Lap Band vs. Gastric Sleeve2018-09-04T16:50:27+00:00

Lap Band vs. Gastric Sleeve

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 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