Different Types of Bariatric Surgery

Types of Bariatric Surgery - Jet Medical Tourism When making a choice on the various types of bariatric surgery and which option is right for you, it can be a hard decision.

At Jet Medical Tourism®, we understand your situation. It is our goal to provide you with education to help you evaluate your Mexico weight loss surgery options.

Take the next step by reviewing the side-by-side comparison of the differences between gastric sleeve vs gastric bypass vs lap band vs duodenal switch.

Different types of bariatric surgery include gastric sleeve surgery, RNY gastric bypass surgery, gastric banding or Lap-band surgery and duodenal switch surgery.

4 Categories and types of bariatric surgery

There are four categories of bariatric surgery that help promote weight loss in different ways.

Restrictive Surgery: Reduces the amount of food the stomach can hold without interfering with normal digestion of food and essential nutrients.
Malabsorptive Surgery: The digestive tract is shortened to limit the absorption of calories and nutrients from food.
Hormonal: Removal or avoidance of the stomach’s upper portion (fundus) results in a decrease in gherlin levels (hunger hormone).
Combination: Restricts the amount of food the stomach can hold and reduces absorption of calories through surgical alteration of the digestive tract.

Different types of bariatric surgery procedures – comparison chart

The most common types of bariatric surgery include roux-en-y gastric bypass, sleeve gastrectomy, laparoscopic adjustable gastric banding (Lap Band) and duodenal switch.

