Other Names |
Lap Band Surgery |
Rouex-en-Y Gastric Bypass |
One Anastomosis Gastric Bypass |
Sleeve Gastrectomy |
Advantages |
Adjustable with No change to normal digestion Lower risk of early surgical complications |
Best known long term operation Rapid initial weight loss Improves or totally resolves diabetes good long term weight control, No foreign body, No reflux |
Comparable to RYGB, easier to perform, just one anastomosis. Effective metabolic surgery, very good weight loss results but more reflux. |
Improved quality of life, improved or resolved conditions associated with obesity. Regarded as "set and forget" procedure. No foreign body around the stomach. |
Weight Loss Effectivness |
The least effectiveness |
More effective than sleeve or band |
Comparable to RYGB |
More effective than the band |
Common Abbreviation |
AGB |
RYGB |
OAGB |
SG |
Medicare Item No: |
31569 |
31572 |
31572 |
31575 |
How It Works |
Purely restrictive |
Metabolic & restrictive |
Metabolic & restrictive |
Metabolic & restrictive |
Efficacy |
*** |
***** |
***** |
***** |
Reliability |
*** |
***** |
***** |
***** |
Eating Experience |
*** |
***** |
**** |
***** |
Longevity |
*** |
***** |
***** |
**** |
Diabetes |
*** |
**** |
**** |
**** |
Nutritional change |
***** |
**** |
*** |
***** |
Procedure |
Minimally invasive surgery laparoscopic (Keyhole) surgery |
Minimally invasive surgery laparoscopic (Keyhole) surgery |
Minimally invasive surgery laparoscopic (Keyhole) surgery |
Minimally invasive surgery laparoscopic (Keyhole) surgery |
BMI Suitability |
≥ 40, or ≥ 35 + other co-morbidities |
≥ 40, or ≥ 35 + other co-morbidities |
≥ 40, or ≥ 35 + other co-morbidities |
≥ 40, or ≥ 35 + other co-morbidities |
Reversibility |
Yes |
Yes |
Yes |
No |
Adjustable |
Yes |
N/A |
N/A |
No |
Requires Re-routing Food Stream |
No |
Yes |
Yes |
No |
|
Band |
No |
No |
No |
Risks Or Complications |
Slow weight loss, Multiple vomiting and lower quality of life, Tubing disconnection, Band Infection Slippage, Band erosion into the stomach, Food intolerances, Gastric acid reflux, High Reoperation risk, less effectiveness in long term, Adhesions |
Changes to normal digestion Staple separation or leakage More follow up than after sleeve gastrectomy Gastric stomal ulcer or strictures Dumping syndrome Risk of internal hernia, No gastroscopic access to duodenum |
Mostly same as RYGB but more risk of reflux and malnutrition, less risk of internal hernia or obstruction |
Staple separation or leakage Gastric acid reflux, bleeding, Stricture |
Operating Time |
30 - 40 mins |
90-120 mins |
60-90 mins |
45 - 60 mins |
Hospital Stay (avg) |
1-2 day |
2 days |
2 days |
2 days |
Time Off Work (avg) |
1-2 weeks |
1-2 weeks |
1-2 weeks |
1-2 weeks |
Total Weight Loss % |
40-50% |
70-80% |
Comparable to RYGB. more in short term, unclear in long term |
65-70% |
Quality Of Life |
Can be compromised Some types of foods are not tolerated |
Generally good, however dumping syndrome or anastomotic strictures can occasionally be troublesome |
Comparable to RYGB, more risk of reflux |
Very good. Most types of foods are well tolerated. Eating is normal, but portions are restricted |
Lifelong Dietary Suppliments Required |
No |
Yes |
Yes |
Possibly No |
Sickness, Vomiting, Productive Burping |
Common |
uncommon |
Uncommon |
uncommon |
Follow-up |
Regular visits to adjust the band |
Regular follow-ups every 3 months for the first year, then 6-monthly to check on progress |
Same as RYGB |
Regular follow-ups every 3 months for the first year, then 6-monthly to check on progress |