What Are The Risks Of Bariatric Surgery – We can confidently say that all the bariatric procedures we offer are safe, and gastric banding, being the least invasive, is the safest weight loss surgery.
In fact, bariatric surgery is one of the safest forms of surgery today, with a very low mortality rate nationwide. In patients with a healthier weight, the gastric band has a mortality rate of 0%. In fact, it’s the same for every weight loss procedure we offer.*
What Are The Risks Of Bariatric Surgery
The first gastric band was implanted more than 25 years ago when the two predominant weight loss procedures were open vertical band gastroplasty (VBG) and Roux-en-Y gastric bypass (RYGB). At the time, the two were associated with high morbidity and mortality, while the gastric band offered a safe and effective alternative.
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Each weight loss procedure has its own unique benefits. A gastric sleeve helps people lose weight by changing appetite and stomach emptying. Gastric bypass is the most powerful procedure, patients can expect to lose about 70% of their excess weight in two years and keep it off in the long term. It also has the most profound effect on people who suffer from poor health because of their weight. ESGis is a younger, non-surgical procedure with a low complication rate. The main advantage of the gastric band is that it is reversible, minimally invasive, effective and has the lowest complication rate of all surgical options.
Your success with the ensemble depends on how well you can adapt to the diet and meal plan necessary for success. As a guide, you can expect to lose 50-60% of your excess weight in the first 2 years, although many patients do much better (see before and after photos and stories of successful gastric banding patients here).
This weight loss would normally be a little higher with a sleeve and bypass, but we have to remember that gastric banding is completely reversible and is a much less invasive option.
We like to be completely transparent about our surgical results, so we publish them in peer-reviewed publications. We are proud of the results achieved, which compare favorably with the best centers in the world. Here’s a summary of the healthier weight complications data, based on a study of 2,246 gastric band patients followed for 9 years.
Introduction To Bariatric Surgery
The number of bariatric surgeries carried out by the NHS is falling every year. In 2007, the NHS carried out 12,000 weight loss procedures, but in 2018 the figure had fallen significantly to 4,500. That’s the number for all weight loss surgery! The latest figures show that an average of 5,000 procedures are carried out on the NHS every year. Read our article ‘Can I get weight loss surgery on the NHS’ to find out why.
The gastric sleeve is the fastest-growing weight loss procedure in the world and requires more procedures on the NHS than any other. The primary reason for this is that it provides significant and rapid weight loss, a relatively short operating time (its surgical intervention is simpler than bypass |) and the need for follow-up treatment is less burdensome than the band. It’s also effective in treating weight-related health problems like type 2 diabetes and sleep apnea (although data shows that bypass is even more effective).
The truth is that gastric banding requires the most follow-up care among weight loss procedures. A low-risk procedure can be helpful, but to get the most out of it, you really need to be on board with your diet and aftercare.
Compared to the risks of living with obesity, the risks of bariatric surgery are minimal for most people. Obesity can cause serious health problems and diseases, including diabetes, coronary heart disease, certain types of cancer, and ultimately increase the likelihood of premature death.
Risks Of Bariatric Surgery: Is It Worth It?
Losing weight can have an extremely beneficial effect on the quality of life, improving mood and reducing depression. It can help women struggling to conceive due to PCOS (polycystic ovary syndrome) and has been shown to reduce dependence on blood pressure and asthma medications. Many people also experience an improvement or elimination of their liver disease and dyslipidemia (abnormal blood fats).
Patients who undergo and commit to bariatric surgery experience significant improvements in their overall health, leading to longer, happier and healthier lives.
Maybe the question isn’t “How safe are gastric bands?” But “how safe is it without a gastric band?”
All weight loss procedures we offer are performed laparoscopically (keyhole surgery), which significantly reduces the risk of complications compared to open surgery. This significantly improves recovery time and means that scarring is kept to an absolute minimum.
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Below is a table comparing the complications and re-operation rates of all the weight loss surgery procedures we offer.
Laparoscopic gastric banding is considered the safest weight loss procedure. It is certainly true to say that if we consider the mortality and complications during and immediately after surgery. This is partly due to the nature of the procedure itself. Unlike the sleeve and bypass, it is not necessary to cut through the stomach. This alone eliminates the risks associated with gastric contents leaking from the stapling tubes. Another factor is that this volume is generally preferred by smaller and lower risk patients. For patients who are in poor arm health due to their weight, or who have a higher BMI (50+), a sleeve or bypass is generally recommended. So, in comparison, people who have tape generally have a lower risk of surgery, regardless of the procedure. If we look a little further, the picture is a little different. There will be group patients who struggle with the eating regimen necessary for success. This can lead to over-tightening of the band to compensate, which in turn can lead to later complications such as pouch distention or reflux-like symptoms. Both can lead to the band being removed. Even with later complications, it is fair to say that tape is the safer procedure, not least because most tape complications can be managed with a scheduled revision procedure. This is not the case for some of the later complications that can occur during the sheath and bypass, such as staple line leakage and internal herniation. One of the newer procedures, also very safe, is ESG, the “non-surgical sleeve”. Although it is not strictly speaking a surgery, as it is done endoscopically (the stomach can be accessed by inserting a tube into the stomach), it is still done in the operating room under general anesthesia. The initial results of this procedure are very encouraging and, like the band, it is not necessary to cut the stomach. If you are looking for the safest procedures for significant weight loss, they are the gastric band and the ESG. Ultimately, the risk varies from patient to patient. No two patients are alike. Therefore, the best way to understand the available surgical and non-surgical procedures is to schedule a surgical consultation. They will take into account your medical history and make a recommendation that takes into account your personal circumstances. Martyn Berrett, former Managing Director of Healthier Weight
If you’re considering weight loss surgery, but aren’t sure which procedure is right for you, why not call the Healthier Weight team on 0800 313 4618 to find out about the surgical and non-surgical treatment options available to you, or to get a Quote Click the button below.
Last evaluation: 22/09/2020. All content on this site is reviewed by a multidisciplinary team headed by Mr. Rishi Singhal.
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Rishi is a specialist bariatric surgeon in the West Midlands and also Medical Director of Healthier Weight.
If you want to lose weight with surgery, there are many different weight loss procedures that are extremely effective. Fortunately, Roux-en-Y gastric bypass surgery is a fairly safe and effective surgery for weight loss patients. In 2008, 200,000 people underwent this surgery, and most had a favorable outcome. 
Roux-En-Y gastric bypass surgery makes your stomach smaller and you can eat much less. The food then passes through the stomach and allows the food to leave the small intestine – which will make you feel