Gastric Sleeve vs. Stomach Folding

Gastric Sleeve (Sleeve Gastrectomy)

A Lighter Me recommends the gastric sleeve procedure. Speak with one of our coordinators about a gastric sleeve surgery.

Overview

A sleeve gastrectomy is typically performed laparoscopically. During this procedure, approximately 80 percent of the stomach is removed. The stomach then becomes more of a tube shape, similar in shape to a banana. The surgeon will make small incisions in the upper abdomen and then insert small instruments through those incisions to complete the procedure. Since the stomach becomes much smaller, the amount of food a person can consume after this procedure is much more limited. This surgery also prompts hormonal changes, which often causes weight loss as well. The hormonal changes can also help with certain weight-related health conditions, such as high blood pressure and heart disease.

Patient Eligibility

Individuals who have a BMI of 40 or higher are often good candidates for this procedure. This surgery may also be an option for those who have a BMI between 35 and 40 and also have serious weight-related health problems, such as type 2 diabetes, high blood pressure, or sleep apnea. Someone with a BMI as low as 30 may be eligible for this surgery if he or she has very serious weight-related health problems.

Average Weight Loss Results

Individuals who have this surgery may lose up to 60 percent of their total body weight, sometimes even more, within two years. The likelihood of success greatly depends on the person’s adherence to lifestyle changes and eating habits.

Recovery Time

For the first week after the procedure, the patient is only allowed to consume sugar-free, noncarbonated liquids. The next three weeks will consist of only pureed foods. After that, patients are typically able to resume a normal diet. Over the first few months after surgery, patients will need to have frequent checkups to ensure that everything is going smoothly.

Common Side Effects

Patients often experience body aches, tiredness, feeling cold, dry skin, hair thinning and loss, and mood changes for up to 6 months after the surgery.

Cost

The cost of this procedure varies greatly. The total cost in the US can sometimes exceed $20,000. A Lighter Me provides access to quality surgeons in Mexico who perform this surgery at a fraction of this price.

References:
https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183
https://www.medicinenet.com/lap_band_surgery_gastric_banding/article.htm#who_are_candidates_for_the_lap_band_system

Stomach Folding

A Lighter Me does not recommend the stomach folding surgery. For a better option, speak with one of our coordinators about a gastric sleeve surgery.

Overview

Stomach folding, also known as gastric plication, is a relatively new procedure that is considered experimental and is performed laparoscopically. It is a minimally invasive surgery, and it usually takes just about an hour to complete. During the procedure, the surgeon makes five small incisions in the abdomen in order to reach the stomach. The surgeon then folds the stomach into a smaller, more compact size, typically reducing its volume by about 70 percent. Depending on the size of the stomach of the patient, the surgeon will do one or two folds, and the folds will be held with non-absorbable sutures. This surgery is potentially reversible, so if the stomach needs to be returned to its original size for any reason, that will most likely be possible. With a smaller stomach, patients typically feel fuller faster, and they often have a decrease in appetite as well. This surgery does not usually result in any severe food restrictions. With surgery and lifestyle changes, many patients are able to reduce or eliminate their need for blood pressure, diabetes, and depression medications.

Patient Eligibility

In order to be eligible for this surgery, individuals must have a BMI of at least 27. The ideal candidate will have a BMI of 40 or more, or they will have a BMI over 35 with at least one weight-related health problem.

Average Weight Loss Results

Patients can typically lose 2 pounds per week after the completion of this procedure. In total, most patients lose between 40 and 60 percent of their excess body weight within a year.

Recovery Time

Patients often must stay in the hospital for a day or two after the surgery, but within a week, they can usually return to work. Full recovery takes about 4 weeks. The first 2 weeks after surgery, the patient is required to consume an all liquid diet. The patient will then be able to add in thicker liquids, yogurt, and fruit. Eventually, regular foods can be consumed, but most people are only able to eat up to four spoonfuls of food per meal.

Common Side Effects

The most common side effects are nausea and vomiting, but oral medication can be given to minimize these effects. Even without medication, these side effects typically disappear within a week.

Cost

The average cost of stomach folding is approximately $10,000 to $15,000. Insurance does not typically cover this procedure.

References:
https://health.ucsd.edu/news/releases/Pages/2012-03-09-stomach-origami.aspx