Understanding the Different Types of Bariatric Procedures

Bariatric surgery is a life-changing decision for individuals struggling with obesity and its related health conditions. With several surgical options available, it’s important to understand the differences between each procedure and how they may support your long-term weight loss goals. At VIVE Bariatrics, we tailor each treatment plan to your unique body, lifestyle, and health needs.


1. Gastric Sleeve (Sleeve Gastrectomy)

What it is:
Gastric sleeve surgery involves removing approximately 75-80% of the stomach, leaving a narrow, sleeve-shaped stomach.

How it works:

  • Reduces the amount of food you can eat.
  • Decreases the production of ghrelin, the hunger hormone.

Benefits:

  • Simple procedure with fewer complications than some alternatives.
  • Excellent weight loss results.
  • Does not involve rerouting the intestines.

Ideal for:
Patients seeking effective weight loss without intestinal bypass.


2. Gastric Bypass (Roux-en-Y Gastric Bypass)

What it is:
This procedure creates a small stomach pouch and reroutes a portion of the small intestine to bypass part of the digestive system.

How it works:

  • Limits food intake and reduces calorie/nutrient absorption.
  • Alters gut hormones to improve satiety and insulin sensitivity.

Benefits:

  • Rapid and significant weight loss.
  • Effective for managing Type 2 diabetes.
  • Long-standing track record.

Ideal for:
Patients with obesity-related conditions like diabetes or GERD.


3. Duodenal Switch (Biliopancreatic Diversion with Duodenal Switch)

What it is:
A complex procedure combining a gastric sleeve with a more extensive intestinal bypass.

How it works:

  • Restricts food intake.
  • Significantly limits calorie and fat absorption.

Benefits:

  • One of the most powerful options for weight loss and diabetes resolution.
  • Long-term results.

Considerations:
Requires strict adherence to nutritional supplements and follow-up care.

Ideal for:
Patients with severe obesity or metabolic disease who need maximum weight loss.


4. Intragastric Balloon

What it is:
A non-surgical, temporary procedure where a soft balloon is placed in the stomach via endoscopy and filled with saline.

How it works:

  • Occupies space in the stomach, creating early satiety.
  • Removed after six months.

Benefits:

  • No surgery or incisions.
  • Short recovery time.
  • Can help patients lose 10–15% of their body weight.

Ideal for:
Individuals with mild to moderate obesity, or as a jumpstart before surgery.


5. Endoscopic Sleeve Gastroplasty (ESG)

What it is:
A minimally invasive procedure where sutures are placed endoscopically to reduce stomach volume.

How it works:

  • Mimics the restrictive effect of gastric sleeve without removing stomach tissue.

Benefits:

  • No incisions or hospital stay.
  • Shorter recovery.
  • Significant weight loss.

Ideal for:
Patients seeking a non-surgical weight loss option with durable results.


Choosing the Right Procedure

At VIVE Bariatrics, we perform a thorough evaluation before recommending any procedure. We consider:

  • Your BMI and weight history
  • Any medical conditions (diabetes, sleep apnea, joint pain)
  • Lifestyle and dietary habits
  • Long-term weight loss goals
  • Willingness to commit to post-operative care and nutrition

Our multidisciplinary team of bariatric surgeons, nutritionists, and support staff works closely with you to create a plan that aligns with your personal journey to better health.


Conclusion: Empower Your Weight Loss Journey

Understanding the differences between bariatric procedures is the first step toward reclaiming your health and well-being. Whether you’re looking for a non-surgical option or a more permanent solution, VIVE Bariatrics offers expert guidance, compassionate care, and life-changing results every step of the way.