Calipers measuring fat on stomach

Comparing Bariatric Surgery Options

There are many different bariatric procedures available. It can be difficult to pick an ideal weight loss surgery for your needs.

Dr. Matthew St. Laurent takes time to discuss all bariatric surgery options so patients in the Houston, TX, area can achieve a lower BMI.

Let's compare gastric bypass, gastric banding, gastric sleeve (sleeve gastrectomy), loop duodenal switch (SADI-S), and the Orbera® gastric balloon...

Procedure

Gastric Bypass

Gastric Banding

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

Gastric Bypass

Gastric Band

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

  • Minimally invasive laparoscopic surgery
  • Shrinks stomach and reroutes the small intestine
  • Potentially reversible
  • Minimally invasive laparoscopic surgery
  • Places a band to alter the size of the stomach without stapling or incisions
  • Reversible
  • Minimally invasive laparoscopic surgery
  • Removes part of the stomach to reduce overall size
  • Not reversible
  • Minimally invasive laparoscopic surgery
  • Changes stomach and reroutes the small intestine
  • Not reversible
  • Non-surgical procedure
  • No general anesthesia
  • No stomach stapling, cutting, or intestinal rerouting
  • Reversible

Implanted Device

Gastric Bypass

Gastric Banding

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

Gastric Bypass Gastric Band Sleeve Gastrectomy Loop Duodenal Switch (SADI-S) Orbera Gastric Balloon
  • No medical devices implanted in the body
  • Requires an implanted gastric band
  • No medical devices implanted in the body
  • No medical devices implanted in the body
  • Requires a temporary intragastric balloon

Advantages

Gastric Bypass

Gastric Banding

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

Gastric Bypass Gastric Band Sleeve Gastrectomy Loop Duodenal Switch (SADI-S) Orbera Gastric Balloon
  • Rapid initial weight loss
  • Slight increase in total loss of weight
  • Addresses comorbidities and conditions associated with obesity
  • Improved health and quality of life
  • Low mortality rate
  • Low complication rate
  • No changes to digestion or nutrient absorption
  • No dumping syndrome
  • Addresses comorbidities associated with obesity
  • Improved health and quality of life
  • Low mortality rate
  • Low complication rate
  • Rapid initial weight loss
  • Less complicated than bypass and SADI-S
  • No changes to digestion or nutrient absorption
  • No dumping syndrome
  • Addresses comorbidities associated with obesity
  • Improved health and quality of life
  • Low complication rate
  • Rapid initial weight loss
  • Increased total loss of weight compared to bypass and sleeve
  • No dumping syndrome
  • Addresses comorbidities associated with obesity
  • Improved health and quality of life
  • Low mortality rate
  • Low complication rate
  • No changes in digestion or nutrient absorption
  • No dumping syndrome
  • Addresses comorbidities associated with obesity
  • Improved health and quality of life
  • Lowest mortality rate
  • Lowest risk of surgical complications

Risks and Complications

Gastric Bypass

Gastric Banding

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

Gastric Bypass Gastric Band Sleeve Gastrectomy Loop Duodenal Switch (SADI-S) Orbera Gastric Balloon
  • Changes digestive process, with a chance of vitamin and mineral deficiencies
  • Staple separation or gastric leak
  • Potential difficulty seeing some organs with x-ray or endoscopy
  • Ulcers
  • Dumping syndrome
  • Increased gas
  • Band slippage, leakage, or erosion
  • Port may dislodge
  • Tube and port complications (kinks, infection, and disconnection)
  • Esophageal spasm
  • Inflammation of the esophagus (esophagitis)
  • Gastroesophageal reflux disease (GERD)
  • Staple separation or gastric leak
  • Ulcers
  • Dyspepsia (upset stomach or indigestion)
  • Esophageal dysmotility
  • Fistula (an abnormal connection between organs or vessels)
  • Changes digestive process, with a chance of vitamin and mineral deficiencies
  • Staple separation or gastric leak
  • Potential difficulty seeing some organs with x-ray or endoscopy
  • Ulcers
  • Dyspepsia (upset stomach or indigestion)
  • Frequent bowel movements
  • Cramps and nausea during first week to two weeks
  • Intragastric balloon deflation
  • Possible gastric erosion or ulcer without the use of antacid medication

Kristal's Story She Lost a Total of 240 Pounds

Kristal Maris felt there were issues with the gastric bypass surgery she underwent in 2004. After considering her options, she underwent bariatric revision surgery with Dr. St. Laurent. Since the bariatric surgery revision at our office serving the greater Houston area, she lost an additional 140 pounds on top of her original 100 pounds. Positive results like these are possible.

