If you are researching weight loss surgery you have probably noticed that there are several different options to choose from. How do you know which weight loss surgery will be best for you? There are different surgical options to choose from and also a fairly new procedure that is non-surgical but very effective. Today we are going to look at gastric lap-band vs. gastric sleeve surgery, compare qualifications, and pros and cons. Understanding as much as you can about each available procedure will help you make an informed decision.
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. They work through 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 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, the difference between the two is the technique used to alter the stomach size.
Gastric sleeve surgery cuts out and surgically removes approximately 80% of the stomach with the remainder being stapled together to form a small thin tube. The smaller stomach size limits the portions of food that can be eaten in one meal. The procedure is permanent and cannot be reversed.
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. This is done through the insertion of a soft silicone band placed around the top of the stomach near the esophagus. The band also limits the amount of solid food a patient can consume at one time. The band can be adjusted or removed if necessary.
Advantages Of Gastric Sleeve vs Lap-Band
|Gastric Sleeve||Gastric Lap-Band|
|The portion of the stomach removed produced the hormone ghrelin, which is what causes hunger pains. Eliminating hunger pains is a good tool to help with 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.
|There are fewer surgical complications associated with lap-band surgery 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 size of the stomach is not changed as a result of the lap-band, and liquid calories and soft foods are not restricted. The band is meant to be used as a tool to curb hunger and reduce the amount of solid food consumed.|
|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 on a consistent basis, 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 of other procedures producing better results.|
Is Gastric Sleeve Surgery Better Than a Gastric Band?
Gastric sleeve surgery is considered more effective and a much better choice than a gastric band for most patients these days. It is important to note that lap-band surgery is rarely done anymore due to the high rate of failure.
Studies conducted related to long-term outcomes of gastric band surgery reported 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. 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.
Unlike gastric sleeve surgery, the procedure is performed endoscopically and the stomach is accessed very carefully through the throat, so there are no incisions, and no part of the stomach is removed. The stomach is sutured together into a sleeve-like pouch, which limits the amount of food the patient can eat in one sitting. The procedure is done under general anesthesia and takes about 45 minutes. It is done in an outpatient setting, no hospital stay is required, and recovery is minimal compared to gastric sleeve surgery.
What Is Endoscopic Sleeve Gastroplasty (ESG)?
Online Bariatric Seminar - Endobariatrics (Endoscopic Bariatrics or ESG or Accordion Procedure)
Dr. Chris explains what endoscopic bariatrics is. This incisionless technique reduces the capacity of your digestive system leading to a safe and healthy weight loss. Endoscopy is used for many types of procedures to reduce pain and increase the speed of healing.
How Much Weight Can You Lose With LSG vs ESG?
Excess body weight is calculated using the difference between your ideal weight and what you currently weigh.
- 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%.
If you are considering weight loss surgery, non-surgical ESG may be an excellent solution for you! However, it is important to learn the specifics of all the options available today before making a decision. Contact IBI Healthcare Institute for a consultation to learn more about weight loss surgery and which procedure would help you attain your goal. Our team of experts will provide support to help you choose a procedure, prepare for it, and ensure best possible results. Call us today, make the first step in your weight loss journey.