Sleeve Gastrectomy or Gastric Bypass Surgery?

Both procedures are excellent for weight loss.  Sleeve gastrectomy is restrictive procedure- it works by making your stomach smaller so you will not be hungry with a small meal.  Gastric bypass adds a reconfiguration of your intestinal tract producing malabsorption.  Weight loss out to eight years is the same for both procedures.  Most bariatric surgeons feel that bypass is better for diabetic patients.  For patients without diabetes, both are good choices.  Sleeve is less risky and has more rapid recovery- most vitamin absorption is normal.  Bypass involves more work, has longer recovery and you must be committed to vitamin supplementation for the rest of your life. 

There are different elements that are taking in to account to choose a procedure:- Weight and height (BMI)- Body composition ( body fat percentage)- Medical conditions associated ( Diabetes, high blood pressure, obstructive sleep apnea, etc.)- Patient lifestyleIf you are interested in this possibility, you need to arrange a consultation with a certified bariatric surgeon. He will be able to advise you which could be the right treatment option for your specific situation. But the gastric sleeve is a less invasive procedure than bypass, also very safe and has become the most popular procedure performed world wide. New scientific data has shown comparable results with bypass, to be as effective in weight loss and in remission or control of chronic illness. With a gastric sleeve you can carrie on with a more normal life style with out drastic changes.

Hello,
Thank you for your question.
If your main intention is just to lose weight, I would recommend sleeve gastrectomy; however, if you have metabolism-related side-diseases such as diabetes, hyper-tension or hypercholesterolemia; you may choose a gastric bypass.
I hope this answer helps you
Dr HE