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Comparison of Restrictive & Malabsorptive Procedures

Weight loss success rates of restriction/malabsorption surgery
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Restriction Compared With Malabsorption Surgeries

Although all successful candidates for bariatric weight loss surgery need to be suffering from serious or morbid obesity, and unable to lose weight by conventional dietary methods, patient needs differ. While some patients prefer a less drastic surgical option, others require a more extreme type of weight-reduction operation in order to facilitate compliance.

Less Drastic Restrictive Procedures

Bariatric surgeons have devised restrictive surgeries (eg. lapband) designed to restrict food intake by shrinking the stomach. Such operations may be completely reversible, though being less compulsive they require more dietary-control from patients.

More Drastic Malabsorptive Surgeries

Weight loss surgeons have also developed a range of malabsorptive surgeries (eg. roux-en-y gastric bypass) which involve permanent changes to the anatomy of the normal digestive process. These compel the patient to eat less, and absorb fewer calories, as well as nutrients.

Success Rates of Restrictive and Malabsorptive Surgery

Patients who undergo restrictive weight loss surgeries typically lose less weight and have a higher rate of weight regain than patients undergoing malabsorptive operations.

Which is Better - Restriction or Malabsorption

It depends on several things, including the obese patient. For example, patients suffering from malignant obesity (BMI 50+) whose life depends on massive weight reduction may benefit more from malabsorptive surgery, because it is more compulsive and requires slightly less patient compliance as far as calorie-intake is concerned. However, if the patient has a high degree of motivation to change their eating and exercise habits, then the more flexible and less permanent restrictive surgery may be best. However, both types of surgical procedure depend on post-operative patient lifestyle changes in order to guarantee lasting weight loss.

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources