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Which Is the Safest Bariatric Procedure?

Jeremy Korman';

By Jeremy Korman

Posted on February 8th, 2012 in Weight Loss

If you’re among the one-third of Americans considered obese, and you have serious weight-related health problems, you may consider weight loss surgery, also known as bariatric surgery if haven't been able to lose or maintain weight loss through diet, exercise, and/or medication.

However, what is the safest form of weight loss surgery is a critical question that must be carefully addressed when you are considering a bariatric surgery procedure.

To be eligible for bariatric surgery, you must meet the following requirements:

Bariatric Surgery an Appropriate Intervention for Obesity

Today, most weight-loss surgeries are performed using minimally invasive, laparoscopic approach. That means smaller incisions and faster recoveries. The time you spend in the hospital or surgery center will vary depending on the type of operation you undergo. In most cases, patients go home the day following their surgery and recover in two to three weeks.

The most common procedures in the field of bariatric surgery are:

How Do You Know Which Type of Weight-Loss Surgery Is Best for You?

All types of weight loss surgery can help you reach your goal weight and improve your overall health, but they each have advantages and disadvantages.

For example:

  • you lose weight faster after a gastric bypass or sleeve gastrectomy than after gastric banding, but the risks and complications are generally higher for a gastric bypass or sleeve gastrectomy
  • lap band surgery is minimally invasive and completely reversible, so the operation can be reversed if it causes serious problems

Patients with BMI 30-35 represent the grey area for more invasive operations. The medical benefits conferred by the weight loss may not outweigh the risks and adverse effects of the surgery. The exception is injection dependent diabetics in whom weight-loss surgery might be considered.

For patients weighing > 200kg sleeve gastrectomy may be best as bypass and SIPS surgery can be too difficult or dangerous. A two-stage procedure once weight loss has occurred may be entertained.

If you're considering weight loss surgery, you need to closely discuss with your surgeon during the initial consultation to determine which bariatric surgery is best for you.

Consult with Your Bariatric Surgeon to Narrow down the Options and Decide on the Surgery That Best Suits You

There is no "right" operation for everybody. All of the available bariatric operations have proved to be effective strategies in treating obesity, but there are certainly differences between them.

Here are some factors that should be considered when choosing the "right" procedure for you:

Preexisting Medical Conditions

There are specific medical conditions that, when present, would favor one bariatric surgery procedure over another. An experienced bariatric surgeon will prioritize your safety above all other considerations and help you make the right decision for your own long-term health and well-being.

The Amount of Weight You Want to Lose

Each of the bariatric procedures has a different amount of total body weight that a patient can expect to lose within 12-18 months after surgery:

      • 25 percent with the gastric band
      • 30 percent with a gastric sleeve
      • 35 percent with gastric bypass
      • 40 percent with duodenal switch

Risk Tolerance

While all surgeries come with risks, some operations carry more risk than others, which is why it’s best to consult with your bariatric surgeon to narrow down the best option.

Reversibility

When deciding which bariatric procedure is right for you, the most important among them is whether or not a procedure is reversible or permanent, and how this impacts your overall weight loss. A procedure is reversible when a device - designed to be removed at a later date - is added to the body to help reduce calorie intake.

At Cedars Sinai Marina del Rey Hospital We Consider the Patient’s History and Expectations. Then We Come up with a Plan Together.

At Cedars Sinai Marina del Rey Hospital we pride ourselves on our impeccable experience and our excellent care. We perform lap-band, gastric bypass, and gastric sleeve procedures, as well as combinations of procedures, and revisions of past weight-loss operations. We keep up-to-date with the most modern surgical developments, and we always place safety before all other considerations.

We are highly trained specialists with thousands of procedures under our belts, and our safety record and patient satisfaction level are very good. In recognition of our successful pursuit of quality and safety, the American Society for Metabolic and Bariatric Surgery granted Marina Weight Loss the MBSAQIP accreditation. We underwent a rigorous screening process, including examinations of our records and our facilities, to earn this honor.