Home » COMPARISON OF PROCEDURES
We also do not currently offer the Gastric Balloon. This is a TEMPORARY solution to obesity as the balloon must be removed after 6-12 months. All lost weight can be regained after the balloon is removed. It is just like going on another type of diet!!! Balloons are not well tolerated by some patients. Some balloons especially the single type have burst, migrated into the gut and have caused severe complications and sometimes death.
Here we present the 3 established (approved) procedures as well 2 newer procedures with minimal experience, thus considered “experimental”. Dr. Christou’s recommendations are shown at the end of the table.
|Duodenal Switch||One Anastomosis Gastric Bypass||Single Anastomosis Duodenal Ileostomy|
|World wide Popularity
||Most common(“Gold Standard”)||New Procedure Becoming popular||<2%||<2%||?|
|Hospital Stay||2 days||1 day||2-3 days||2 days||2 days|
|Return to work?||2 weeks||2 weeks||2 weeks||2 weeks||2 weeks|
|Is the surgery
|Does the procedure
|Chance of dying
within 30 days
|0 – 0.5%||0 – 0.5%||0 – 1.6%||0 – 0.5%||Unknown as yet|
loss 10 years after surgery
| 70% of excess
| 55% of excess
| 75% of excess
|Unknown as yet||Unknown as yet|
|How fast will I
reach my maximum
|18 months||2 years||18 months||18 months||18 months|
|Can I regain
|+||++||+||++||Unknown as yet|
|+++||++||++++||++||Unknown as yet|
|High Blood Pressure
|+++||++||+++||++||Unknown as yet|
|Lipid & Cholesterol
|+++||++||++++||+||Unknown as yet|
|+++||++||+++||+||Unknown as yet|
VitaminDeficiency ++Kidney Stones +Dumping if dietary advice not followed
Vitamin Deficiency ++
Kidney Stones ++
Low Albumin +
Vitamin Deficiency ++
Kidney Stones +Bile refluxDumping if dietary advice not followed
|Unknown as yet|
|Dr. Christou’s Recommendations||Recommended for patients with a BMI of >40 kg/m2.
It is considered the “Gold Standard Procedure” for weight loss in North America.
The majority of our patients chose this procedure.
|Best for patients with
BMI=32-50 kg/m2 (with at least one obesity associated disease like diabetes) who enjoy participating in an
exercise program and are more disciplined and can follow dietary restrictions.
This is our second most popular procedure.
|Best for patients with BMI>60 kg/m2 who accept certain inconveniences like frequent bowel movements, flatulence etc.
Dr. Christou’s main reservation is the need for rigid adherence to diet supplements which most patients fail to follow long term.
|Recommended for patients with a BMI of >40 kg/m2.
Bile reflux and bile esophagitis (an irritation of the tube connecting the stomach and mouth from bile coming up the single anastomosis to the pouch and the esophagus) can lead to cancer (rare).
|Not enough experience available world-wide to make recommendation.The American Society of Metabolic and Bariatric Surgery position statement is that SADI is an experimental procedure and requires further study.|