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1.Sleeve Gastrectomy or 
Gastric Sleeve:

  • Most popular bariatric surgery
  • Stomach reduced 70% (Size of a large banana)
  • Reduces capacity of food & hunger hormones (ghrelin)

Why choose Sleeve:

  • 60% excess weight loss
  • 60% long term success
  • Simple but irreversible
  • 1% complications

Timeline

Surgery duration -45-60 Min

Hospital stay- 24 Hours

Mobilization 2-3 Hours

Discharge next afternoon

Return to Work one Week

2.Mini Gastric Bypass(MGB)

  • Also known as One Anastomosis or Omega Loop bypass
  • Gaining popularity due to one anastomosis (connection)
  • Reduces stomach to a small pouch (150mls) and bypasses initial 150 cms of small intestine.

Why choose MGB ?

  • 70% excess weight loss
  • 80% long term success
  • Complex but reversible
  • 1% complications
  • Quick diabetes control

Timeline

Surgery duration -60-90 Mins

Hospital stay- 24 Hours

Mobilization 2-3 Hours

Discharge next afternoon

Return to Work one Week

Sleeve Or MGB: (A Dilemma)

Roux -en-Y Gastric Bypass:

  • Once considered as Gold standard bariatric surgery
  • Reduces stomach to a very small pouch (~50mls) and bypasses initial 150 cms of small intestine.
  • Two anastomosis (connections), therefore, more complex and complicated.
  • Preferred in patients with Acid Reflux

Timeline

Surgery duration – 90-120
minutes

Hospital stay- 24 Hours

Mobilization 2-3 Hours

Discharge next afternoon

Return to Work one Week

MGB Vs RnY Bypass