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GASTRIC SLEEVE VS. LAP-BAND SURGERY - Bariatric Daily

GASTRIC SLEEVE VS. LAP-BAND SURGERY

It will be extremely important to think about what all of your choices are going to be. Those who want to lose weight and maintain their health will need to look into some of the more popular options which are available.

First, let’s examine how Gastric Sleeve Surgery stacks up against Lap Band Surgery in terms of how safe and effective it is as well as some of the health risks involved. You will want to pay especially close attention to the advantages and benefits of the Lap Band; it has a lot to offer and will most likely be able to give you what you need to lose weight and keep it off.

How long does the procedure take?

  • Lap-Band: Typically this procedure takes around 25 minutes for performing.
  • Gastric Sleeve: This procedure takes around 1 hour to complete.

How would you quickly describe the procedure?

  • Lap-Band: This procedure consists of placing a band around the upper part of the stomach, forming a ring which is locked into place with a few stitches.
  • Gastric Sleeve: The surgeon removes the larger portion of the stomach, leaving what appears to be a sleeve which can hold only 15 percent as much food as the original stomach could.

Is the procedure reversible?

  • Lap-Band: The lap-band procedure is completely reversible and it can be adjusted as well for the desired rate of weight loss.
  • Gastric Sleeve: This procedure is not reversible at all.

How long do I have to be in the hospital?

  • Lap-Band: Those who undergo a lap-band procedure will be in the hospital overnight and can go back to regular activity immediately as well as heavy lifting within just a days.
  • Gastric Sleeve: The patient will have to spend two nights in the hospital and three nights in a hotel.

Can I quickly return to normal activities?

  • Lap-Band: A vast majority of people who get this procedure done can start getting back to regular activities right away.
  • Gastric Sleeve: Those who get opt for this procedure usually experience intense pain as well as swilling and other side-effects, so it takes around one week to return to daily activities.

Are there any major health risks I should be concerned about after surgery?

  • Lap-Band: While the risks which are associated with a lap-band procedure are far less than any other bariatric surgery, you will find that there certain risks which include: slippage of the band, stretching of pouch and erosion into the stomach. Those who experience any of these will need to get their band replaced or removed altogether.
  • Gastric Sleeve: There are certain side-effects which should be considered after the procedure has been performed, such as blood clots and even death.
  • Certain complications after stapling such as excessive bleeding
  • Malabsorptive surgery may be required in order to lose the desired amount of weight
  • You are put at a higher risk for developing gallstones as well as gallbladder disease

What are the most common risks associated with each procedure?

Lap-Band:

  • Nausea/vomiting
  • Slippage of the band
  • Band erosion
  • May require minor revisional surgery

Gastric Sleeve:

  • Nausea/vomiting
  • Staple line leaks
  • Nutritional deficiencies
  • Separation of Staples areas

What is the average cost of each procedure?

Lap-Band:

Cost: Anywhere from $6,500 to $25,000

Gastric Sleeve:

Cost: Anywhere between $7,500 and 20,000

What are the major advantages of each procedure?

Lap-Band:

  • Helps significantly with weight loss by restricting the amount of food one can eat at one time
  • No stapling of the stomach is required
  • No change in the body’s digestive system
  • Fully adjustable/reversible
  • Laparoscopically performed

Gastric Sleeve:

  • Helps with weight loss by reducing the amount of food that can be eaten at once.
  • Sleeve procedure is generally safer than gastric bypass with fewer serious side-effects
  • Lowers risk of ulcers
  • Leaves all stomach openings intact, unlike gastric bypass surgery
  • Fewer serious complications (vitamin deficiencies, anemia, osteoporosis)
  • No change in digestive system
  • Maximum of 60% weight loss in first 2 years after procedure

What are the major disadvantages of each procedure?

Lap-Band:

  • More gradual weight loss
  • Regular checkups required for best results
  • Requires implanted medical device
  • Bad slippage can theoretically reduce effectiveness
  • Access ports can leak

Gastric Sleeve:

  • Majority of stomach removed in surgery
  • Permanent procedure which cannot be reversed
  • Staples and cutting used
  • Does not restrict liquid at all and only some solid foods