WEIGHT LOSS OPTIONS

   Obesity Overview

   Non-Surgical Treatment

   Bariatric Surgery/AspireAssist

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AspireAssist™
Adjustable Gastric Banding
Gastric Bypass
Sleeve Gastrectomy
Safety and Efficacy
 
 
 
 
Excess Weight Loss
(first year)
49%1
(n=10)
48%2
62%2
55%3*
Serious
Complications
4%1
(Buried Bumper)
(n=24)
17%4,**
(Includes slippage/dilation, erosion, obstruction, death)
14%4,**
(Includes staple line failure, leaking, bleeding, obstruction, marginal ulcer, death)
0-24%3,**
(Includes staple line failure, bleeding, postoperative strictures, death)
Procedure
 
 
 
 
Average Procedure Time
20 min
78 min5
165 min5
100 min5
Anatomical changes
Minor:
stoma to stomach
Moderate
Major
Major
Procedure Type
(most commonly)
Percutaneous
(1-cm incision)
Laparoscopic
(~5 small incisions)
Laparoscopic
(~5 small incisions)
Laparoscopic
(~5 small incisions)
Reversible
Yes
Yes
No
No
Anesthesia
Conscious Sedation
General Anesthesia
General Anesthesia
General Anesthesia
Length time in hospital/clinic (avg)
2 hours
1.7 days5
4.2 days5
4.4 days5
Life After Procedure
 

 
 
Vomiting or dumping syndrome
No
Regurgitation/ vomiting is common initially8
Sugary food can cause dumping
No
Food/Drink Recommendations
Gradually learn healthy behaviors
Very small meals
(~200ml or <1 cup)6;
no drinking with meals
Very small meals
(~200ml or <1 cup)7
Very small meals
(~200ml or <1 cup)
_ *Sleeve Gastrectomy follow-up ranged from 3 to 60 months
**Serious complication rates may be lower in Centers of Excellence.

 

Sources:
1 Data on file at Aspire Bariatrics
2 Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery. A systematic review and meta-analysis. JAMA. 2004;292:1724-1737
3 Brethauer S, Hammel J, Schauer P. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Related Dis.  
   2009;5:469-475.
4 Tice J et al. Gastric Banding or Bypass? A Systematic Review Comparing the Two Most Popular Bariatric Procedures. The American Journal of Medicine
   (2008) 121, 885-893.
5 Shi et al. A Review of Laparoscopic Sleeve Gastrectomy for Morbid Obesity. Obes Surg 2010.
6 Lap-Band Website: http://www.lapband.com/en/live_healthy_lapband/months_beyond/lifestyle_guidelines/#, accessed January 6, 2012.
7 Mayo Clinic Website: http://www.mayoclinic.com/health/gastric-bypass-diet/my00827 accessed January 6, 2012.
8 Realize Band Website: http://www.realize.com/bariatric-surgery-risks-complications.htm, accessed January 6, 2012.

LAP-BAND® is a registered trademark owned by Allergan, Inc. Realize® is a registered trademark of Ethicon Endo-Surgery.