11
Typical Excess Body Weight
Loss (EBWL) at ~2 Years Best Suited For Notes
55–75% Higher BMI,
GERD, T2DM
Often achieves
slightly greater loss
than sleeve
50–70% Metabolic
disease without
significant reflux
Can be used as first
stage, with option
for second-stage
bypass in 12–18
months
30–50% Lower BMI,
minimal
metabolic
disease
Benefits track
closely with
achieved weight
reduction
70–80% Very high BMI,
T2DM
Technically
demanding:
sleeve plus two
anastomoses
(duodeno-ileal and
ileo-ileal)
70–80% Higher BMI,
T2DM
Sleeve plus one
anastomosis
(duodenoileostomy)
