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Renovated Me

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Which is better Gastric Sleeve or Gastric Bypass?

Bariatric surgery options:You are eligible for bariatric surgery if your body mass index (BMI) is:40 or higher.  Between 35 and 40, and you have diabetes, high blood pressure, high cholesterol, fatty liver disease or sleep apnea. Between 30 and 35, and you have uncontrolled diabetes.

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Gastric Bypass Surgery

Gastric bypass surgery:

The basics: Roux-en-Y gastric bypass surgery is an operation that shrinks your stomach, along with the amount of calories and fat your body absorbs.

Who it’s good for:

  • People with severe reflux disease: Acid reflux often improves after gastric bypass surgery.
  • People with high BMIs: People lose more weight with gastric bypass.
  • People with diabetes.

Complications specific to gastric bypass include:

  • a higher risk of nutritional deficiencies due to bypassing part of your small intestine increased sensitivity to alcohol
  • stomach ulcers
  • bowel obstruction
  • stomach perforation

Gastric Sleeve Surgery

The basics: Also known as the gastric sleeve, sleeve gastrectomy surgery involves operating only on the stomach. Surgeons remove around 80 to 85% of it, leaving a smaller “sleeve” in its place.

Who it’s good for:

  • People who have had multiple abdominal surgeries.
  • High-risk surgical patients: Sleeve gastrectomy is easier on patients than gastric bypass: The anaesthesia time is shorter, and the recovery is faster. High-risk patients include people with severe heart disease or lung problems, plus transplant candidates or recipients.
  • People who weigh more than 450 to 500 pounds: Too much fat can limit the amount of space inside the abdomen. Surgeons need room to reroute the GI tract.
  • People on multiple medications to treat psychiatric illness: Gastric bypass can affect how your body absorbs — and responds to — medications.

Complications specific to gastric sleeve surgery include:

  • acid reflux
  • leakage of stomach fluid
  • narrowing (stenosis) along the stomach pouch
  • stomach obstruction

Source: https://health.clevelandclinic.org/how-to-choose-the-best-bariatric-surgery-solution/

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