Difference Between Gastric Sleeve and Gastric Bypass
Revealing the hidden secrets of weight loss surgeries: the difference between gastric sleeve and gastric Bypass
Bariatric surgery is one of the most effective and comprehensive surgeries compared to other weight loss programs. Bariatric surgery reduces significant amounts of weight and improves or resolves obesity-related conditions such as diabetes, high cholesterol, and high blood pressure.
Among the various bariatric procedures, gastric sleeve vs gastric bypass are two of the most popular and successful options. Both surgeries lead to substantial weight loss within one to two years, but they differ in procedure, recovery, and long-term effects. If you are considering weight loss surgery, understanding the difference between gastric sleeve and gastric bypass can help you make an informed decision.
What is the difference between gastric sleeve and gastric bypass?
Feature | Gastric Sleeve | Gastric Bypass |
Procedure | Removes 80% of the stomach | bypasses 75% of the stomach and 33% of the small intestine. |
Surgical complexity | Simple | A bit complex |
Weight loss Results | 70% of excess weight | 80% of excess weight |
Nutrient Deficiency | Mild | Moderate |
Reversibility | Irreversible | Technically reversible |
Surgery time | 45 min | 60 min |
What's the difference between gastric sleeve and gastric Bypass? Understanding the facts!
Difference between gastric sleeve and gastric bypass- Procedure
Gastric sleeve surgery is a procedure that limits food intake during meals. During the procedure, 80% of the stomach is removed, and the remaining 20% is stitched into a banana-shaped pouch. This makes you feel fuller and helps you lose extra weight.
Gastric bypass surgery, or Roux-en-Y, is both restrictive and malabsorptive. It reduces food intake and prevents the body from consuming too many calories. The stomach is bypassed into a tiny pouch, and the intestine is cut and rearranged to create an outlet into the small stomach to maintain the flow of digestive juices.
Difference between gastric sleeve and gastric bypass - Recovery
Both procedures are highly effective and minimally invasive surgeries with small incisions in the abdomen. Gastric sleeve is a one-step surgery, whereas gastric Bypass is a two-step weight loss surgery. Both procedures are done laparoscopically and require a minimum one to two-day hospital stay. Depending on the complexity of the surgery, the patients resume their routine activities after a few weeks or more.
Gastric Sleeve Vs Gastric Bypass - Complications
Bariatric surgery is generally safe, but with any surgery, there are a few expected complications, such as infection, blood clot, blood loss, postoperative pain, anaesthesia side effects, and pneumonia.
Gastric sleeve surgery is a simple procedure with a lesser chance of complications. Possible complications associated with gastric sleeve surgery include GERD or gastroesophageal reflux disorder.
Gastric Bypass is a complex procedure that increases the risk of nutrient deficiencies. The stomach and intestine are bypassed, which is essential for nutrient absorption. Possible complications after gastric Bypass include stomach ulcers.
Difference between gastric sleeve and gastric bypass - Dietary changes
Both procedures require almost similar dietary changes after the treatment. You only have to consume liquids for the initial days after surgery. After the initial days, eat pureed foods and move on to soft foods. Consume soft foods for around four to six weeks. After six weeks, eat more foods according to the diet plan.
A few diet guidelines to follow after gastric sleeve or gastric bypass surgery,
- Eat smaller portions and stop when you’re feeling full
- Eat slowly and Chew your food properly
- Stay hydrated
- Take vitamins and supplements as per the doctor’s recommendation
- Quit foods that are hard to digest, such as bread or meat
What’s the difference between a gastric bypass and a gastric sleeve: gastric sleeve vs gastric bypass pros and cons
Pros of Gastric Sleeve surgery
- Significant weight loss
- Improvement in obesity-related conditions such as high blood pressure, diabetes, cardiovascular disease, and sleep apnea.
- Patients face challenges with nutrient absorption.
Pros of Gastric bypass surgery
- Significant weight loss
- Improvement in obesity-related conditions such as high blood pressure, diabetes, cardiovascular disease, and sleep apnea.
- Achieves long-lasting results by reducing the appetite and improving the feeling of fullness.
What's the difference between gastric Bypass and gastric sleeve? How do you choose the right one for you?
To qualify for gastric Bypass vs sleeve surgery, the doctor decides based on factors such as weight goals, BMI, obesity-related conditions, and overall quality of life.
Surgery criteria | Gastric Bypass or Gastric Sleeve |
BMI 30-35 with two comorbidities | Gastric bypass or gastric sleeve |
BMI 35 and above without comorbidities | Gastric bypass or gastric sleeve |
Metabolic syndrome | Gastric Bypass |
Obesity-related condition | Gastric Bypass or gastric sleeve |
Apart from the above criteria, the doctor will review your medical condition, surgical history, and a few laboratory tests to decide the type of surgery. Moreover, doctors will suggest a few imaging tests to determine the best weight loss surgery. With expert medical guidance, both surgeries can lead to significant weight loss, improved health conditions, and make you feel better than before.
Life-changing weight loss surgeries with Dr Samir Rahmani, best bariatric surgeon
Both gastric sleeve and gastric bypass surgeries are practical tools for weight loss and improving obesity-related health conditions. Each has advantages and risks, and the choice between them should be made based on individual health needs, lifestyle preferences, and professional medical advice.
Dr Samir Rahmani is a reputed bariatric and laparoscopic surgeon specializing in minimally invasive weight loss surgeries. With clinical excellence, he strives to achieve successful results in gastric Bypass, gastric sleeve, and other weight loss procedures.
Reshape a healthier and happier lifestyle with Dr Samir Rahmani! Book your consultation today!
FAQS on difference between gastric sleeve and gastric bypass surgery
- Those with a BMI of 30 and above with comorbidities such as diabetes, hypertension, high cholesterol, fatty liver, polycystic ovary syndrome, sleep apnea, gout, infertility, arthritis, etc. Additionally, it is effective for individuals with a BMI of 35 or higher, even if they do not have comorbidities, as this stage of obesity is already associated with an increased risk of long-term health illnesses.
- Patients who prefer a more straightforward procedure without intestinal rerouting.
- This procedure is good for people with a BMI of 30-34.9 with two comorbidities such as diabetes, hypertension, high cholesterol, fatty liver, polycystic ovary syndrome, sleep apnea, gout, infertility, arthritis, etc. Additionally, it is effective for individuals with a BMI of 35 or higher, even if they do not have comorbidities, as this stage of obesity is already associated with an increased risk of long-term health illnesses.
- Patients seeking a procedure with proven long-term effectiveness for metabolic disorders.
- Those prepared for a more complex surgery and intensive follow-up care
The gastric sleeve vs gastric bypass debate is common among those considering weight loss surgery. The gastric sleeve offers durable weight loss for many patients. Still, some may experience weight regain if they don’t maintain diet and lifestyle changes.
Gastric bypass is considered the most long-lasting option, with higher rates of sustained weight loss and health improvements over time compared to the gastric sleeve, particularly for severe obesity and metabolic disorders.
Your surgeon will evaluate your BMI, health conditions, and weight loss goals to recommend the best option between gastric sleeve vs bypass. Gastric sleeve is often preferred for moderate obesity, while gastric bypass is recommended for severe obesity or conditions like type 2 diabetes.
Recovery time for gastric bypass vs sleeve is similar, but gastric bypass patients may require a slightly longer recovery due to the complexity of the surgery. Most patients return to normal activities within 4-6 weeks.
Both procedures are generally safe, but gastric bypass surgery vs sleeve has a slightly higher risk of complications due to rerouting the digestive system. However, the risks are low when performed by an experienced surgeon.
Yes, whether you undergo gastric bypass sleeve surgery, gastric sleeve, or gastric bypass, you must follow a lifelong diet plan that includes portion control, high-protein intake, and vitamin supplements.
Gastric bypass typically results in more significant weight loss compared to gastric sleeve.
Both surgeries reduce appetite by altering gut hormones, but gastric bypass generally has a stronger effect on suppressing hunger due to changes in how food is absorbed.
Gastric sleeve pros: Simpler procedure, fewer complications, and lower risk of malabsorption.
Gastric sleeve cons: Weight loss may be slower, and acid reflux can be an issue.
Gastric bypass pros: Greater weight loss, better for diabetes management.
Gastric bypass cons: More complex surgery, higher risk of nutrient deficiencies.
The choice between gastric sleeve vs gastric bypass depends on individual health needs. Gastric sleeve is a simpler procedure with a lower risk of complications, while gastric bypass may lead to more significant weight loss and is better suited for patients with severe obesity or diabetes.
The main difference between gastric bypass and gastric sleeve is how they alter the stomach and digestive system. Gastric sleeve surgery removes a portion of the stomach, reducing its size, while gastric bypass reroutes the small intestine to bypass part of the stomach, leading to reduced calorie absorption.
Yes, weight regain is possible after gastric bypass or gastric sleeve if dietary guidelines are not followed. Regular exercise and portion control are essential for maintaining long-term results.
