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 Gastroplasty in Paris
 Gastric Balloon in Paris

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 Indications
 Why 3 procedures
 Choice of procedure

Before surgery 
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Procedures 
 Gastroplasty
 Gastric bypass
 Sleeve gastrectomy
 Comparative table
 Intra gastric balloon

After surgery 
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Comparative table

GASTROPLASTY

SLEEVE GASTRECTOMY

GASTRIC BYPASS

Preferential

Calculate your BMI
- BMI between 35 and
40 with morbidity
- BMI between 40 and 45
- Rather salted food
- No snacks
- BMI over 40
- Type 2 diabetes
- BMI over 45
- Type 2 diabetes
- Rather sweet food
How it works Editable reduction of ingested
volume
- Reduction of ingested
volume
- Reduce hunger (ghrelin)
- Reduction of ingested
volume
- Reduce hunger (ghrelin)
- Reduce nutriments absorbtion
- Dumping syndrom
Alimentary comfort - Very decreased
- Easy vomiting
- Decreased
- Rare vomiting
- Slightly decreased
- Very rare vomiting
Vitamins deficiencies Very rare Rare Supplementation required
Réversibility Easy by coelioscopy No Very difficult by coelioscopy
Méthod carried out
since
12 years 6 years More than 20 years
Technical Difficulty
(trained staff)
Easy Difficult Difficult
Lenght of operation 1/2h to 1h30 1h30 to 2h30 2h30 to 4h
Lenght of hospitalisation 1 to 2 days 3 to 5 days 4 to 6 days
Seak leave
(sedentary activity)
About 1 week About 2 weeks About 2 weeks
Operative
Complications
Very rare
- Haemorrhagy
Rare
- Haemorrhagy
- Digestive leak
Rare
- Haemorrhagy
- Digestive leak
Late
Complications
- Pouch dilatation : 10%
- Migration of the band into
the stomach : less than 2%
Very rare
- Vitamin deficiencies
Very rare
- Vitamin deficiencies
- Bowel obstruction
Average excess weight
loss after 1 year
40% 60% 70%
Average excess weight
loss after 5 years
50% 70% 80%


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