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Lap Band vs. Sleeve

2big2
on 1/27/08 4:25 pm
Hi, I thought I was a 100% sure on the lap band but I started seeing information on the sleeve pop up so I wanted to check out this option too and who better to get info from but you guys! So what made you all decide to get the sleeve instead of the band. I am 33 years old 242 and BMI is 40. What do you guiys think? Thank you so very much for any help and or advice.




Danielle H.
on 1/27/08 4:53 pm - Atlanta, GA
VSG on 12/13/07 with
First, for your ticker to show up, you copy the picture, not the code and paste that in your user information... As far as sleeve vs band, I had a friend who had the band and to this day experiences a LOT of discomfort and issues with food getting stuck.  For me, I'm 32, weighed 260 at my highest (227 when I started the sleeve journey), I didn't want to think that it was reversivble. And the whole foreign object staying in your body just scared me - heard to many stories about it slipping, causing issues. I still think it's a personal choice that you have to make.  My understanding is that you don't get the first fill until 6 weeks after banding...and I wanted faster results than that. There was a similar post a few days ago, be sure to go back a few pages and read those posts.

High Weight 260, Surgery Weight 218,  Lowest Weight 156, CURRENT WEIGHT 177, Goal Weight 140

Breast Lift /Back Lipo 10/2008
LBL (Belt Lipectomy with Fluer de lis cut TT) 2/27/09
www.advancedobesitysurgery.com (Dr. Dennis Smith)
www.gaplasticsurgery.com (Dr. Sheldon Lincenberg)

darich29
on 1/27/08 5:52 pm
When my band slipped I had the choice of whether to get a new band installed or get the sleeve. At that point I was sick of constant fill/unfill cycles and the vomiting from the band going bad. I am very happy with my decision to get the sleeve so far, but it's only been 14 days. I had the band from 2001-2007 and I did really well on the band the first few years, but it got frustrating at times to have the nausea reaction when I would eat something that disagreed with the band. I once had to get up and go to the bathroom to purge salad at Olive Garden, while on a date with a really sweet guy. I didn't go out with him again out of major embarrassment. At 33 years old, you are looking at many years of maintenance with a band vs. no maintenance with the sleeve. However, the band is adjustable if you start gaining weight again, while the sleeve is not. With the sleeve if I gain weight in future years, I will have to get back down the old fasioned way again. Good luck with your decision, either way your health and self esteem will be way better.
(deactivated member)
on 1/14/13 12:07 am - India

Hi,

Congrats & thanks for putting up your experience which will help others.Its very kind of you.

I am looking to do for Laproscopic Sleeve Surgery next month.Since u have already undergone with this , i have few queries to resolve:

1. Do skin sag after weight loss.

2. I am 26 year old and weight 125 Kg.How much weight loss i can expect?

3. Are their chances of any weight regain once we start having our normal diet.

Looking to get a quick response.Your help is deeply appreciated.

My Email id is anurag2006agarwal@gmail.com

Jrfan
on 1/27/08 6:22 pm
Hi, I was dead set on the lapband for a while, but then I started checking out the other forums and learned about the sleeve.  I have about 175 pounds to lose and I was afraid I'd get too discouraged with the slower loss with the band.  I was afraid of having a malabsorption surgery.  My surgeon thought it was a good choice for me, and he has an extensive follow up program.  Keep looking at the forums and doing your research.  Good luck!
makinithappen
on 1/27/08 6:49 pm
VSG on 09/24/08 with
Hi. this is my first post & I am looking at the same thing. I have a 39BMI, I am self-pay & was sure on the lapband until 2weeks ago. My husband & I get transferred from time to time & I think the f/u with a band might be difficult. (finding fill dr.s) I am also worried about slips & errosions since that would most likely cost me more out-of-pocket money. Things I am really trying to learn about with the sleeve are, 1. What immediate problems did you have after surgery? Any mild dumping? Lots of nausea? 2. How often do you have to follow-up with your doctor afterwards? then after 1 year?  3. For anyone who had had the band & then converted, is the restriction as good? 4. What are the most common foods you are NOT able to eat? What's the longest anyone has had the sleeve so far. Thanks for your help.
carie09
on 9/1/09 1:18 pm
hi can u give me a little info i just had sleeve done 40 days ago im down about 40lbs how fast  how much should i lost a month a guess i can eat just about anything smaller of couse but anything am i doing it right help thanks.....
leahtoo
on 12/11/11 11:45 am
 so, did you choose the sleeve?  I am trying to figure out which is right for me, any advice?
Amanda C.
on 1/27/08 6:31 pm - Winter park, FL
I originally was going to get the band just because I was a bit below the 40 BMI and I didn't think anything else was an option. However, when my Dr. told me I could have my choice of the band or the sleeve (self pay of course) I had a big decision to make. I went with the sleeve because it just seemed perminant. A good friend of my family had the lapband and she lost a lot of weight in the beginning. Now she is a little over a year out and has almost regained all of the weight she lost. Food she eats constantly gets stuck and she is uncomfortable. Of course, I know she has regained the weight because she has not followed the diet. I have seen her be able to eat a whole plate of french fries a few days after a fill which I know I could never do with the sleeve even if I tried to force it down. The sleeve, like any other weight loss surgery, is a tool to help with that bit of self control we need. So what works for one person may not work for another. From what my surgeon explained the band is just the easiest form of weightloss surgery to mess up. I am so thrilled with my choice getting the sleeve. I am 8 months post op and 3 pounds from my goal weight. I can eat almost anything except rice, bread, anything that expands a lot. I have never been happier. Best advice I can give is try to find a local weight loss surgery support group which has members that have had different types of surgeries. Good luck in your decision.




