by Serena Gordon
. Health reporter
Trick For Weight Loss - Which Weight-Loss Surgery Is Best?
Tuesday, (Health News) - Deciding to have weight loss surgery is sturdy enough, but you have to choose between various procedures - each with different risks and potential weight loss .
So how do you decide what is best for you?New search that compares three types of weight loss surgery in more than 46,000 patients can help. The three types of surgery included gastric bypass, sleeve gastrectomy and adjustable gastric bands (also known as band back).
The study found that gastric bypass surgery has had the highest weight loss - both short and long-term. But this procedure also had the highest rates of complications in the month following surgery."There is trade-offs. Bypass is more effective for weight loss, but has a higher risk of short-term complications. People need to consider," What more value? "Is safety your biggest concern? Or is it the magnitude of weight loss?" Said the main author of Dr. David Arterburn. He is a senior researcher at Kaiser Permanent Washington Health Research Institute in Seattle.
Arterburn added that it is important to consider other weight loss treatments such as medication.
Almost 25,000 people in the study had gastric bypass roux-en-en-y. This procedure involves making the stomach smaller and ignoring part of the small intestine, according to the National Institute of Diabetes and Digestive Diseases and RIM (NIDDK) US. After this surgery, people get fuller than much less food, and the body does not Absorbs so many calories.
Almost 19,000 people in the study had mango gastrectomy, which involves taking out a portion of your stomach so that you get more fluffy.
Finally, more than 2,500 people had adjustable backband surgery. A surgeon puts an inflatable band around the top of his stomach, leaving only a small bag that can be filled with food. The rest of his stomach is filled with a balloon containing saline solution which is attached to the band, according to NIDDK. Arterburn said this procedure fell out of favor in recent years.
The study found that the gastric bypass seemed to be more effective for weight loss:
- Gastric bypass surgery resulted in a mean loss of 31% of total body weight in the first year and 25% of total body weight after five years.
- Gastrectomy of mango led to a loss of 25 percent in total body weight in the first year and 19 percent loss of total body weight after five years.
- Adjustable, gastric band led to a total weight loss of 14% after one year and 12% at five years.
For the average person of this study, there was a difference in weight loss of 19 pounds between bypass and mango procedures after five years. The average person of this study weighed 277 pounds before surgery, the researchers said.
But the rate of 30 days of serious complications for the gastric bypass was almost twice the risk of the mango procedure. The rate of complications within 30 days after surgery was 5% for gastric bypass, 2.6 percent for glove gastrectomy and 2.9% for adjustable gastric bands.
The complications measures in the study included death, reoperation / repair procedures, clots or failures to be discharged from the hospital within 30 days.Gastric bypass and sleeve gastrectomy are similar in terms of cost, according to Arterburn. Each procedure calculates the average between $ 20,000 and $ 30,000, it estimated. The adjustable gastric band is less expensive and can average around $ 15,000, he watched him. Insurance coverage for these procedures varies greatly, and not everyone will cover weight loss surgery.
dr. Mitchell Roslin, director of the Bariatric Surgery Program at Northern Westchester Hospital, on Mount Kisco, N.Y, said that people should not focus only on total weight loss when trying to select a procedure.
"There is no perfect way. The more we changed the body, the greater the weight loss, but the complications can be larger. There is no single size - all weight loss surgery," said Roslin, who was not involved with the study.
"The decision really requires detailed talk and education. You need to understand your own individual medical and objective issues," he said.
Arterburn added that people should look for a surgeon who has experience in various weight loss procedures.
"Not every surgeon is equally comfortable with all procedures. Have a conversation with a surgeon who does all the surgeries, so the conversation is about what's right for you," he said.
The discoveries were published October 29 in the anais of internal medicine.
