| |
|
|
|
|
Weight Loss: |
70% one year; 60% 5-15
yr.
|
70% one year; later
results uncertain |
40-50% one year; 60% five
year.
|
|
Mortality |
1/500-1/600;
complications 1/10 patients moderate
severity.
|
Mortality and
complications appear to be intermediate
in both magnitude and number.
|
Mortality 1/2000;
complications 1/10 patients lesser
severity. |
| Long
term complications: |
Intermediate. Ulcers,
bowel obstruction, reflux, anemia.
|
Smallest. Anticipated to
be very small, reflux reported, ideal
operation if high risk of stomach
cancer.
|
Intermediate. Slip, band
failure, erosion. |
|
Magnitude of surgery: |
Greatest with anatomic
rearrangement.
|
Intermediate, involves
partial gastrectomy but there are no
reconnections
|
Smallest operation but
with placement of foreign body—the
band. |
|
Surgical track record: |
Largest and longest in
the US. The gold standard operation.
|
Several small series
reported with promising results but
follow-up is only one year or less.
|
Track record is largest
and longest in Europe and Australia and
is 4-5 years in the US. |
| Ease
of secondary operation: |
Band may be placed over
bypass with moderate difficulty and
uncertain results
|
Easily converted to a
gastric bypass with reported good
results. |
Moderately challenging
conversion to bypass or sleeve.
|
|
Hospitalization: |
Approximately 2 ˝ days. |
2 ˝ days |
0-1 days
|
|
Effect on ghrellin: |
Profound |
Profound |
None, late elevation.
|
|
Hunger control: |
Almost complete first
year; usually lesser thereafter.
|
Like gastric bypass first
year, unknown thereafter. |
Minimal to moderate but
consistent. |
|
Follow-up: |
Necessary at longer
intervals. |
Same as gastric bypass. |
More frequent follow-up
necessary as are fills. Follow-up costs
highest.
|
| Need
for vitamins: |
B12, iron, calcium.
|
None |
None |
|
Dumping: |
|
None |
None |
