Lap-Band vs Gastric Sleeve: What’s The Right Choice For You?

Lap-Band vs Gastric Sleeve

If you’re researching weight loss surgery, you may have noticed many options. However, deciding which procedure is best for you is a challenge. Moreover, we’ll compare Lap-Band vs. Gastric Sleeve to help you make an informed decision. Additionally, by understanding each procedure, you can make the right choice.

How Does Weight Loss Surgery Work?

Weight loss surgeries may differ in technique, candidate requirements, and in other ways, but the way they work is fundamentally the same. Also, they work by limiting the amount of food and calories that enter the digestive system and by capitalizing on the body’s natural metabolic process of using excess fat reserves. Both gastric sleeve surgery and lap-band surgery work by shrinking the size of the stomach so that only a small amount of food can be consumed in one sitting.

What Are The Differences Between Lap-Band vs. Gastric Sleeve Surgery?

Both lap-band and gastric sleeve surgery restrict and change the size of the stomach, but the techniques used to alter the stomach size differ.

In detail, Gastric Sleeve Surgery removes 80% of the stomach, leaving a small tube formed by stapling the remaining portion. Also, this smaller stomach restricts the amount of food that can be consumed in a meal. Finally, it is a permanent procedure with no possibility of reversal.

Lap-band surgery does not change the size of the stomach but instead, it changes the “hunger” signals that are sent to the brain. These signals tell our bodies that we are hungry or we are full. Additionally, the surgeon inserts a soft silicone band around the top of the stomach near the esophagus. Moreover, the band also limits the amount of solid food a patient can consume at one time. As a result, the band can be adjusted or removed if necessary.

Advantages of Gastric Sleeve vs. Lap-Band

Gastric Sleeve Gastric Lap-Band
The stomach section removed generates ghrelin, a hormone responsible for hunger pangs. Additionally, suppressing hunger pangs proves beneficial for weight loss. The procedure is reversible. The lap band can be adjusted or removed if desired.

64.5% of patients with diabetes no longer required medications 12 months after gastric sleeve surgery.

77.8% of patients in a clinical study experienced remission from chronic hypertension.

Lap-band surgery has fewer surgical complications because it requires only two incisions.
Gastric sleeve is a more effective weight-loss tool typically resulting in a 65-70% reduction in excess weight. Lap-band surgery can help patients lose up to 50% of their excess weight.
One of the most frequently performed weight loss surgeries. Shorter recovery time.

Disadvantages of Gastric Sleeve vs. Lap-Band

Gastric Sleeve Gastric Lap-Band
Surgery is permanent and cannot be reversed. The lap band does not change the size of the stomach, and it does not restrict liquid calories and soft foods. Finally, you are meant to use the band as a tool to curb hunger and reduce the amount of solid food you consume.
Gastric sleeve surgery is a more invasive procedure with a longer recovery time and more risks for surgical complications. 20% of lap-band patients had to undergo additional surgery to fix an issue with the band or alleviate a bowel obstruction.
The patient may develop reflux or heartburn. Some patients who were not seeing expected weight loss results had the band removed to try a different weight loss surgery.
If a patient overeats consistently, the stomach can stretch out almost to its pre-surgery size. Some patients are not comfortable with a foreign device inside their body.
There is a rare risk of developing a gastric leak if a gap is created along the staple line. Rarely used due to advancements in other procedures producing better results.

Is Gastric Sleeve Surgery Better Than a Gastric Band?

Most patients consider gastric sleeve surgery a more effective choice than a gastric band. It is important to note that surgeons rarely perform lap-band surgery anymore due to the high rate of failure.

Studies conducted related to long-term outcomes of gastric band surgery reported that 20% of patients needed additional surgery to reposition or replace the band and some opted to try another weight loss procedure altogether; 54% of the patients in the study had to have the band removed due to complications. Only 11% lost a satisfactory amount of weight, and a high percentage of patients regained their weight or exceeded their initial weight.

A Non-Surgical Weight Loss Alternative

Historically, gastric sleeve surgery was considered the least invasive and most effective type of weight loss surgery when compared to Gastric Bypass Surgery. Generally, surgeons desire to offer their patients the most effective procedure with the least amount of risk. The advancement in bariatric weight loss has resulted in a relatively new procedure that is quickly becoming many surgeons’ first preference. Endoscopic Sleeve Gastroplasty (ESG) is a procedure that is performed to make the stomach smaller, similar to the results of gastric sleeve surgery.

The procedure accesses the stomach through the throat without any incisions or removal of stomach tissue, unlike gastric sleeve surgery. In addition, the surgeon sutures the stomach to form a sleeve-like pouch, reducing how much food the patient can consume at once. Also, the surgeon performs the procedure under general anesthesia and it lasts around 45 minutes. Finally, they do it in an outpatient setting, and no hospital stay is required.

How Much Weight Can You Lose With LSG vs. ESG?

You calculate excess body weight by subtracting your ideal weight from your current weight.

  • Gastric Sleeve Surgery (LSG) reduces the stomach size by 80% with an average excess body weight loss of 50-70%.

  • Endoscopic Sleeve Gastroplasty reduces the stomach size by 70% with an average excess body weight loss of 50-65%.

Considering weight loss surgery? A non-surgical option, ESG, may be right for you. Moreover, but before deciding, it’s crucial to understand all available choices.

Firstly, contact IBI Healthcare Institute for a consultation and learn about the best procedure for you. Secondly, our experts will support you throughout the process, from choosing a procedure to achieving your goals. Additionally, take the first step in your weight loss journey and call us today.

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