Northwest Houston Surgical Association

Compare Your Weight Loss Surgery Options

Case 23

There are not enough words in the English language to describe the gratitude and respect that I have for Dr. Jorge Leiva. I will try to make a long story short but it will be difficult. During December of 2008,…

You will work closely with one our skilled weight loss surgery specialists in Houston to determine which option is best for you. You are also encouraged to do outside research – read the literature, attend support groups, talk to others who have had bariatric surgery in Houston, and consider your options.

When you meet with any of the Northwest Houston Surgical Association surgeons for a consultation, they will carefully consider what will help you attain the best possible outcome for you and your lifestyle. They will educate you until they are convinced that you understand the risks and benefits of weight loss surgery. Houston, TX and Cypress weight loss surgery candidates can request a consultation online or by calling our office at 713-426-2400.

Obalon Balloon System Surgery Gastric Band Gastric Bypass Sleeve Gastrectomy Duodenal Switch
Procedure
  • Minimally invasive laparoscopic procedure; no stomach stapling, cutting, or intestinal re-routing
  • Reversible
  • Minimally invasive laparoscopic procedure involving multiple areas of the abdomen; changes normal process of digestion
  • Not reversible
  • Minimally invasive laparoscopic procedure; requires stapling
  • Not reversible
  • Minimally invasive laparoscopic procedure; involves the creation of gastric sleeve plus a Biliopancreatic diversion.
  • The malabsorptive component of the DS is fully reversible as no small intestine is removed; only re-routed.
  • The gastric sleeve is not reversible.
Implanted Device
  • Requires implanted medical device
  • No significant hardware in body
  • No significant hardware in body
  • No
Advantages
  • No change to normal digestion or nutrient absorption
  • Lower risk of surgical complications
  • No Dumping Syndrome
  • Lowest mortality rate
  • Improved or resolved conditions associated with obesity
  • Improved quality of life
  • Rapid initial weight loss
  • Slightly increased total weight loss
  • Improved or resolved conditions associated with obesity
  • Improved quality of life
  • Low mortality rate
  • Low complication rate
  • Suited for patients with health conditions that do not make them good candidates for other weight loss surgeries
  • Leaves stomach openings intact so digestion occurs normally
  • Lower risk of surgical complications
  • No Dumping Syndrome
  • Improved or resolved conditions associated with obesity
  • Improved quality of life
  • The combination of moderate intake restriction with substantial calorie malabsorption results in a higher percentage of excess weight loss.
  • Lower risk of significant weight regain.
  • Type 2 diabetics have had a 98% “cure”.hyperlipidemia 99%,sleep apnea 92%,hypertension 83%.
  • Much of the production of the hunger hormone, ghrelin, is removed with the greater curvature of the stomach.
Risks or Complications
  • Band may slip, leak or erode; port may dislodge
  • Tube and port complications (kinking, infection and disconnection)
  • Esophageal spasm
  • Gastroesophageal reflux disease (GERD)
  • Inflammation of the esophagus or stomach
  • Changes normal digestion
  • Staple separation or leakage
  • Potential inability to see some organs with x-ray or endoscopy
  • Ulcers
  • Dumping syndrome
  • Increased gas
  • Staple separation or leakage
  • Ulcers
  • Dyspepsia (upset stomach or indigestion)
  • Esophageal dysmotility
  • Fistula (an abnormal connection between organs or vessels)
  • Same potential complications as gastric sleeve-frequent and liquid bowel movements.
  • Abdominal bloating
  • Malnutrition, anemia, lifelong vitamin supplement requirements
  • Increased risk of gallstone formation
  • Potential intestinal irritation and ulcers
Recovery

Normal activity within one week; full recovery within two to three weeks

Normal activity within one week; full recovery within two to four weeks

Normal activity within a few days; full recovery within two to four weeks

Normal activity within a few days; full recovery within two to four weeks

Follow-Up

Slow and steady weight loss, settling at final weight around five years after surgery

Regular follow up to track progress

Regular follow up to track progress

Every 3 months the first year; every 6  months thereafter

Weight Loss

Rapid weight loss over 3-6 months, settling at final weight 18-24 months after surgery

Rapid weight loss over 3-6 months, settling at final weight 18-24 months after surgery

About 50% of desired weight loss within two years; about 80% of desired weight loss at about three years. Patients with a BMI > 60 may require additional malabsorptive procedure to achieve total weight loss goal.

Higher weight loss of all the procedures with higher risk of side effects or complication.

If you’re ready to improve your life, request a consultation online or call our office at 713-426-2400 for more information.