Childhood Obesity in the United Kingdom 101Figure 4. Gastric sleeve. Courtesy of: http://www.theholly.com/uploads/library/hosp7/
images/in-page-content/20110518140224-Gastric-Sleeve.jpg.
LRYBP is considered the most effective form of bariatric surgery but it is
also a technically more complex procedure with a higher proportion of side
effects compared to LSG and LAGB. Gastric banding is generally considered
the safest option in terms of rate of complications [96]. Figures from the
National Bariatric Surgery Register (NBSR) in 2014 showed that on average,
three years after their primary bariatric surgery patients lost 59.6% of their
excess weight -65.4% for gastric bypass, n=536; 52.9% for gastric banding,
n=453; and 59.0% for sleeve gastrectomy, n=40. The report analysed the
cohort of bariatric surgery patients having procedures during the financial
years 2011-2013 inclusive, and examines 16,956 primary and 1,327 revisions
or planned second stage procedures. The summary below (Table 4) is an
extract from the Executive Summary of the NBSR document [97]: