Which Bariatric or Metabolic Operation is right for me?

Blackrock WeightCare — Fri, 27 Oct 2023 08:19:45 +0000

The choice of bariatric operation that is right for you can be confusing.

There are advantages and disadvantages to all procedures and unfortunately no magic equation or algorithm which can dictate which operation each individual patient should have. Sometimes there is a clear clinical indication that influences the choice of procedure, for example, a patient with significant acid reflux should avoid a sleeve operation. For others, the choice of operation is influenced by both patient preference and sometimes surgeon bias.

Patients often know someone who “did well’ after a particular operation and this can be a strong influence. No matter what operation you feel is right for you, it is important to discuss the advantages and disadvantages of the possible procedures with your surgeon. Of course, you may get differing opinions from different surgeons!

We’ve created a useful table to compare bariatric and metabolic treatments so you can better inform yourself of the best choice for you. If you’re still unsure, get in touch with our team and we can discuss our treatment options in more detail.

	SADI-S	RYGB	OAGB	Sleeve
Full Name	Single Anastomosis Duodeno-Ileal Bypass – with Sleeve	Roux-en-Y Gastric Bypass	One Anastomosis Gastric Bypass	Sleeve Gastrectomy
Mechanism	Restrictive and Malabsorptive	Restrictive and Malabsorptive	Restrictive and Malabsorptive	Restrictive
Anastomosis	One	Two	One	None
Advantages	High weight loss High resolution of comorbidities Low incidence of dumping syndrome	High weight loss Good resolution of comorbidities The established procedure with long-term data	High weight loss, Simpler procedure than RYGB Fewer potential complications	High weight loss Low operative risk Lower cost than other procedures
Disadvantages	Nutritional deficiencies Higher risk of diarrhoea and foul-smelling stool	Higher risk of complications such as dumping syndrome Bowel obstruction or ulcers	Risk of significant bile reflux Questions regarding the effect of long-term bile reflux into the stomach	Risk of heartburn reflux Potential for inadequate weight loss or weight regain
Average Weight Loss	70-80% of excess weight	60-70% of excess weight	60-70% of excess weight	50-60% of excess weight

	SADI-S	RYGB	OAGB	Sleeve
Robotic Operating Time	75-100 minutes	50-80 minutes	50-80 minutes	30-50 minutes
Hospital Stay	2 days	1-2 days	1-2 days	1-2 days
Recovery Time	2-3 weeks	2-3 weeks	2-3 weeks	2-3 weeks

At Blackrock WeightCare we offer our patients several possibilities. While the mainstay operations remain RYGB and Sleeve Gastrectomy – both OAGB and SADI-S can be good choices for selected patients. We anticipate that the benefits of the SADI-S procedure will see it become a much more common procedure in the years ahead, particularly for those with a BMI of over 45-50. See our thoughts on why in our other blog in relation to this, here.

Ultimately, we all need to remember that surgery is not a cure for obesity. It is a fantastic treatment which must be integrated into your plan for lifestyle change. That is why Blackrock WeightCare provides all of our patients with a comprehensive follow-up program of care which includes regular contact with your surgeon, superb dietitians, specialist nurses, endocrinologists to look after your medical health, physiotherapists to advise you on activity after surgery and psychologist as needed.

Contact us to make your appointment today. We see all enquiries promptly. We will check your insurance for you and we treat all patients with openness, honesty and dignity – the core values of our team.

Your Health. We Care

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bariatric surgery procedures Archives - Blackrock WeightCare

Which Bariatric or Metabolic Operation is right for me?