- 11 August 2018
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Gastric Sleeve Or Gastric Bypass: Which One is More Effective?
Obesity is now one of the most potent diseases in the world. Thanks to a lifestyle where everything except for family, love and health is available at the click of a button, you hardly move a muscle. There’s more stress and less sleep, more food and less exercise, more pills than food and of course, ill health and obesity. Now, one way of helping people control their food intake and subsequently aid weight loss is bariatric surgery.
The Two Most Popular Types Of Bariatric Surgery
Gastric Bypass and Gastric Sleeve surgeries are the two most common surgeries offered as surgical procedures for obesity. Dr Venugopal pareek says the objective of both those procedures is to achieve weight loss for patients who suffer from obesity, thus helping them over other related issues. The methods, however, do not involve in any removal of fat or obese parts from the patient’s body; instead, it focuses on modifying how much quantity of food the body can intake, favourably reducing it. This reduction results in weight loss, as the stomach capacity is reduced drastically.
Clinically it’s proven that both the Gastric Bypass and Gastric sleeve procedures have been successful in solving its primary objective, reducing the patient’s weight over time, but both are entirely different procedures, to begin with. Here, we will look into both these procedure in little, essential details, to understand each process, its purpose and what it could mean for a patient.
The gastric bypass procedure is both restrictive and malabsorptive, reducing the stomach’s capacity. In this procedure, surgeons will create a small pouch, which will bypass the more significant portion of the stomach. As a result, the absorption is reduced by modifying the small intestine. In simple terms, whatever food the patient consumes after this surgery, it will bypass the more significant portion of the stomach. Ideally, the recovery time suggested for this procedure is around 1-2 weeks, and patients who undergo the gastric bypass surgery, tend to lose about 60-80% of the excess body weight over the course of the next eight to ten months after the procedure.
This method of bariatric surgery helps the patient overcome many other obesity-related issues by a significant number. For instance, Diabetes gets resolved by an astonishing 85%, hypertension by 75% and many other including migraine , GERD etc. Patients who have Asthma and sleep Apnea before the operation see a drastic improvement, with Asthma relief, is calculated at 80%, while sleep apnea is resolved and is projected up to 98% of resolution said Dr Venugopal Pareek. The gastric bypass, however, could have some complications attached to it like many patients run a risk of dumping syndrome. This problem generally involves the patient experiencing many symptoms including, weakness, abdominal discomfort as well as bowel evacuation which is rapid.
The gastric sleeve procedure, on the other hand, resects about 80-90% of the current stomach, leaving behind only a banana-shaped portion to accommodate fractional amounts of food. The gastric sleeve procedure is compared to the gastric bypass, is less complicated, and also has many useful talking points compared to the other says Dr venugopal pareek. For instance, the gastric sleeve procedure is less invasive, less complicated, and also cost-effective compared to the bypass.
Additionally research has shown that the gastric sleeve procedure has far fewer side effects than the bypass; however, it still runs the risk of the patient suffering from dumping syndrome, but comparatively lower than the bypass procedure. The Gastric sleeve procedure, much like the bypass also takes about 1-2 weeks to recover from and helps patients lose up to 60-70% of excess body weight.
This method of bariatric surgery helps the patient overcome many other obesity-related issues by a significant number. For instance, Diabetes gets resolved by an astonishing 65%, hypertension by 75% and many other including migraine, GERD etc. Patients who have Asthma and sleep Apnea before the operation see a drastic improvement, with Asthma relief, is calculated at 90%, while nearly 60% resolves sleep apnea. Apart from Asthma and Sleep Apnea, the relief from other obesity-related diseases are more or less in the same brackets.
Both these procedures are highly practical, although the application of each on a specific patient depends on the need of the patient. Surgeons and doctors will first diagnose the individual’s situation to understand which one could be more suitable. Given a choice in the hands of the patient, the gastric sleeve procedure is a more viable and effective bariatric surgery, one that is also highly effective on the cost.
About the Doctor: Dr Venugopal Pareek is one of the best Laparoscopic and Bariatric Surgeon in the city, having done more than 9000 surgeries in 12 years. Trained in the esteemed Nizam’s Institute of Medical Sciences in Surgical Oncology, Dr Pareek has the expertise in Bariatric Surgery. He has attended several conferences and published articles on medicine as well in various national and international journals.
About Sunshine Hospitals: A Multi Super Speciality Institution, 500 bedded Sunshine Hospitals (Paradise Circle, Secunderabad) is promoted by globally reputed Joint Replacement Surgeon Dr. AV Gurava Reddy (Orthopedic Doctor) and like-minded associates who share the objective of making world-standard healthcare available, affordable and accessible to the common man. Sunshine has now become one of the best hospitals for many treatments including Orthopedic, Gastroenterology, Cardiology, Trauma and Neurology.