Lap Surgery BrisbaneLap Surgery Brisbane

Compare Weight Loss Surgeries / Procedures

Modality of Weight Loss Restrictive (Stomach only) Restrictive and Malabsorptive (Stomach and intestines)
Type of Operation Orbera Intragastric Balloon Lap-Band®(LAGB), REALIZE BAND Sleeve Gastrectomy (SG) Roux-en-Y Gastric Bypass (RNY, RGB)
Anatomy Involves placing a non-fixed saline-filled (avg 700 ml) silicone balloon in the stomach, reducing the food-holding capacity and calorie intake. An adjustable silicone ring (band) is placed around the top part of the stomach creating a small, 15-30ml pouch. Long narrow vertical pouch measuring 100-150ml. Identical to the duodenal switch pouch but smaller. No intestinal bypass performed. Small, 15 -25 ml connected to the small intestine.Food and digestive juices are separated for 100-150 cm.
Orbera Intragastric Balloon table comparison Realize Band adjustable - a silicone ring around stomach forming a small pouch Sleeve Gastrectomy - long vertical pouch Roux-en-Y Gastric Bypass  - reduce the consumptions of food
Mechanism Restricts holding capasity of the stomach and hence the food intake. Short term solution. TGA approved subject to mandatory removal at 6 months Moderately restricts the volume and type of foods able to be eaten. Only procedure that is adjustable. Delays emptying of pouch. Creates sensation of fullness Significantly restricts the volume of food that can be consumed. NO malabsorption NO dumping Significantly restricts the volume of food that can be consumed. Mild malabsorption “Dumping Syndrome” when sugar or fats are eaten
Weight Loss Australian Average statistical loss at 10 years No data. Relatively new procedure. Short term results suggest 12-15 kg weight loss at 6 months 60% excess weight loss. Requires the most effort of all procedures to be successful. 60%-70% excess weight loss at 2 years Long term results not available at this time (beyond 6 years) 70% loss of excess weight More failures (loss of <50% excess weight) than the DS
Long Term Dietary Modification Excessive carbohydrate/high calorie intake will defeat all procedures) Not aplicable Must consume less than 800 calories per day for 18-36 months, 1000-1200 thereafter. Certain foods can get “stuck” if eaten (rice, bread, dense meats, nuts, popcorn) causing pain and vomiting. No drinking with meals Must consume less than 600-800 calories per day for the first 24 months, 1000-1200 thereafter No dumping, no diarrhea Weight regain may be more likely than in other procedures if dietary modifications not adopted for life Patients must consume less than 800 calories per day in the first 12-18 months; 1000-1200 thereafter?3 small high protein meals per day Must avoid sugar and fats to prevent “Dumping Syndrome” Vitamin deficiency/protein deficiency usually preventable with supplements
Nutritional Supplements Needed (Lifetime) Not aplicable Multivitamin Calcium Multivitamin, B12 Multivitamin Vitamin B12 Calcium Iron (menstruating women)
Potential Problems Early: Nausea, vomiting, dehydratoion. Late: Gastric outlet or bowel obstruction if malpositioned or deflated. Inadequate weight loss. Weight regain after removal is possible Slow weight loss. Slippage, Erosion, Infection, Port problems, Device malfunction Nausea and vomiting Heartburn Inadequate weight loss Weight regain Additional procedure may be needed to obtain adequate weight loss Leak Dumping syndrome Stricture Ulcers Bowel obstruction Anemia Vitamin/mineral deficiencies (Iron, Vitamin B12, folate) Leak
Hospital Stay Usually day procedure, but might require stay up to 3-4 days in cases of severe vomiting and dehydration Overnight 2 days 2-3 days
Time off Work 1 week 1 week 1-2 weeks 2-3 weeks
Operating Time 30 min 45 min 1.5 hours 2 hours
Our Recommendation Best for patients with low BMI (usually less than 30-35) requiring a quick, non-invasive solution in shedding 15 kg in a short period (up to 6 months). Best for patients who enjoy participating in an exercise program and are more disciplined in following dietary restrictions. Many insurance companies will NOT authorize this procedure. Utilized for high risk or very heavy (BMI > 60 kg/m2) patients as a “first-stage” procedure. Very low complication rate due to quicker OR time and no intestinal bypass performed. Most effective for patients with a BMI of 40-60 and those with a “sweet-tooth”.

If you are interested in pursuing any of our laparoscopic procedures, or any other surgical weight-loss solution with the Weight & Metabolic Solutions Australia located in North Brisbane, please complete our registration form and return it to us either by email, post, fax, or simply pop in and meet our friendly staff.

Please phone (07) 3353 9694 or contact us via on-line contact us form

 
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