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Lap Band Surgery Vs Gastric Bypass

The Differences In The Gastric Sleeve Gastric Bypass And The Lap

Gastric Bypass vs. Lap Band vs. Gastric Sleeve

Patients often come to Birmingham Minimally Invasive Surgery wanting the least invasive surgery possible, and while this is completely understandable, the fact is, all of our weight loss surgery options are, well, minimally invasive. With the gastric sleeve, gastric bypass, and the LAP-BAND being the most common of the weight loss procedures, each is done laparoscopically, requiring only 4-6 tiny incisions and less than 2 hours in the operating room.

Another factor that patients often overlook is how insurance plays a major role in choosing which weight loss procedure is best for them. While many insurance companies require a certain BMI for different surgeries, this can often dictate which ones are covered. On the other hand, for those paying out of pocket, the cost of the procedure often plays a major role. Take a closer look at the most common weight loss surgeries below to get a better understanding of which one might be right for you.

The Gastric Sleeve Procedure

During gastric sleeve surgery, were basically cutting away the top and largest part of the stomach called the fundus. This is where the hunger hormone, ghrelin, lives, and thats why we often hear our post-surgery patients say theyre never hungry. Along with eliminating this hunger hormone, were also removing about 2/3 of the stomach, which is why these two combining factors lead to significant weight loss.

Whos a good candidate for gastric sleeve?

Gastric Bypass Procedure

The LAP-BAND Procedure

Laparoscopic Gastric Bypass Vs Lap

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
First Posted : November 1, 2005Results First Posted : April 6, 2010Last Update Posted : May 18, 2010

PURPOSE Obesity is a growing problem in the United States. Severe obesity, known as “morbid obesity”, is defined as being 100 pounds in excess of ideal body weight. Nonsurgical treatments for morbid obesity include exercise, dietary restriction, behavior modification, and pharmacological intervention. However, it is estimated that most patients undergoing nonsurgical treatments for weight reduction will regain their weight within 2 to 4 years after treatment. According to the NIH consensus conference in 1991, surgery remains the only effective sustained weight loss treatment for morbid obesity. The Roux-en-Y gastric bypass is currently considered the gold standard bariatric surgical operation. Mean weight loss following GBP is approximately 65% of the excess body weight during the first 12 to 18 months postoperatively. Long-term weight loss is in the range of 55-70% of excess body weight loss.

Condition or disease
Procedure: Gastric bypass surgeryProcedure: Lap-Band Not Applicable

RATIONALE:

HYPOTHESIS:

Can You Get Lap

Yes, you can get a Lap-Band or any other adjustable gastric band after your gastric bypass. This procedure is known as band over bypass. Its not a very common procedure but its a pretty simple one for a surgeon to do.

The reason why someone might want to get a lap-band after gastric bypass is because they didnt lose enough weight when they got their original gastric bypass. The typical band over bypass patient got their gastric bypass more than one year before considering additional surgery. Its usually for people who found that their weight loss plateaued or if they started gaining weight after surgery.

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Gastric Band Surgery Vs Gastric Bypass Surgery

While gastric band and gastric bypass surgeries can accomplish virtually the same weight loss goals, they differ in terms of effectiveness, cost, and lifestyle adjustments. Dr. Liza María Pompa González at LIMARP® in Tijuana, México , has stopped performing gastric band procedures to favor gastric sleeve and gastric bypass surgeries, due to the fact that current expert consensus indicates that these two procedures are safer and more effective than the lap-band. In keeping with these guidelines, Dr. Pompa González can successfully remove prior lap-bands in patients who have not achieved their weight loss goals, and perform a more effective procedure. Nonetheless, Dr. Pompa González was one of the first surgeons in Mexico certified to place the LAP-BAND, but for reasons involving patient safety and benefits, it is surgery she no longer performs.

What About Risks And Complications

Lap Band, Gastric Sleeve, Bypass: A History of Weight Loss Surgery ...

Bariatric surgery is a relatively safe procedure.

According to the American Society for Metabolic and Bariatric Surgery, the risk of a major complication is about 4 percent. This is much lower than the risk of developing serious obesity-related health complications.

Some factors that can complicate any surgery, including bariatric surgery, include:

The dietary changes youll have to make after gastric sleeve surgery and gastric bypass are basically the same.

  • For about a week after your surgery, youll only take in liquids.
  • For the next 3 weeks, youll be able to eat pureed food and then soft food.
  • Two months after surgery, youll be able to eat regular food.

The main difference in postoperative diet is the size of your stomach pouch, which affects how much you can eat.

  • Gastric sleeve surgery creates a pouch that holds about 3 ounces, which is roughly the size of a hockey puck.
  • With gastric bypass, your pouch holds about 1 ounce, or about the size of a golf ball.

Important dietary guidelines that youll need to follow after your gastric sleeve or gastric bypass surgery include:

  • eating small amounts and stopping when youre full
  • chewing your food thoroughly
  • taking the recommended vitamins and supplements
  • staying hydrated by drinking enough water
  • sipping fluids rather than drinking quickly
  • avoiding food thats difficult to digest, such as tough meat and bread
  • avoiding carbonated beverages

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Diet: Gastric Bypass Vs Band

Your Lap-Band vs gastric bypass diet transition is virtually identical:

  • 2+ Weeks Before Practice your post-surgery diet
  • 2 Weeks Before High protein, low sugar, low carbs
  • 1 Week Before Stop or change some medications
  • 2 Days Before Clear liquids only
  • Midnight Before Surgery Nothing to eat or drink
  • In Hospital to 7 Days After Surgery Sugar-free clear liquids only
  • Day 1 to Week 2 After Surgery Add thicker drinks & smooth foods
  • Day 2 to Week 3 After Surgery Slowly test pureed foods & soft solid foods
  • Day 3 to Weeks 4+ After Surgery Slowly test solid foods

Following are dietary guidelines for both gastric bypass and Lap-Band:

  • Test one food at a time to make sure you can tolerate it
  • Eat proteins first, in solid form
  • Eat healthy whole foods
  • Drink 64+ oz of fluids spread throughout the day
  • No drinking 30 minutes before or after meals
  • Alcohol only in moderation
  • Diet issues unique to gastric bypass include:

    • Most gastric bypass patients will experience dumping syndrome when they eat the wrong foods. Conveniently, the wrong foods are the unhealthy ones, so whiledumping syndrome symptoms are unpleasant, they help you keep your gastric bypass diet in check
    • Patients who undergo the bypass procedure are at especially high risk of developing Alcohol Use Disorder

    See the following for more information:

    Which Is Safer Lap Band Or Sleeve

    Lap band surgery may appear safer at first because it involves no removal of the stomach tissue, no rerouting of the intestines or no other invasive procedures. However, over time, complications related to the gastric band may cause trouble for many patients. If weight loss results are inadequate or co-morbidities do not resolve, the indirect health risks are high.

    When you consider gastric sleeve vs. lap band, gastric sleeve is certainly more invasive and irreversible by design. The short-term side effects and long-term risk of complications with gastric sleeve may also be relatively higher for some patients. However, the weight loss benefits to your health and longevity will far outweigh the risks if you choose gastric sleeve.

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    Gastric Bypass Surgery Facts

    • Studies have shown that gastric bypass surgery helps patients lose more weight than Lap-Band surgery.
    • Gastric Bypass Surgery is a more effective treatment towards diabetes than lap-band.
    • Gastric Bypass is a very powerful weight loss surgery that alters a persons digestive tract to increase weight-loss.

    A Look At The Major Differences Between Gastric Sleeve Gastric Bypass And The Lap

    Lap Band vs. Gastric Sleeve

    Making the decision to have weight loss surgery is huge. But even when you are certain that this is what you need to do, it can be overwhelming to move forward. Our surgeon and staff will be with you every step along the way, but we know that many patients like to be as informed as possible about their options.

    In this post, we will take a closer look at three of our most common procedures to discuss differences, advantages, disadvantages, and more.

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    What Should I Expect During Lap

    Because we use a laparoscopic procedure to insert the LAP-BAND System, recovery times are generally short. The procedure is done on an outpatient basis, and most of our patients have been able to gradually return to their daily activities after a few days. We will schedule regular follow-up appointments with you over the ensuing year to make sure you are losing weight safely and effectively.

    Relationships After Weight Loss

    Significant weight loss after any type of bariatric surgery can lead to big changes with everyone around you.

    While many of those changes are positive, some can also be extremely challenging and unexpected.

    See our Relationships After Weight Loss Surgery page for important changes to prepare for.

    • Gastric Bypass vs Lap-Band: Many complications/side effects are the same
    • Band patients have long-term device-related risks and must receive ongoing fills/unfills

    Gastric bypass vs Lap-Band challenges are similar, with a few exceptions.

    After each procedure:

    • Most side effects like nausea, digestive issues, and body changes go away over time or after adjusting diet/lifestyle habits.
    • Sagging skin is an issue for some patients, depending how much weight is lost, age, and whether the patient is a smoker

    The following challenge is unique to gastric bypass:

    • Dumping syndrome is an issue for most patients when they eat the wrong foods. It happens as a result of food moving too quickly from the stomach into thesmall intestines and includes symptoms like nausea, diarrhea, bloating, fainting, anxiety, and weakness. It is usually treated effectively by diet changes and/or lying down after eating.
    • More likely to develop a vitamin or mineral deficiency, so your surgeon will monitor your vitamin levels more closely and prescribe additional supplements as necessary.
    • More likely to experience dental problems due to mineral malabsorption.
    • See our Gastric Bypass Complications page for more information

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    What Is The Difference Between Lap Band And Gastric Sleeve

    Patients often wonder how to differentiate between gastric sleeve vs. lap band when they are ready to go ahead with a bariatric surgery. It is best to follow your weight loss surgeons advice on this matter. In most cases, however, surgeons will recommend gastric sleeve because of its numerous advantages. In comparison, lap band surgery has a number of limitations.

