What Are the Different Types of Bariatric Surgeries/Procedures and the Unique, Clinically Relevant Features of Each?

  • Katrin TakenakaEmail author


Obesity is a global epidemic, affecting an increasing number of Americans. It has been associated with an increased incidence of comorbid conditions affecting quality of life as well as life expectancy. Because bariatric surgery has been shown to be superior to conventional therapy (e.g., diet, lifestyle modifications, medications) in reducing body mass index and improving comorbidities, bariatric surgeries and procedures are increasingly common. Bariatric surgical interventions promote weight loss by causing intestinal malabsorption and/or restricting gastric volume. They may also affect hormonal controls for appetite and satiety such as ghrelin, peptide YY, and glucagon-like peptide 1 and alter gut flora.


Gastric bypass Roux-en-Y Biliary pancreatic diversion Sleeve gastrectomy Gastric banding LAGB Intragastric balloon 


  1. 1.
    Gaetke-Udager KWA, Kaza RV, Al-Hawary MM, Maturen KE, Cohan RH. A guide to imaging in bariatric surgery. Emerg Radiol. 2014;21:309–19.CrossRefGoogle Scholar
  2. 2.
    Monkhouse SJMJ, Norton SA. Complications of bariatric surgery: presentation and emergency management – a review. Ann R Coll Surg Engl. 2009;91:280–6.CrossRefGoogle Scholar
  3. 3.
    Lehnert BMM, Osman S, Khandelwal S, Elojeimy S, Bhargava P, Katz DS. Imaging of complications of common bariatric surgical procedures. Radiol Clin N Am. 2014;52:1071–86.CrossRefGoogle Scholar
  4. 4.
    Pernar LILR, McCormack C, Chen J, Shikora SA, Spector D, Tavakkoli A, Vernon AH, Robinson MK. An effort to develop an algorithm to target abdominal CT scans for patients after gastric bypass. Obes Surg. 2016;26:2543–6.CrossRefGoogle Scholar
  5. 5.
    Wernick B, Jansen M, Noria S, Stawicki SP, El Chaar M. Essential bariatric emergencies for the acute care surgeon. Eur J Trauma Emerg Surg. 2016;42:571–84.CrossRefGoogle Scholar
  6. 6.
    Lewis KDTK, Luber SD. Acute abdominal pain in the bariatric surgery patient. Emerg Med Clin N Am. 2016;34:387–407.CrossRefGoogle Scholar
  7. 7.
    Popov VBOA, Schulman AR, Thompson CC. The impact of intragastric balloons on obesity-related co-morbidities: a systematic review and meta-analysis. Am J Gastroenterol. 2017;112:429–39.CrossRefGoogle Scholar
  8. 8.
    National Heart B and Lung Institute Obesity Education Initiative. The practical guide: identification, evaluation, and treatment of overweight and obesity in adults 2000 1 October 2017.Google Scholar
  9. 9.
    Luber SDFD, Venkat A. Care of the bariatric surgery patient in the emergency department. J Emerg Med. 2008;34:13–20.CrossRefGoogle Scholar
  10. 10.
    Edwards EDJB, Gagner M, Pomp A. Presentation and management of common post-weight loss surgery problems in the emergency department. Ann Emerg Med. 2006;47:160–6.CrossRefGoogle Scholar
  11. 11.
    Ellison SRES. Bariatric surgery: a review of the available procedures and complications for the emergency physician. J Emerg Med. 2008;34:21–32.CrossRefGoogle Scholar
  12. 12.
    Topart PBG, Ritz P. Comparative early outcomes of three laparoscopic bariatric procedures: sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 2012;8:250–4.CrossRefGoogle Scholar
  13. 13.
    Sima LVSA, Dan RG, Breaza GM, Cretu OM. Complications of Roux-en-Y gastric bypass. Chirurgia. 2013;108:180–3.PubMedGoogle Scholar
  14. 14.
    Rezvani MSI, Klar A, Bonanni F, Antanavicius G. Is laparoscopic single-stage biliopancreatic diversion with duodenal switch safe in super morbidly obese patients? Surg Obes Relat Dis. 2014;10:427–31.CrossRefGoogle Scholar
  15. 15.
    Biertho LS-HF, Marceau S, Lebel S, Lescelleur O, Biron S. Current outcomes of laparoscopic duodenal switch. Ann Surg Innov Res. 2016;10:1.CrossRefGoogle Scholar
  16. 16.
    Chang SSC, Song J, Varela E, Eagon CJ, Colditz GA. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surg. 2014;149:275–87.CrossRefGoogle Scholar
  17. 17.
    Chansaenroj PAL, Lee W, Chen S, Chen J, Ser K. Revision procedures after failed adjusted gastric banding: comparison of efficacy and safety. Obes Surg. 2017;27:2861–7.CrossRefGoogle Scholar
  18. 18.
    ORBERA Intragastric Balloon System – P14008 [press release]. 2015.Google Scholar
  19. 19.
    Yorke ESN, Reso A, Shi X, de Gara C, Birch D, Gill R, Karmali S. Intragastric balloon for management of severe obesity: a systematic review. Obes Surg. 2016;26:2248–54.CrossRefGoogle Scholar
  20. 20.
    Tate CMGA. Intragastric balloon treatment for obesity: review of recent studies. Adv Ther. 2017;34:1859–75.CrossRefGoogle Scholar
  21. 21.
    Administration UFaD. Liquid-filled Intragastric Balloon Systems: letter to healthcare providers – potential risks.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.McGovern Medical School (part of UT Health/The University of Texas Health Science Center at Houston)HoustonUSA

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