Major types of surgery for weight loss |
| |
VBG |
Lap-Band or other adjustable types of bands |
RNY
Fobi Pouch included in this |
RNY-distal |
DS/BPD BPD without DS is rarely done in the United States |
| Restrictive or Bypass |
Restrictive | Restrictive |
Restrictive & Bypass |
Restrictive & Bypass |
Restrictive & Bypass |
|
Percent of excess weight lost at five years |
40-60% |
>75% |
50-75% |
60-75% |
>75% |
Ranking for weight loss |
4th |
? (1 or 2) |
3rd |
2nd |
1st |
Vitamins needed |
Yes |
Recommended |
Yes |
Yes |
Yes |
B12 needed |
No |
No |
Often |
Often |
Occasionally |
Calcium needed |
Rare |
Rare |
Recommended |
Yes |
Yes |
Iron needed |
Sometimes |
Rare |
Often |
Often |
Often |
| Food restrictions |
Chew well |
Minimal |
Fiber may cause bezoars. Dumping may occur with high carbohydrates |
Low fiber, High protein |
High incidence of lactose and wheat intolerance. Fatty foods cause diarrhea |
Downside
of this operation |
High compliance needed for success |
Requires adjustments |
Dumping, ulcer formation, strictures |
3-4 stools per day. Increased vitamin A, D, E, and K deficiency. Foul smelling flatus |
3-4 stools per day. Increased vitamin A, D, E, and K deficiency. Foul smelling flatus |
Upside
to this operation |
Minimal long-term nutritional problems |
Safest operation
and as effective as others |
Best studied of all operations, most commonly performed |
Good for patients with BMI over 50 |
Fast initial weight loss |