| Advantages |
Disadvantages |
| Laparoscopic Adjustable Gastric Banding |
|
• Fewer perioperative risks
|
• Complex follow-up (band adjustments)
|
|
• Outpatient surgery
|
• Requires high commitment from the patient
|
|
• Reversibility
|
• High risk of reoperations
|
|
• No metabolic complications
|
• Reduced maintenance of weight loss
|
| Sleeve Gastrectomy |
|
• Super-obese, high risk and older patients
|
• Long stapler line
|
|
• Multi operate abdomens
|
• Irreversibility
|
|
• Does not need an implantable device
|
• Vitamin B12 deficiency
|
|
• Low incidence of complications and mortality
|
|
|
• Reduced metabolic complications
|
|
|
• Long-term weight loss
|
|
|
• Resolution of comorbidities
|
|
|
• Minimized ulcerogenity
|
|
| Roux-en-Y Gastric Bypass |
|
• Faster weight loss
|
• Technically complex
|
|
• Simpler follow-up
|
• Irreversibility
|
|
• Does not need an implantable device
|
• High risk of short-term complications
|
| |
• High incidence of dumping syndrome
|
| Biliopancreatic Diversion ± Duodenal Switch |
|
• Greater weight reduction
|
• Major abdominal surgery
|
|
• Best results in resolution of comorbidities
|
• High incidence of long-term complications
|
|
• Does not need an implantable device
|
• Malabsorptive syndrome
|
| |
• Nutrients and vitamins deficiencies
|
| |
• Irreversibility
|