Lap Band vs Lap Sleeve: How the Results Differ

Posted by Jason Radecke on Tue, May 14, 2013

There are many different types of bariatric surgery but they all have the same goal: weight loss. Weight loss can be achieved through surgery in two ways: by restricting the amount of food you can consume, or by reducing the calories absorbed. Some bariatric surgeries can do both restrict and reduce absorption, like the gastric bypass.

Both the laparoscopic adjustable gastric band surgery and laparoscopic sleeve gastrectomy restrict the amount of food one can consume.  How they accomplish this differs, and it is important point to recognize that the results of the surgery differ too.

A Laparoscopic Sleeve Gastrectomy is a very effective weight loss surgery tool. With thislap-sleeve surgery, approximately 90% of the stomach is removed, which creates a “sleeve” shape. Decreasing the size of your stomach allows you to eat less because your body feels full after eating small portions of food. In addition, the hunger hormone ghrelin is significantly reduced with the sleeve gastrectomy. Ghrelin cells are found in the portion of the stomach that is removed with surgery. Many people have found success with their weight loss goals through lap sleeves. Here are some points on lap sleeve results for you to consider:

  • Weight Loss: Weight loss after lap sleeve surgery is significant. Most participants lose 70-80% of their excess weight within 2 years of the surgery. Weight loss is generally maintained in most patients even after 8 years.

  • Metabolic Benefits: If you have diabetes, high blood pressure, sleep apnea, a significant number of people see complete resolution of these disease within months after surgery.  The fact that a surgery can cure what are typically lifelong diseases is very exciting!

  • Aftercare: Unlike the lap band, sleeve patients do not need adjustments to add or remove fluid from their lap band. While follow up is important with all types of bariatric surgery, there are no adjustments that require a needle puncture with the lap sleeve.

A Laparoscopic Adjustable Band Surgery is another effective weight loss option. With this method a small band is put around the top portion of your stomach to create a small pouch. The band is filled with saline that can be removed or added, making you new stomach size smaller or larger. Like the lap sleeve surgery, this also makes you feel full after eating small portions of food.  However, it is a very different feeling than the sleeve. Also there is no removal of ghrelin receptors with the lap band. Let’s take a look at how the results of a lap band differ from those of a lap sleeve.

  • Weight Loss: Weight loss after having a band placed is not as dramatic as lap sleeve. Inlap-band-vs-lap-sleeve general lap band participants lose 30-45% of their excess weight the first year and up to 50% the second year. While this isn’t as much as other bariatric surgeries, it’s important to keep in mind what your initial goals are.

  • Metabolic Benefits: Lap band patients may also see an improvement in their diabetes and hypertension however it is not as dramatic as the lap sleeve patients.

  • Aftercare: Maximizing weight loss after lap band surgery requires close follow up with your bariatric surgeon to keep enough fluid added to your band. Adjustments are generally made monthly for the first 6-8 months after the surgery. Adjustments made after that time period are less frequent.

Both of these surgeries have been proven effective at helping people lose weight. The main thing to remember with any weight loss surgery is that it’s not a quick fix but a tool to change your life. The goal of weight loss surgery is almost like a “reset”. It allows you to get to your goal weight. However maintaining it long term requires knowledge and commitment.

At Riverside Surgical and Weight Loss Center, we’re committed to helping people with their weight loss goals. If you’re considering bariatric surgery and would like to know more about which weight loss option would work best for you visit our website.


Tags: Lap Band Results

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