Recovery

Gastric Bypass

Gastric Banding

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

Gastric Bypass Gastric Band Sleeve Gastrectomy Loop Duodenal Switch (SADI-S) Orbera Gastric Balloon
  • Return to normal activity within one week
  • Full recovery within two to three weeks
  • Return to normal activity within one week
  • Full recovery within two to three weeks
  • Return to normal activity within one week
  • Full recovery within two to three weeks
  • Return to normal activity within one week
  • Full recovery within two to three weeks
  • Return to normal activity within one week
  • Full recovery within two to three weeks

Follow-Up Care

Gastric Bypass

Gastric Banding

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

Gastric Bypass Gastric Band Sleeve Gastrectomy Loop Duodenal Switch (SADI-S) Orbera Gastric Balloon
  • Follow-up visits every two to three months during the first year to two years
  • Annual follow-up visits once patient achieves a stable weight
  • Follow-up visits and band adjustments every four to six weeks for the first year to two years
  • Annual follow-up visits once patient achieves a stable weight
  • Follow-up visits every two to three months during the first year to two years
  • Annual follow-up visits once patient achieves a stable weight
  • Follow-up visits every two to three months during the first year to two years
  • Annual follow-up visits once patient achieves a stable weight
  • Follow-up visits every four weeks for the first year
  • Annual follow-up visits once patient achieves a stable weight

Weight Loss and BMI

Gastric Bypass

Gastric Banding

Sleeve Gastrectomy

Loop Duodenal Switch (SADI-S)

Orbera Gastric Balloon

Gastric Bypass Gastric Band Sleeve Gastrectomy Loop Duodenal Switch (SADI-S) Orbera Gastric Balloon
  • Rapid weight loss for the first three to six months
  • Final weight achieved 18-24 months after weight loss surgery
  • Gradual and steady weight loss
  • Final weight achieved five years after weight loss surgery
  • Approximately 50-70 percent of total weight in the first year after weight loss surgery
  • Approximately 80 percent of total weight loss achieved by the end of year two
  • Rapid weight loss for the first three to six months
  • Final weight achieved 18-24 months after weight loss surgery
  • Steady loss of weight while the balloon is in place for the first six months
  • Slower loss of weight once balloon is removed
  • Final weight achieved at the end of a year

Which Bariatric Surgery Is the Right One for Me?

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Gastric sleeve, gastric banding, gastric bypass surgery, and other procedures can be effective tools for reducing BMI, lowering your blood pressure, and improving your health. Laparoscopic techniques have made these surgeries safer and more effective than ever before. During your visit with Dr. St. Laurent, he can compare different surgical options and determine which would be most effective for your weight loss journey.

5-Star Bariatric Surgery Helping the People of Houston Make Informed Decisions

1

Tiffany Cleveland

2021

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Dr. St. Laurent and his staff are amazing. Everything they told me about my surgery was spot on from day to day. Best EndoSurgical doctor in the state of Texas. I strongly recommend him.

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1

Norma Rouchon

2021

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The most beautiful and professional people I have ever met. The team is courteous and organized. Your health concerns are thoroughly addressed, the procedure is thoroughly explained, and they don't waste your time.

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Dr. Matthew St. Laurent

Northwest Endosurgical

At Northwest EndoSurgical in Houston, Texas, Dr. Matthew St. Laurent helps patients achieve dramatic weight loss and improved health through bariatric surgery. Dr. St. Laurent is one of the most experienced bariatric surgeons in greater Houston, and he is affiliated with several professional organizations, including:

  • The American Society for Metabolic and Bariatric Surgery
  • The American College of Surgeons
  • The Society of American Gastrointestinal Endoscopic Surgeons
  • The Obesity Action Coalition
  • The American Medical Association
  • The Texas Medical Association
  • The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)

To schedule a consultation, book online or give us a call at (281) 921-1890.

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