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Random Security Code 65

Graphical Comparison of Weight Loss Surgical Procedures


before
after

 

Duodenal Switch Normal Anatomy
  • Approximately 75% of the stomach is removed (irreversible)
  • Full Volume of the stomach
  • The small bowel rerouted to limit Fat and protein absorption
  • Full absorption of Fat, Protein and Carbohydrate take place
  • Gallbladder removed
  • Gallbladder functions
before
after

 

Sleeve Gastrectomy Normal Anatomy
  • Approximately 75% of the stomach is removed (irreversible)
  • Full Volume of the stomach
  • Full absorption of Fat, Protein and Carbohydrate take place
  • Full absorption of Fat, Protein and Carbohydrate take place
before
after

 

Gastric Bypass (RNY) Normal Anatomy
  • A small pouch of the stomach is connected to a segment of small bowel- No stomach removed
  • Full Volume of the stomach
  • Food enters the small bowel bypassing most of the stomach and the pyloric valve
  • Food passes the pyloric valve in a controlled fashion
before
after

 

Duodenal Switch Sleeve Gastrectomy
  • Approximately 75% of the stomach is removed (irreversible)
  • Approximately 75% of the stomach is removed (irreversible)
  • The small bowel is rerouted to limit Fat and Protein absorption
  • Full absorption of Fat, Protein and Carbohydrate take place
  • Gallbladder removed
  • Gallbladder not removed
before
after

 

Duodenal Switch Gastric Bypass (RNY)
  • Approximately 75% of the stomach is removed (irreversible)
  • A small pouch of the stomach is connected to a segment of small bowel- No stomach removed
  • The small bowel is rerouted to limit Fat and Protein absorption
  • Full absorption of Fat, Protein and Carbohydrate take place
  • Gallbladder removed
  • Gallbladder not removed
before
after

 

Adjustable Gastric Band Sleeve Gastrectomy
  • Creates a flow restriction barrier?
  • Approximately 75% of the stomach is removed (irreversible)
before
after

 

SADI Normal Anatomy
  • Approximately 75% of the stomach is removed (irreversible)
  • Full Volume of the stomach
  • The small bowel rerouted to limit Fat and protein absorption
  • Full absorption of Fat, Protein and Carbohydrate take place
  • Small bowel is maintained in one loop.
  • Small Bowel in one channel
  • The long term outcome is unknown
  • -
  • Theoretical chance of Bile reflux gastritis
  • Bile reflux with incompetent pyloric valve
before
after

 

SADI Duodenal Switch
  • Approximately 75% of the stomach is removed (irreversible)
  • Approximately 75% of the stomach is removed (irreversible)
  • The small bowel rerouted to limit Fat and protein absorption
  • The small bowel rerouted to limit carbohydrate, fat and protein absorption
  • Gallbladder removed
  • Gallbladder removed
  • Small bowel is maintained in one loop.
  • Small Bowel in two parallel channels
  • The long term outcome is unknown
  • Long term outcome known
  • Theoretical chance of Bile reflux gastritis
  • No Chance of Bile reflux