helps people lose weight. It’s a restrictive procedure, which means it shrinks the stomach. This reduces the amount of food you can eat at once and helps you feel fuller sooner. It does not entail gastric banding, stomach stapling, or bypassing the stomach, unlike other bariatric surgeries. To lower the size of the stomach, the surgeon creates large folds.

At VIDA, we have the latest state-of-the-art equipment for this procedure. Laparoscopic gastric plication is a less invasive weight-loss surgery technique that decreases the stomach capacity to about 3 ounces. It’s a restrictive weight-loss operation, which means that the amount of food the stomach can hold is limited. You’ll feel full faster and won’t want to eat as much, which will help you lose weight.

There’s no need for an implanted device in this procedure (such as gastric banding). Because a piece of the stomach is not removed, unlike the gastric sleeve treatment, gastric plication may be reversible because a portion of the stomach is not removed. Furthermore, unlike gastric bypass, gastric plication does not require the intestines to be rerouted and connected.

The techniques used in a gastric plication procedure by our certified medical team, result in a speedier recovery and less scarring than open surgery. Patients can return to work and routine activities in seven to ten days depending on their recovery duration.

Advantages of gastric plication

  • There’s no rerouting of the intestines as in gastric bypass surgery.
  • It does not entail putting a band around a section of the stomach.
  • As with gastric banding, no changes are required.
  • Unlike a sleeve gastrectomy or a gastric bypass, this procedure may be reversible.

What’s the purpose of getting a gastric plication?

If you meet the following criteria your doctor may consider gastric plication surgery:

  • Your BMI (body mass index) is 30 or more, indicating that you are overweight. This is lower than most bariatric surgeries, which are for individuals with morbid obesity with a BMI of 40 or above. Obesity-related health concerns with a BMI of 35.
  • You’ve tried less invasive methods but still haven’t lost enough weight : Diet, exercise, behavioral therapy and medical weight loss with medications are all examples of this.
  • You’ve shown that you’re serious about reducing weight, improving your health, and adopting long-term lifestyle changes.
  • This includes making long-term changes to your food, exercise routine, and behavior. Accepting a lifelong need to limit food portions and adjust food preferences will also be required.

Obesity-related health problems can be reduced by bariatric surgery and lifestyle adjustments in general.

  • Breast, colon, kidney, liver, ovarian, pancreatic, and thyroid cancers are among the most common cancers.
  • Gallbladder disease and kidney disease are symptoms of fatty liver disease.
  • Heart disease, high blood pressure, excessive cholesterol, and stroke are all risk factors for stroke.
  • Osteoarthritis and other types of discomfort.
  • Diabetes type 2.

How’s gastric plication performed?

In a hospital, doctors use general anesthesia to execute gastric plication. To put you in a deep sleep, a combination of intravenous (IV) medications and gases is administered. You won’t feel any pain during the process because you’ll be sleeping.

Gastric plication is a minimally invasive laparoscopic procedure. It entails creating 5 to 6 abdominal incisions. To execute the operation, your doctor will put small surgical instruments through the incisions. Your doctor will use these instruments to make large stomach folds and structure them in place. The stomach folds diminish the size of your stomach by roughly 70%, it takes 1 to 2 hours to complete the process.

There will be no stapling or cutting of your stomach. As a result, the technique is reversible and can be converted to another procedure in the future.

What to expect of your gastric plication?

On the day of your procedure, here’s what to expect. This is what happens on the day of your operation in general:

  • Your doctor will review your preoperative test and findings, ensure that all essential documentation is completed, and maybe perform a brief physical examination.
  • Your medical history will be discussed with our medical team.
  • Before they transport you to the operating room, the surgical team will give you a sedative to help you relax.
  • After the surgery, you’ll wake up in our recovery area. Where your doctor will indicate if you need to stay or if you can return home.

What should I do to get ready for a gastric plication procedure?

In general, you can prepare for surgery by doing the following:

  • Having a good understanding of your health and medical history.
  • List all your medications, including prescriptions, over-the-counter medications, herbal supplements, and vitamins, as well as any drug allergies you have.
  • As recommended, no eating or drinking before surgery. If you eat or drink too soon before your operation, your doctor may decide to postpone it.
  • If you smoke, quit as soon as possible to aid in your recovery after surgery.
  • Taking or discontinuing drugs according to the instructions. Your doctor will provide you with detailed advice on how to take your medications and supplements.

What should I expect following a gastric plication procedure?

It’s easier to plan and prepare for a good recovery when you know what to expect. Our patients who have this procedure lose weight in a similar way to those who have a gastric bypass procedure. In the first 6 to 12 months, patients will lose the majority of their excess weight (about 70%). In most people, full weight loss occurs within two years, and in some cases much sooner.

A gastric plication procedure takes a fraction of the time that most other weight-loss procedures do. Unlike lap band surgery, there will be no need to implant a medical device into the body, and no section of your stomach will be removed. Instead, stitches are used to shrink the stomach in a non-invasive procedure. Because the section of the stomach that controls this function will stay intact, your body will be able to absorb nutrients. If a complication occurs, gastric sleeve plication surgery can be reversed, whereas gastric sleeve surgery cannot. When a surgeon performs gastric sleeve surgery, a considerable section of the stomach is removed, and the procedure cannot be reversed.

How long will the recovery period take?

This surgery will make your stomach smaller, but it will still send a message to your brain alerting your body that your stomach is full far sooner than it would without it. The ghrelin-producing section of the stomach will not be eliminated, but because the stomach is considerably smaller, patients will feel full much sooner, allowing for consistent and long-term weight loss.

Here at VIDA Bariatrics, you can get an appointment with our medical team and certified, specialized surgeons, so you can know what’s the best method for your situation. You can learn everything you need to know about what to expect from a gastric plication surgery. Our experts at VIDA Bariatrics can answer all your concerns and assist you in making the best option when it comes to determining which operation will best help you achieve your weight-loss objectives.