What is the best obesity operation?

It’s all because there’s no such thing as a perfect operation that “never fails”.

Some are too strong, leaving patients prone to weakness and malnutrition (malabsorptive techniques: duodenal crossing, bilio-pancreatic bypass, minigastric bypass / bypass of anastomosis).

Others may be insufficient and easy to boycott (restrictive techniques: Mason Technique, Lap Band, Gastric Plication, Sleeve Gastrectomy / Gastric Tube).

The most appropriate are the mixed techniques, represented by the Gastric Bypass, is the “gold standard” of obesity operations, the operation that has more years, we know better, and on which all others are compared.

In addition, the same surgical technique can be performed with different technical variants, changing both its safety during the postoperative period and its long-term effectiveness. Hence the great importance of the experience of the surgeon and his surgical team and their previous results for this surgical technique.

The same operation can have different results in terms of safety and efficiency, in different teams.

This problem is being found especially in the technique of Sleeve Gastrectmoy / Gastric Tube, where there can be serious complications and resounding failure according to the experience of the team, with this operation. Due to the difficulty and specialization of obesity operations, a great experience in one obesity technique does not guarantee good results in other techniques.

The Gastric Balloon and the POSE Method are not included, because they are not considered definitive methods.