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Treatments
Comparative table of obesity interventions
Comparative chart of obesity operations
 |
 |
 |
 |
|
|---|---|---|---|---|
| Type of operation-> | Gastric Band | Gastric Plication | Gastric sleeve | Gastric Bypass / SADIS |
| Lost weight | YES/YES | 45-50% | 60-70% | 65-80% |
| Reversible / Possibility of change of operation | 8-9 | 45-55% | NO/YES | NO/YES |
| Degree of requirement for the patient (1 to 10) * | 6 | YES/YES | 4 | 2-3 |
| Future problems with the operation: (1 to 10) * | NO | 7 | 2 | 2 |
| Lifetime need for vitamins | NO | 4 | NO | SÍ |
| Indicated for large sweet and / or salty peckers | NO | NO | NO | SÍ |
| Indicated for patients with notable diabetes | NO | NO | Puede | SÍ |
Gastric Band
Lost weight
45-50%
Reversible / Possibility of change of operation
YES/YES
Degree of requirement for the patient (1 to 10) *
8-9
Future problems with the operation: (1 to 10)*
6
Necesidad de vitaminas de por vida
NO
Indicated for large sweet and / or salty peckers
NO
Indicated for patients with notable diabetes
NO
Gastric plication
Lost weight
45-55%
Reversible / Possibility of change of operation
YES/YES
Degree of demand for the patient (1 to 10)*
7
Future problems with the operation: (1 to 10) *
4
Lifetime need for vitamins
NO
Indicated for large sweet and / or salty peckers
NO
Indicated for patients with notable diabetes
NO
Gastric sleeve
Lost weight
60-70%
Reversible / Possibility of change of operation
NO/YES
Degree of demand for the patient (1 to 10) *
4
Future problems with the operation: (1 to 10) *
2
Lifetime need for vitamins
NO
Indicated for large sweet and / or salty peckers
NO
Indicated for patients with notable diabetes
Puede
Gastric Bypass / SADIS
Lost weight
65-80%
Reversible / Possibility of change of operation
NO/YES
Degree of demand for the patient (1 to 10) *
2-3
Future problems with the operation: (1 to 10) *
2
Lifetime need for vitamins
YES
Indicated for large sweet and / or salty peckers
YES
Indicated for patients with notable diabetes
YES
- The Gastric Tube and the Gastric Bypass or SADIS Bypass are, by far, the most effective and most used operations.
- The gastric band and gastric plication are less effective and should only be used in very specific patients who, in addition, accept their lower efficacy.
- Gastric plication is not currently accepted by scientific societies and is considered an operation under study, with insufficient results at two years.
Quality criteria and recommendations of the American Association of Bariatric Surgery (ASMBS) and the Spanish Society of Obesity Surgery (SECO)
| Type of operation-> | Gastric band | Gastric plication | Gastric sleeve | Gastric bypass / SADI-S |
|---|---|---|---|---|
| Recommended by S.C. | In disuse | In study | YES | YES |
| Reversible / Possibility of change of operation | <1% | <1% | <2% | <2% |
| Degree of demand for the patient (1 to 10) * | 0.10% | 0.10% | 0.25% | 0.25% |
