Gastric Bypass vs Sleeve. Which Offers Better Long-Term Weight Loss?

Choice of the procedure does depend on various factors whether the patient has deficiencies, whether the patient is looking for a procedure which is more natural without side effects, or whether the patient is looking for a procedure with fat malabsorption.

If a patient is looking for a procedure with a minimal side effects, sleeve gastrectomy is an ideal procedure, especially for young girls prior to pregnancies, elderly those with existing severe deficiencies, those with some intestinal diseases.

However, if the diabetes is of a longer duration, patient is on insulin, patient’s BMI is high, patient can accept vitamin supplements, patient is a non vegetarian and he is looking for a procedure where he can consume meat with oil and still maintain weight loss. For such patients, gastric bypass can be an option.

There are different types of gastric bypass procedures ruin by gastric bypass,  Anastomosis Gastric bypass and very recently there is a double channel gastric bypass called SASI or transit by partition which can ideally give best benefits of sleeve and the benefits of bypass without side effects of any. So then the ideal answer would be something in between.

Sleeve jejunal bypass where food can be absorbed as well as there could part of the food can go and have fat malabsorption and have hormonal stimulation would be an ideal answer for everyone. However, the decision of the choice of procedure is taken with patient, relatives, clinicians, dietitian and surgeons together. After brainstorming the requirements and expectations of the procedure.