Skip to main content

Bariatric Surgery: Choice of Operative Procedure

  • Chapter
The SAGES Manual of Strategic Decision Making

Several options exist for minimal access bariatric surgery for morbid obesity. This chapter explores the specific choice between two procedures—the laparoscopic adjustable gastric band, and the laparoscopic Roux-en-Y gastric bypass. Details on both procedures and on laparoscopy in the morbidly obese are given in the SAGES manuals.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Biertho L, Steffen R, Ricklin T, et al. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding: a comparative study of 1,200 cases. J Am Coll Surg 2003;197(4):536-544.

    Article  PubMed  Google Scholar 

  • DeMaria EJ, Sugerman HJ, Meador JG, et al. High failure rate after laparoscopic adjustable sili-cone gastric banding for treatment of morbid obesity. Ann Surg 2001;233(6):809-818.

    Article  CAS  PubMed  Google Scholar 

  • Doherty C, Maher JW, Heitshusen DS. Long-term data indicate a progressive loss in effi-cacy of adjustable silicone gastric banding for the surgical treatment of morbid obesity. Surgery 2002;132(4):724-727.

    Article  PubMed  Google Scholar 

  • Fernandez AZ Jr, DeMaria EJ, Tichansky DS, et al. Experience with over 3,000 open and laparoscopic bariatric procedures: multivariate analysis of factors related to leak and resultant mortality. Surg Endosc 2004;18(2):193-197.

    Article  PubMed  Google Scholar 

  • Griffin WO Jr, Young VL, Stevenson CC. A prospective comparison of gastric and jeju-noileal bypass procedures for morbid obesity. Ann Surg 1977;186(4):500-509.

    Article  Google Scholar 

  • Laws HL, Piantadosi S. Superior gastric reduction procedure for morbid obesity: a pro-spective, randomized trial. Ann Surg 1981;193(3):334-340.

    Article  CAS  PubMed  Google Scholar 

  • Maggard MA, Sugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obes-ity. Ann Intern Med 2005;142:547-559.

    PubMed  Google Scholar 

  • Nguyen NT, Goldman C, Rosenquist CJ, et al. Laparoscopic versus open gastric bypass: a rand-omized study of outcomes, quality of life, and costs. Ann Surg 2001;234(3):279-289.

    Article  CAS  PubMed  Google Scholar 

  • Pories WJ, Flickinger EG, Meelheim D, Van Rij AM, Thomas FT. The effectiveness of gastric bypass over gastric partition in morbid obesity: consequence of distal gastric and duodenal exclusion. Ann Surg 1982;196(4):389-399.

    Article  CAS  PubMed  Google Scholar 

  • Snow V, Barry P, Fitterman N, et al. Pharmacologic and surgical management of obesity in primary care: a clinical practice guideline from the American College of Physicians. Ann Intern Med 2005;142:525-531.

    PubMed  Google Scholar 

  • Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastro-plasty and Roux-en-Y gastric bypass for morbid obesity with selective versus random assignment. Am J Surg 1989;157(1):93-102.

    Article  CAS  PubMed  Google Scholar 

Suggested Readings

  • Chapman AE, Kiroff G, Game P, et al. Laparoscopic adjustable gastric banding in the treatment of obesity: a systematic literature review. Surgery 2004;135:326-351.

    Article  PubMed  Google Scholar 

  • DeMaria EJ. Is gastric bypass superior for the surgical treatment of obesity compared with malabsorptive procedures? J Gastrointest Surg 2004;8(4):401-403.

    Article  PubMed  Google Scholar 

  • Fisher BL. Comparison of recovery time after open and laparoscopic gastric bypass and laparoscopic adjustable banding. Obes Surg 2004;14:67-72.

    Article  PubMed  Google Scholar 

  • Higa KD, Boone KB, Ho T, Davies OG. Laparoscopic Roux-en-Y gastric bypass for mor-bid obesity: technique and preliminary results of our first 400 patients. Arch Surg 2000;135(9):1029-1033.

    Article  CAS  PubMed  Google Scholar 

  • Jones DB, Provost DA, DeMaria EJ, Smith CD, Morgenstern L, Shirmer B. Optimal man-agement of the morbidly obese patient. Surg Endosc 2004;18:1029-1037.

    Article  CAS  PubMed  Google Scholar 

  • NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med 1991;115(12):956-961.

    Google Scholar 

  • O’Brien PE, Dixon JB. Lap-Band®: Outcomes and results. J Laparoendosc Adv Surg Tech 2003;13:265-270.

    Article  Google Scholar 

  • O’Brien PE, Dixon JB, Brown W. Obesity is a surgical disease: Overview of obesity and bariatric surgery. ANZ J Surg 2004;74:200-204.

    Article  PubMed  Google Scholar 

  • Ren CJ, Horgan S, Ponce J. US experience with the LAP-BAND system. Am J Surg 2002;184(6B):46S-50S.

    Article  PubMed  Google Scholar 

  • Rubenstein RB. Laparoscopic adjustable gastric banding at a U.S. center with up to 3-year follow-up. Obes Surg 2002;12(3):380-384.

    Article  PubMed  Google Scholar 

  • Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparo-scopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg 2000;232(4):515-529.

    Article  CAS  PubMed  Google Scholar 

  • Shen R, Dugay G, Rajaram K, Cabrera I, Siegel N, Ren CJ. Impact of patient follow-up on weight loss after bariatric surgery. Obes Surg 2004;14:514-519.

    Article  PubMed  Google Scholar 

  • Steinbrook R. Surgery for severe obesity. N Engl J Med 2004;350(11):1075-1079.

    Article  CAS  PubMed  Google Scholar 

  • Weber M, Muller MK, Bucher T, et al. Laparoscopic gastric bypass is superior to laparo-scopic gastric banding for treatment of morbid obesity. Ann Surg 2004;240:975-983.

    Article  PubMed  Google Scholar 

  • Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux en-Y-500 patients: technique and results, with 3-60 month follow-up. Obes Surg 2000;10:233-239.

    Article  CAS  PubMed  Google Scholar 

  • Zinzindohoue FC, Chevallier JM, Douard R, et al. Laparoscopic gastric banding: a mini-mal invasive surgical treatment for morbid obesity. A prospective study of 500 con-secutive patients. Ann Surg 2003;237:1-9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Chung, J.Y., Myers, J.A., Jamal, M. (2008). Bariatric Surgery: Choice of Operative Procedure. In: Scott-Conner, C.E.H. (eds) The SAGES Manual of Strategic Decision Making. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76671-3_21

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-76671-3_21

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-76670-6

  • Online ISBN: 978-0-387-76671-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics