STOP Before You Choose a Bariatric Surgery — Sleeve vs Bypass vs DS (The Mistake Patients Regret)
DrdelaCruzMunoz
2,637 views
How does a bariatric surgeon choose the right operation for you? A surgeon breaks down the 7 factors that determine everything. Evidence-based guide. There is no single best bariatric surgery. There is only the best bariatric surgery for you.
In this video, a board-certified bariatric surgeon walks you through the complete decision-making process used to match each patient to the right metabolic operation. This is not a comparison video. This is the framework behind the recommendation.
You will learn how surgeons evaluate BMI and body composition, type 2 diabetes severity and duration, gastroesophageal reflux and Barrett's esophagus risk, esophageal function and preoperative endoscopy findings, prior surgical history and anatomic considerations, nutritional compliance and lifestyle readiness, mental health and behavioral factors, and personal goals and patient preferences.
All five primary bariatric procedures are covered: sleeve gastrectomy, Roux-en-Y gastric bypass, one-anastomosis gastric bypass (OAGB), SADI-S, and biliopancreatic diversion with duodenal switch (BPD-DS).
This is Part 1 of a two-part series. Part 2 covers real clinical scenarios showing how these factors come together in actual patient decisions: [
TOPICS COVERED:
Cold Open: Why Procedure Choice Matters
Introduction: Shared Decision-Making
The 5 Bariatric Procedures Explained
Factor 1: BMI, Body Composition, and Age
Factor 2: Diabetes, Reflux, Sleep Apnea, and Metabolic Disease
Factor 3: Esophageal Function and Preoperative Workup
Factor 4: Prior Surgeries and Anatomy
Factor 5: Nutritional Compliance and Lifestyle
Factor 6: Mental Health and Behavioral Readiness
Factor 7: Your Goals and Preferences
Closing and What Comes Next
DATA REFERENCED IN THIS VIDEO:
JAMA review on shared decision-making in bariatric surgery
15-year randomized controlled trial: duodenal switch vs gastric bypass in super-obese patients
Multicenter study: SADI-S vs bypass in BMI 50 or above
8-year prospective study: GERD prevalence after sleeve vs bypass (Lyon Consensus criteria)
10-year multicenter study: Barrett's esophagus after sleeve gastrectomy
Study of 885 bariatric patients: preoperative endoscopy findings
Study of 3,200 bariatric patients: impact of prior abdominal surgery on outcomes
10-year comparative study: nutritional complications SADI-S vs Roux duodenal switch
Esophageal manometry study: motility pathology prevalence in bariatric candidates
Learn more about metabolic and bariatric surgery in Miami:
https://lnkd.in/e_rUx3WG
Nestor de la Cruz-Munoz MD, FACS, DABOM
Metabolic and Bariatric Surgeon
Miami, Florida
#BariatricSurgery #WeightLossSurgery #SleeveVsBypass #MetabolicSurgery #BariatricSurgeon #SADIS #DuodenalSwitch #OAGB #GastricSleeve #GastricBypass #SharedDecisionMaking #ObesityTreatment
6 Comments
My BMI is 53
I have chronic GERD- Med Managed
Sleep Apnea, Hypertension, Prediabetic
Strong Family history of T2 Diabetes, Cardiovascular Disease, and Obesity with PCOS.
I have to make the decision of what procedure I want. But I have it narrowed down between SADI-S and the RNY
How do you choose? I just want to get my health better, to be able to be active and travel without worry, to get under 200lbs.
And I will take it with the understanding that you are not seeing me in person and I will obviously need a full evaluation in person with a surgeon.
But here it goes. I live with chronic idiopathic constipation and have a bmi of about 50. Ive read online that SADI-S and BPD-DS, could possibly solve my constipation issues as well. Have you seen data that suggests this?
Thank you for your time.
STOP Before You Choose a Bariatric Surgery — Sleeve vs Bypass vs DS (The Mistake Patients Regret)
DrdelaCruzMunoz
2,637 views
How does a bariatric surgeon choose the right operation for you? A surgeon breaks down the 7 factors that determine everything. Evidence-based guide. There is no single best bariatric surgery. There is only the best bariatric surgery for you.
In this video, a board-certified bariatric surgeon walks you through the complete decision-making process used to match each patient to the right metabolic operation. This is not a comparison video. This is the framework behind the recommendation.
You will learn how surgeons evaluate BMI and body composition, type 2 diabetes severity and duration, gastroesophageal reflux and Barrett's esophagus risk, esophageal function and preoperative endoscopy findings, prior surgical history and anatomic considerations, nutritional compliance and lifestyle readiness, mental health and behavioral factors, and personal goals and patient preferences.
All five primary bariatric procedures are covered: sleeve gastrectomy, Roux-en-Y gastric bypass, one-anastomosis gastric bypass (OAGB), SADI-S, and biliopancreatic diversion with duodenal switch (BPD-DS).
This is Part 1 of a two-part series. Part 2 covers real clinical scenarios showing how these factors come together in actual patient decisions: [
TOPICS COVERED:
Cold Open: Why Procedure Choice Matters
Introduction: Shared Decision-Making
The 5 Bariatric Procedures Explained
Factor 1: BMI, Body Composition, and Age
Factor 2: Diabetes, Reflux, Sleep Apnea, and Metabolic Disease
Factor 3: Esophageal Function and Preoperative Workup
Factor 4: Prior Surgeries and Anatomy
Factor 5: Nutritional Compliance and Lifestyle
Factor 6: Mental Health and Behavioral Readiness
Factor 7: Your Goals and Preferences
Closing and What Comes Next
DATA REFERENCED IN THIS VIDEO:
JAMA review on shared decision-making in bariatric surgery
15-year randomized controlled trial: duodenal switch vs gastric bypass in super-obese patients
Multicenter study: SADI-S vs bypass in BMI 50 or above
8-year prospective study: GERD prevalence after sleeve vs bypass (Lyon Consensus criteria)
10-year multicenter study: Barrett's esophagus after sleeve gastrectomy
Study of 885 bariatric patients: preoperative endoscopy findings
Study of 3,200 bariatric patients: impact of prior abdominal surgery on outcomes
10-year comparative study: nutritional complications SADI-S vs Roux duodenal switch
Esophageal manometry study: motility pathology prevalence in bariatric candidates
Learn more about metabolic and bariatric surgery in Miami:
https://lnkd.in/e_rUx3WG
Nestor de la Cruz-Munoz MD, FACS, DABOM
Metabolic and Bariatric Surgeon
Miami, Florida
#BariatricSurgery #WeightLossSurgery #SleeveVsBypass #MetabolicSurgery #BariatricSurgeon #SADIS #DuodenalSwitch #OAGB #GastricSleeve #GastricBypass #SharedDecisionMaking #ObesityTreatment