Lap Band vs. Gastric Balloon2018-09-04T19:49:41+00:00

Lap Band vs. Gastric Balloon

Lap Band (Adjustable Gastric Band)

A Lighter Me does not recommend the lap band procedure. A gastric sleeve operation is more affordable and often provides better results.

Overview

Adjustable gastric band surgery is done laparoscopically. It is considered one of the least invasive weight loss surgeries. During the procedure, the surgeon makes small incisions in the upper abdomen and then places a soft silicone ring with an expandable balloon around the top of the stomach. The silicone ring, or band, creates a small stomach pouch, which causes the patient to feel full after eating only a small amount of food. The band is adjustable; fluid can be added to or removed from the balloon through a port that is placed under the skin. The reduction in the intake of food, due to the patient feeling fuller more quickly, can result in significant weight loss.

Patient Eligibility

Individuals who have certain stomach or intestinal disorders, take aspirin frequently, or are addicted to alcohol or drugs are not eligible for this procedure. This procedure is only performed on individuals who are 18 or older.

Average Weight Loss Results

Weight loss results vary widely based on patient motivation and compliance. On average, most patients lose approximately 40 to 60 percent of their excess body weight after this procedure. Initially, most patients can expect to lose about 2 or 3 pounds per week, and then their weight loss will drop to about one pound per week. Adjustments to the band can be made if necessary.

Recovery Time

Most people are able to return to work one week after the procedure, and they can resume normal activities after 6 weeks.

Common Side Effects

This procedure has a moderate risk of long-term complications. Between 15 and 60 percent of patients end up needing to have the procedure completed again due to implant malposition, erosion, frequent vomiting, or lack of weight loss. Common side effects include nausea, vomiting, constipation, indigestion, ulceration at the band site, dehydration, and weight regain.

Cost

The cost of this procedure varies, but on average it costs approximately $3,500 with insurance and $15,000 without insurance.

References:
https://www.medicinenet.com/lap_band_surgery_gastric_banding/article.htm#who_are_candidates_for_the_lap_band_system
https://www.hopkinsmedicine.org/healthlibrary/test_procedures/gastroenterology/laparoscopic_adjustable_gastric_banding_135,63

Gastric Balloon (Intragastric Balloon)

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

Overview

The intragastric balloon is one of the newer weight-loss procedures that is available for individuals who have tried to lose weight on their own but have not had much success. During this procedure, a silicone balloon that is filled with saline is placed in the patient’s stomach. This balloon makes the patient feel fuller faster, and it also limits how much food can be consumed at one time. It may also slow down the process of the stomach emptying, and it may change hormone levels that control appetite. All of this should contribute to moderate weight loss. The balloon is usually left in the stomach for up to 6 months, and then it is removed through an endoscope.

Patient Eligibility

The ideal candidate for this procedure has a BMI between 30 and 40, is willing to make lifestyle and diet changes, and has not had any type of stomach or esophageal surgery in the past.

Average Weight Loss Results

During the first 6 months after the procedure, patients can expect to lose approximately 10 to 15 percent of their body weight; however, many patients have reported a weight loss of more than 30 percent. The amount of weight loss depends greatly upon the patient’s adherence to diet and lifestyle changes.

Recovery Time

Typically, a liquid diet is required for the first week after the procedure. Soft foods will then be permitted, and after about three weeks, patients are usually able to return to a normal diet and normal activities.

Common Side Effects

About one-third of patients experience pain and nausea for the first few days following the procedure. These side effects can typically be treated with oral medication, and they usually are not very serious.

Cost

This procedure is typically not covered by insurance. Although it varies, the average cost is just above $8,000.

References:
https://www.mayoclinic.org/tests-procedures/intragastric-balloon/about/pac-20394435