Surgery
Gastric bypass
How it works
Decreased ‘hunger hormone’
Reduced stomach volume
Decreased absorption of food
Do I qualify?
BMI > 35kg/m2
Diets did not work
I am very motivated to change my lifestyle
Weight loss
60-80% excess weight loss in 1-1.5 years
procedure
Laparoscopic procedure under general anesthesia
1-2 nights in the hospital
Pre- and postoperative diet
Risk?
Low risk procedure
Operative risks: bleeding, wound infection, organ injury, anastomotic leak, thrombosis, pain
Side effects / postoperative complications: dumping syndrome, gallstones, temporary hair loss, internal herniation, vitamin deficiency
Sleeve gastrectomy
How it works
Decreased ‘hunger hormone’
Reduced stomach volume
Do I qualify?
BMI > 35kg/m2
Diets did not work
I am very motivated to change my lifestyle
Weight loss
60-80% excess weight loss in 1-1.5 years
Procedure
Laparoscopic procedure under general anesthesia
1-2 nights in the hospital
Pre- and postoperative diet
Risk
Low risk procedure
Operative risks: bleeding, wound infection, organ injury, stapleline leak, thrombosis, pain
Side effects / postoperative complications: gallstones, temporary hair loss, reflux, vitamin deficiency
Endosleeve
How it works
Also called endoscopic sleeve gastroplasty (ESG)
Reduced stomach volume by sutures placed with gastroscope; no scars
Do I qualify?
BMI 30 - 35 kg/m2
Diets did not work
I am very motivated to change my lifestyle
Additional info: www.endosleeve.be
Weight loss
50% excess weight loss in 1 years
Procedure
Endoscopic, scarless procedure under general anesthesia
1 night in the hospital
Postoperative diet
Risk
Very low risk procedure
Operative: bleeding, perforation
Dilatation of the sleeve after certain amount of time
Failed ESG or POSE2 ?
Unfortunately it is possible for an endosleeve to fail in the long term losing its restriction.
In our center we perform the Endoscopic Sleeve Gastroplasty technique to create an endosleeve. Current literature shows that this procedure is safe and more effective than the former POSE technique (POSE is a different technique to create an endosleeve).
For the renewed POSE2 technique there is no data available concerning long term results. So, statements that the POSE2 is a lifelong tool to lose weight are not proven to be true.
At this moment we already know that after a POSE2 procedure dilatation of the stomach can be a problem, possibly leading to weight regain. In that unfortunate event it is possible to convert the POSE2 - endosleeve into a classic sleeve gastrectomy, giving a much better restriction.
At our center we are experienced in converting the POSE2 as well as the ESG to a sleeve gastrectomy. Please contact us for more details.
Redo Surgery
Occasionally, patients develop weight regain or other problems after prior weight loss surgery, making additional surgery necessary in some cases. For instance, late complications after gastric banding occur quite frequently.
There are multiple surgical procedures possible to treat late complications. We offer a wide range of secondary surgical (laparoscopic and endoscopic) procedures which can be indicated depending on the prior surgical procedure and complication type. Please contact us for more information.