Gastric Sleeve vs. Gastric Bypass: Comprehensive Comparison
Introduction
If we get to know that Gastric Sleeve vs. Gastric Bypass then, Bariatric surgery represents a new paradigm in the field of weight loss caused by obesity. One of the most frequently performed operations is gastric sleeve and gastric bypass. They are all, however, each with its advantages and disadvantages and individual requirements dependence. This tutorial will provide you with an understanding of differences, advantages, disadvantages, and prices, that you can use to make a good decision.
What is Gastric Sleeve Surgery?
Surgeons perform gastric sleeve surgery, also known as sleeve gastrectomy, as a bariatric procedure where they remove a large portion of the stomach, leaving a tube-shaped stomach or “sleeve.
- Reduces stomach size to about 20% of the original.
- Limits food intake and promotes early satiety.
Key Features
- Irreversible procedure.
- Primarily focuses on restriction (no malabsorption).
What is Gastric Bypass Surgery?
Gastric bypass, also called Roux-en-Y gastric bypass, involves creating a small pouch at the top of the stomach and connecting it directly to the small intestine.
- Bypasses most of the stomach and part of the intestines.
- Results in both restriction and malabsorption for weight loss.
Key Features
- Both restrictive and malabsorptive.
- Nutrient absorption is limited.
Why is Gastric Sleeve or Gastric Bypass Needed?
These surgeries are typically recommended for:
- Severe obesity (BMI ≥40) or obesity with comorbid disease of diabetes.
- Failure of non-surgical weight loss methods.
- Morbidities caused by obesity, like hypertension, sleep apnea or joint pain.
Types of Gastric Sleeve and Gastric Bypass
Gastric Sleeve
- Standard Sleeve Gastrectomy: Removes most of the stomach.
- Single-Incision Sleeve: Uses a single incision for minimal scarring.
Gastric Bypass
- Roux-en-Y Gastric Bypass: Standard procedure bypassing part of the stomach and intestine.
- Mini-Gastric Bypass: A simplified version with fewer anastomoses.
Procedure Steps for Gastric Sleeve
- Anesthesia providers administer general anesthesia.
- The surgeon makes small incisions to insert surgical tools.
- The surgical team removes about 80% of the stomach.
- The surgeon staples the remaining stomach to form a sleeve.
Procedure Steps for Gastric Bypass
- General anesthesia is administered.
- A small stomach pouch is created.
- A portion of the small intestine is bypassed.
- The pouch is connected to the remaining small intestine.
Benefits of Gastric Sleeve vs. Gastric Bypass
Gastric Sleeve
- A simpler procedure with fewer complications.
- Lower risk of nutrient deficiencies.
- Shorter surgery and recovery time.
Gastric Bypass
- Greater weight loss potential.
- Better for resolving obesity-related conditions like Type 2 diabetes.
Risks and Complications
Gastric Sleeve Risks
- Acid reflux.
- Staple line leaks.
- Risk of weight regain.
Gastric Bypass Risks
- Dumping syndrome.
- Nutritional deficiencies (vitamins, minerals).
- Higher risk of surgical complications.
Cost of Bariatric Surgery in India Compared with the USA
India
- Gastric Sleeve: $4,500–$7,000
- Gastric Bypass: $6,000–$9,000
USA
- Gastric Sleeve: $15,000–$25,000
- Gastric Bypass: $20,000–$30,000
India provides cost advantages with highly skilled surgeons, which results in a high popularity amongst medical tourists.
Top Hospitals in India for Bariatric Surgery
- Metro Multispeciality Hospital Faridabad Delhi.
- Apollo Hospitals, Chennai
- Fortis Hospital, Delhi
- Max Super Specialty Hospital, Gurgaon
- Medanta The Medicity, Gurgaon
