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Procedure Guides

The operations performed today, how each one works, what the results actually look like, and how to tell which one fits your situation.

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1. 1 The Bariatric Procedures Done Today, Compared Four operations are still performed in the United States and they are nowhere near equally common. Here is what each one does to your body, what the long term results look like, and who each tends to fit.
2. 2 Gastric Sleeve: A Complete Guide The sleeve is now the most performed bariatric operation in the United States. This covers what is removed, how hunger changes, what the 10 year weight loss data actually show, and the reflux problem.
3. 3 Gastric Bypass: A Complete Guide The bypass is the second most performed operation and still the reference standard for type 2 diabetes and for reflux. This covers the anatomy, the results, and what it demands from you for life.
4. 4 Duodenal Switch and SADI-S These are the most powerful bariatric operations and the least performed. This covers how BPD/DS and SADI-S differ, what the weight loss and diabetes data show, and the real nutritional cost.
5. 5 The Lap Band: What Happened, and What To Do If You Still Have One BariatricPal began as a band community, so this is written with respect. Here is what the band was, what the long term data changed, and what to do now whether yours is working or not.
6. 6 GERD, Reflux, and How It Changes Your Procedure Choice Reflux is one of the top reasons people need a second operation. This covers how GERD is assessed before surgery, why sleeve and bypass pull in opposite directions, and what conversion involves.
7. 7 Are You a Candidate? Current Eligibility Criteria The 2022 ASMBS and IFSO guidelines replaced thresholds that had stood since 1991. This covers the current BMI and age criteria, what genuinely rules someone out, and why insurers have not caught up.