    How Are Gastric Banding And Gastric Sleeve Different

    Gastric Bypass vs. Gastric Sleeve Surgery: Which weight loss procedure

    One of the main goals of many types of weight loss surgery and the non-surgical procedures offered by us at True You is to create a sense of fullness more rapidly than normal. This is achieved through various methods, but in general it means limiting the amount of food that can actually enter the digestive system. In this way, it becomes easier to maintain an ongoing caloric deficit that is, consuming fewer calories than youre burning through just being alive and getting through your day. Over time, having your metabolism work while in a caloric deficit will force the body to burn excess fat for energy in addition to the calories consumed.

    The other significant difference between the two surgeries is related to whether or not the procedure can be reversed. A consequence of the gastric sleeve surgery involving the removal of so much stomach tissue means that it is permanent there is no way to replace the part of the stomach that was removed. On the other hand, the adjustable gastric band in LAP-BAND surgery can actually be removed if you dont want it anymore. Additionally, since the inflatable band is connected to the port in your abdomen, it allows a surgeon to make adjustments to the size of the opening in your stomach. In some cases, the doctor will start out with a wider opening and then gradually reduce it as you get more used to eating less food.

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    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 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.

    Evolution In Bariatric Surgery

    The first bariatric surgeries for weight loss date back to the 1950s and 1960s, when surgeons at the University of Minnesota first did experimental bypass operations. Adjustable gastric banding first appeared in the late 1970s and early 1980s.

    But these procedures didnât gain widespread mainstream use until gastric band procedures gained full FDA approval in 2001. Clinical trials have found people who have bariatric surgery have a significantly lower risk of heart disease and other obesity-related health problems.

    In the decade that followed the FDAâs approval of lap band surgery, it became a popular weight loss procedure, accounting for more than a third of all bariatric surgeries by 2011.

    âFifteen to 20 years ago, lap band was the most commonly performed procedure for bariatric surgery worldwide and in the United States,â Aminian says. âIt was very easy to do, it was quick — it takes 20 minutes to do the procedure — recovery was short, and initially patients had great outcomes. They would lose weight and were healthy.â

    But over the past decade, surgeons found that patients often regained the weight theyâd lost, and complication and failure rates rose.

    âBecause the lap band is a foreign body that we place inside the body, many patients had complications related to that foreign body,â Aminian says.

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    Can Gastric Banding Help Treat Obesity

    Just losing weight can do a lot to improve obesity-related health conditions, including:

    The gastric band doesnt have the same effects on metabolism and hormones as other weight-loss surgeries. It’s considered a purely restrictive procedure, meaning that it works primarily by limiting the amount of food you can eat at one time.

    What Are The Advantages Of Gastric Band Surgery Over Other Types Of Bariatric Surgeries

    Gastric Bypass vs Sleeve, update for 2021

    The main advantage of the adjustable gastric band is that it has a lower risk of complications immediately after surgery. While sleeve gastrectomy and gastric bypass are both considered very safe, the gastric band is estimated to have an even lower risk of complications. There’s no division of your stomach or intestines involved. Additionally, it can be removed if necessary.

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    A Look At Gastric Bypass Surgery

    Gastric bypass surgery has a two pronged approach in achieving weight loss. The surgeon removes part of the patients stomach, and the remaining portion is connected to the middle part of the small intestine. A smaller stomach leaves less room for food and what food you do eat bypasses part of the small intestine so that you absorb fewer calories.It is a highly effective, low risk surgery, that has been proven to help patients improve or overcome obesity related health conditions such as type II diabetes and high blood pressure, while it improves risky and bothersome issues such as sleep apnea and joint pain, among others.

    The Lap Band Has A Very Short Recovery Period

    Gastric banding is considered particularly safe it is also now recommended by the Food and Drug Administration for patients with body-mass index measurements as low as 30 who also have at least one related condition and who have already tried and failed at other weight-loss methods.

    Another difference between these two surgeries is that the band is regularly adjusted for tightness so the patient can achieve the best results without the band becoming uncomfortable.

    Patients must be willing to come in every 4-8 weeks during the first year to have their band adjusted and to ensure optimal results with this procedure.

    While this adjustment process provides greater flexibility in-patient treatment, it also requires a greater patient commitment to achieve the best results.

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    What Kind Of Follow

    You’ll visit your healthcare provider often in the first year after surgery to make adjustments to your gastric band. As you lose weight, your Lap-Band may need to be tightened in order for you to sustain your weight loss. Youll also have regular blood tests to make sure youre getting enough nutrients on your new diet. You may have nutritional counseling to help you learn new ways of eating. If necessary, your healthcare provider may prescribe supplements.

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