	Gastric Sleeve	RNY Gastric Bypass	Gastric Banding	Duodenal Switch

USA Avg Cost	$20,000	$25,000	$16,000	$30,000
Avg Savings	+$15,800	+$19,200	+$9,700	+$23,500
Surgical Risk	Low to moderate	Moderate	Low	High
Weight Loss Rate	Slower than gastric bypass	Rapid	Slow and steady	Rapid
Average Weight Loss references	50-80% of excess body weight within 12 months	60-85% of excess body weight within 12-18 months	40% of excess body weight over 24+ months	75-90% of excess body weight within 18 months
Operating Time	1-2 hours	1-2 hours	1-2 hours	3-4 hours
Recovery Time	3-4 weeks	9-12 weeks	2 weeks	3-4 weeks
Hospital Stay	2 nights	3 nights	Less than 24 hrs	3 nights
Time off Work	2 weeks	2-3 weeks	1 week	3 weeks
Reversible	No	Could be, but high risk	Yes	No
Medical Implant	No	No	Yes	No
How it Promotes Weight Loss	Restrictive Limits food intake Reduces hunger sensations by removing Ghrelin (hormone that plays a key role in regulating body weight)	Restrictive & Malabsorption Limits food intake Reduces absorption of calories and nutrients	Restrictive Limits food intake Slows digestion Creates fullness	Restrictive & Malabsorption Limits food intake Food bypasses 45-60% of the small intestine, resulting in higher malabsorption and greater weight loss
Change to Intestine	No change to the intestine during gastric sleeve surgery	Small intestine is cut and bypassed during RNY gastric bypass surgery	No change to the intestine during gastric banding surgery	Reroutes "switch" a portion of the small intestine during duodenal switch surgery
Change to Stomach	Stomach Size is Reduced 60-80% of the stomach is removed, leaving a vertical narrow pouch 2-3 oz (60-100 cc)	New Stomach Created Stomach is divided into a small upper pouch 1 oz (20-30 cc) and a larger lower pouch	Stomach Size is Reduced An adjustable silicone ring (band) is placed around the top part of the stomach creating a small 1-2 oz (15-30 cc) pouch	Stomach Size is Reduced 70-80% of the stomach is removed, creating a new small stomach (similar to gastric sleeve)
Bariatric Diet Changes & Dietary Guidelines	800-1000 calories per day during weight loss (24 months) 40-60 grams of protein daily Avoid high calorie and fat food Avoid carbonated drinks Drink 6-8 cups of water a day Eat 1000-1200 calories per day after 24 months	800-1000 calories per day during weight loss (12-18 months) 40-60 grams of protein daily Avoid sugar and fats to prevent dumping Avoid carbonated drinks Drink 6-8 cups of water a day Eat 1000-1200 calories per day after 18 months	800 calories per day during weight loss (24-36 months) 1000-1200 calories per day, once weight goal is achieved 40-60 grams of protein daily Avoid fibrous, dry, or doughy foods as they can get stuck if eaten Avoid high fat and high calorie foods Avoid carbonated drinks Drink 6-8 cups of water a day	800-1000 calories per day during weight loss 40-60 grams of protein daily Avoid fibrous, dry, or doughy foods as they can get stuck if eaten Avoid high fat and high calorie foods Avoid carbonated drinks Drink 6-8 cups of water a day
New Eating Habits After Bariatric Surgery	Eat small portions daily Eat 4-6 times a day Chew food throughly to puree consistency before swallowing Eat slowly Eat high-protein foods No drinking with meals, drink water 30 minutes before or after meals	Eat small portions daily Chew food throughly to puree consistency before swallowing Eat slowly Eat high-protein foods No drinking with meals, drink water 30 minutes before or after meals	Eat small portions daily Eat 4-6 times a day Chew food throughly to puree consistency before swallowing Eat slowly Eat high-protein foods No drinking with meals, drink water 30 minutes before or after meals	Eat small portions daily Eat 4-6 times a day Chew food throughly to puree consistency before swallowing Eat slowly Eat high-protein foods No drinking with meals, drink water 30 minutes before or after meals
Bariatric Vitamins, Minerals & Nutritional Supplements	Multivitamin Calcium Vitamin B12	Multivitamin Calcium Iron Vitamin B12	Folate Vitamin A Vitamin B1 (Thiamin)	Multivitamin Calcium Iron Vitamin A, D, E, K
Pros, Benefits, Advantages of Weight Loss Surgery	Pyloric valve and small intestine are kept intact Reduces hunger (the portion of stomach that produces Ghrelin, the hunger stimulating hormone, is removed) Option for patients who do not qualify for band or bypass Fewer food intolerances Low malnutrition risk May be converted to gastric bypass or duodenal switch Revision option for gastric band patients	Rapid weight loss during the first 6 months Reduces food intake Reduces calorie intake Proven long-term effectiveness maintaining weight loss Most common and widely accepted weight loss surgery	Simple and relatively safe Reversible Adjustable Short hospital stay Quick recovery period Low malnutrition risk Low rate of complications Does not remove or alter any part of the stomach or intestines	Most powerful weight loss operation Most effective procedure for improving or reducing diabetes (99% cure rate) Patients report longer lasting fullness Stomach surgery may reduce hunger by removing hunger-causing hormones About 200-400 calories may be lost via malabsorption
Cons, Risks, Disadvantages of Weight Loss Surgery	Bleeding Blood clots Leakage Infection Pneumonia	Blood clots Bowel obstruction Dumping syndrome Infection Leaks Nutrient deficiencies Reflux (GERD) Ulcers	Band slippage (<5%) Band erosion (<1%) Band fill and adjustments Infection Port problems Stoma obstruction	Diarrhea Intestine blockage Protein and vitamin deficiency Highly technical operation Stomach removal is permanent, but intestinal bypass may be reversed Preoperative weight loss is critical to complete the procedure laparoscopically
Am I a Candidate for Weight Loss Surgery?	Gastric sleeve is best for obese patients High-risk patients with a BMI > 60 as a “first-stage” procedure	Gastric bypass is most effective for patients with a BMI of 35-55	Gastric banding is best for patients who are more disciplined with their diet and follow an exercise program	Duodenal switch is best for patients with BMI > 50 Patients with BMI < 45 may lose too much weight
Bariatric Surgery Method	Laparoscopic Bariatric Surgery	Laparoscopic Bariatric Surgery	Laparoscopic Bariatric Surgery	Laparoscopic Bariatric Surgery

Choosing the right type of bariatric surgery

Before undergoing weight loss surgery, you’ll want to learn about the benefits of bariatric surgery and associated bariatric surgery risks. Not all patients will benefit from the same procedure so its important to understand the different types of bariatric surgery in more detail.

Gastric sleeve surgery

Gastric Sleeve Surgery is a permanent weight loss surgery that reduces stomach capacity and food intake. First, the smaller stomach limits the amount of food you eat. Second, the hunger hormone ghrelin is removed so appetite and feelings of hunger are lowered.

Gastric bypass surgery

Gastric Bypass Surgery is the most commonly performed bariatric surgery worldwide. It is highly effective at resolving many obesity-related diseases. Patients who choose gastric bypass can lose 70% of their excess body weight within 12-18 months.

Lap band surgery

Lap Band Surgery is the safest type of bariatric surgery, but requires routine follow up for band adjustments. Patients who choose lap band typically lose 40% of excess body weight gradually over time.

Duodenal switch surgery

Duodenal Switch Surgery is a type of bariatric surgery that removes a large portion of the stomach and changes the digestive tract. Patients eat less and their body absorbs fewer calories, which results in more weight loss compared to other surgical procedures.

Types of Bariatric Surgery