How different are they? Are they the same thing? Which one will work better?
These are the questions we often get from patients looking into weight loss surgery. The simple and quickest way to answer: Both of these procedures are similar in concept, to provide patient with a smaller stomach pouch to cut down food portion intake and lose weight. However, each procedure different in a number of ways:
The gastric sleeve laparoscopic procedure removes up to 80% of your stomach to create a narrow tube like pouch. Your surgeon staples the pouch and permanently removes the other portion of your stomach. Average surgery time is about 1-2 hours. Your anatomy is permanently changed.
The LAP-BAND outpatient laparoscopic procedure places a removable and adjustable silicon band around the top of your stomach, creating a small pouch, connected to a small and discrete port above your abdominal muscle. Adding or removing saline, through the port, will adjust the grip of your band to better fit your weight loss plan. Average surgery time is about 1 hour. Your anatomy is not permanently changed.
The gastric sleeve procedure is a permanent weight loss surgery. Revisions are possible as well as conversions if the patient begins to re-gain weight. Recommended time off work is about 2-3 weeks, depending on type of work, and recovery ranges from 3-5 weeks.
The LAP-BAND is a fully reversible procedure. A patient can have another procedure but a patient can have the lap band system removed with no changes to the anatomy. Time off work can be less than a week, depending on type of work, and recovery ranges from 1-2 weeks.
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The diet for both LAP-BAND and gastric sleeve asks for a calorie intake of 1100-1800 calories per day depending on your starting weight and your dietitian’s recommendations for your weight loss plan.. Your surgeon and dietitian should work with you on determining a weight goal that is achievable based on actual results of weight loss surgery, your age, your ability to make changes, your level of activity and your lifestyle. A weight loss procedure will not make your weight magically disappear. Once you have reached your goal weight, the calorie count is stabilized based on your surgeon and dietitian’s recommendations. You want to avoid high fat and high calorie foods, carbonated drinks, processed foods, foods that are difficult to digest and sugary food and drinks. Most weight loss specialist recommend reduced starchy food, these are items like bread, past, rice, chips, etc. You will be encouraged to drink a lot of water or low calorie liquids. Your dietitian will encourage good sources of protein, in solid form, not just shakes. Think to “over chew” each bite, post bariatric surgery your meal portions and bite size must be smaller than before. A well-chewed bite will assure no discomfort or possible complications.
Both treatment often require the same vitamin/supplement intake. One or two daily multivitamin and a daily calcium supplement. Gastric Sleeve patients are recommended to take vitamin B12 because of the alterations to your digestive track.
The gastric sleeve is a permanent amputation of up to 80% of your stomach, so complications are higher potentially and the procedure is irreversible. Other surgical risks include possible blood clots, bleeding and infections. Possible leakage at suture/staple edge. Gastric sleeve is not reversible and if weight regain occurs, it requires additional surgery or another procedure such as a gastric bypass.
The Lap-band procedure requires monthly follow-ups for a full year post surgery to assure positive weight loss progress or possible adjustments. The complication rate is low and the actual complications are less severe. Consistent work with your dietitian and weight loss team is required to assure new healthy eating habits are in place and old habits are avoided.
It’s important to know and understand that either weight loss surgery a tool to help you lose weight. A healthy relationship with food and a strong support system will be necessary tools to help you achieve your weight loss goals.
With our LAP-BAND system, you will have a team of medical professionals that will aid you every step of your journey and accommodate your needs to increase your chances of reaching your goals.
Learn more about our LAP-BAND system by attending our FREE info seminar on September 13th, led by Doctor McEwen or give us a call at 317-621-2500 or email: firstname.lastname@example.org
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