Compare Obesity Surgeries

Practical info	Gastric Banding	Sleeve Gastrectomy	Gastric bypass
Procedure	Minimally invasive laparoscopic procedure	Moderately invasive laparoscopic procedure, removing a 75% of the stomach.	Invasive laparoscopic procedure, involving multiple areas of the abdomen. Changes normal processes of digestion.
Reversibility	Reversible	Non reversible	Reversible
Operating time	30-40 min	45-60 min	60-90 min
Advantages	No change to normal digestion Lower risk of early surgical complications Lowest mortality rate	No hunger No foreign body around the stomach Low mortality rate Less follow up appointments after surgery Improved quality of life Improved or resolved conditions associated with obesity Regarded as "set and forget" procedure.	Best known long term operation Rapid initial weight loss Improves or totally resolves diabetes Maximum amount of weight loss
Risks or Complications	Bleeding Tubing leak Band Infection Slippage Band erosion into the stomach Food intolerances Gastric acid reflux Reoperation risk	Staple separation or leakage Gastric acid reflux (rare)	Changes to normal digestion Staple separation or leakage More follow up than after sleeve gastrectomy Gastric stomal ulcer Dumping syndrome Risk of internal hernia, No gastroscopic access to duodenum
Average Hospital Stay	1 day	2-3 days	2-4 days
Average time off Work	1 week	2-4  weeks	2-4 weeks
Quality of life	Can be compromised Some types of foods are not tolerated.	Very good Most type of foods are well tolerated Eating is normal, but portions are restricted	Good
Sickness vomiting productive burping	Frequent, if the band is overtight.	None to very rare	None to very rare
Follow-up	Regular visits to adjust the band are crucial for successful weight loss	Regular follow-ups every 1-2 months for the first 6 months, then 3 -6 monthly to check on the progress	Regular follow-ups every 1-2 months for the first 6 months, then 3 -6 monthly to check on the progress
Excess weight loss	40-50%	65-70%	80%