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Three Types of Most Commonly Performed Bariatric Surgery Procedures Sleeve Gastrectomy Restrictive Procedure No Foreign Body Equal weight loss to Gastric Bypass No Nutritional Difficulties Restrictive Surgery Relatively easy surgical procedure Less dietary deficiencies Less weight loss More late failures due to dilation Less effective with sweet eaters Significant dietary compliance Roux-en-Y Gastric-Bypass Long term sustained weight loss No protein-calorie malabsorption Little vitamin or mineral deficiencies Technically difficult procedure How does the Gastric-Bypass work? A small, 15 to 20cc, pouch is created at the top of the stomach. The small bowel is divided. The biliopancreatic limb is reattached to the small bowel. The other end is connected to the pouch, creating the Roux limb. The small pouch releases food slowly, causing a sensation of fullness with very little food. The biliopancreatic limb preserves the action of the digestive tract.

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