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WLS options

Tuesday, January 05, 2016

Apparently not all weight loss surgery is the same.

All of these are now usually done laparoscopically. This means there are a few (4 or 5) tiny incisions (half inch or so) around the perimeter of the stomach area.

Rarely will they need to cut someone open to do this, but the surgeon may reserve the right to, in case of complications.

There are three primary operations:

- AGB, Adjustable Gastric Band, aka Lap band
- RYGB, Gastric Bypass, aka Roux en-Y
- VSG, Vertical Sleeve Gastrectomy, aka Sleeve

(There is a 4th type, a combo of VSG and RYGB, but it's complex and rarely done or offered: Biliopancreatic Diversion with a Duodenal Switch.)

Each of the 3 operations have their own set of pros and cons.

Minimum weight loss expected: (% of weight to lose)
- AGB: 50%
- RYGB: 70%
- VGS: 60%

- AGB: Reversible; no cutting of the stomach
- RYGB: Max weight loss expected; theoretically reversible.
- VGS: no rerouting of food path pipes

- AGB: Port needed; refills of saline required to maintain;
Possibility of erosion of stomach (rubbing of band)
- RYGB: Rerouting, dumping syndrome*
- VGS: not reversible

* Dumping syndrome is (briefly) an unpleasant gastric side effects of eating high fat/sugar foods.

I've seen that many hospital don't even offer the band anymore. Apparently too many of them needed to be removed. I didn't like the idea of having a port, and having to get saline added every two weeks or so to keep it tight. (Or that I could let I get looser if I wanted to eat more!)

The RYGB seemed risky with the re-attaching of intestines.

VGS seems kind of middle of the road; both safe and effective. This seems to be the best fit for me.

(More info coming soon.)
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Member Comments About This Blog Post
    I do see now. I was getting mixed up with the pictures and the words and the abbreviations.
    1169 days ago
    I had Rny as I needed to lose quickly for health reasons.
    All of them require strict adherence to a very rigid diet post op, as well as lots of things you can no longer have. I've never gone off plan, so I've never dumped. These surgeries are serious, but they're onlt a tool. And theyre a tool you can ignore or choose not to use, thus not being successful. In the end, it's hard work. But it was sure worth it to me.
    1169 days ago
    I had the RNY without the duodenal switch. Very effective, easy recovery, I'm loving the results. I only regret that I didn't do it sooner.
    1170 days ago
    Nope, a section of stomach is removed.
    1170 days ago
    The sleeve is not reversible?
    It looks like it would be.??
    1170 days ago
    I had a gastric by pass RNY and I only drop 50 pounds thats was 5 yrs ago and now Im like a yoyo. My cousin in the past year does the Sleeve and in less of 4 months dropped 120 pounds. Now my family bulling me and make comparison between us.
    1170 days ago
    Let me know if you want more info :)
    1170 days ago
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