leahk
on 1/27/08 6:59 pm
VSG on 09/15/08 with
Hi, Like you, I was 100% sure I was getting the band.  But I always had the nagging thought, "What if it doesn't work for me.  What if I'm one of the people who never gets good restriction, is  always hungry and stalls with very little weight off".  After visiting the band forum every day for two months,  the band just seemed like too much of a crap shoot to me.  It seems like people did very well...unless they didn't! The VSG, on the other hand, seems like a sure thing for weight loss.  Plus, it has none of the annoying little side effects that one sees with the band, like getting "stuck" or sliming.  When I was set on the band, these side effects were not "deal breakers" for me, but once I decided on the VSG, I was glad I wouldn't have to worry about them.   You can get the "foamies" with the VSG, which I guess is similar to sliming, though. Also, once your stomach heals from VSG surgery, that's it. No slips, no erosion, no flipped ports and no fills.  After visiting this website, i see that slips and erosion are much more common than the literature would lead you to believe.  I thought with the new, improved bands that these things didn't happen anymore or were very rare, but that doesn't seem to be the case.  The band seems like it would be a lot of worry.  I didn't want to worry that my band slipped every time I had a pain in my stomach. As for the VSG, when I first read about it, I was horrified. Here were these people saying the didn't want a foreign object in their body (the band), but were willing to have most of their stomachs amputated and then lines of staples *** foreign objects) in what remained!  WTH??? But, as I read about everyone's experience with the VSG, it is a simple surgery and very low maintenace afterwards.  A multivitamin, B-12 and some calcium supplements as opposed to fills that may or may not work, IF the dr. could find your port without sticking you over and over. I also wasn't sure that I could follow the band diet for the rest of my life.  The thought of living on small amounts of protein to keep the pouch full was just not appealing.  I could probably do it for awhile, but knowing I could eat around the band by eating shakes and slider foods led me to believe that I would soon "fall off the wagon".  There is no eating around the sleeve.  You are supposed to eat a similar diet to the band diet, but if you do go off, you can only eat a small qty. and you will be full.  You cannot get large amounts of bad food in like with the band.  Finally, the weight loss seems to be similar to the RNY and stats show the percentage of weight kept off at 3 years to be a little less than the RNY and better than the band. So, that's why I chose the VSG over the band. Good luck with whatever you choose.  Everyone has different reasons for choosing the WLS that is right for them. Leah

20.5 lost pre-op.  highest/pre-op/current/goal   283/262.5/151.5/155
Pielet
on 1/27/08 7:16 pm - White Plains, NY
VSG on 07/23/07 with
Hi there,
I chose VSG because it was so much simpler and had so many less complication possibilities.

And here's an interesting fact--as I went surgeon shopping, when I told them I was interested in VSG, 4 out of 4 of them said they thought this was a much better choice than lapband, that they always end up having to re-operate sooner or later, and they told me that they though the VSG was going to become the "gold standard" within the next few years.

Good luck with your decision!


                                                 (10 lbs. lost pre-op)

"Many a false step was made by standing still."
(deactivated member)
on 1/14/13 12:08 am - India

Hi,

Congrats & thanks for putting up your experience which will help others.Its very kind of you.

I am looking to do for Laproscopic Sleeve Surgery next month.Since u have already undergone with this , i have few queries to resolve:

1. Do skin sag after weight loss.

2. I am 26 year old and weight 125 Kg.How much weight loss i can expect?

3. Are their chances of any weight regain once we start having our normal diet.

Looking to get a quick response.Your help is deeply appreciated.

My Email id is anurag2006agarwal@gmail.com

mary d
on 1/14/13 5:06 am

no one can answer these questions for you.  these are all individual issues.  this is a very old post.  post a new post and ask how others have done.  your personal experience will be your own though.

pjennjr
on 1/27/08 10:50 pm - Whitney, TX
VSG on 10/25/07 with
I too originally thought I would have the lap band, but I did lots of research.  Axtually my insurance would have paid for the lap-band or the RNY, but after researching the subject I came out of retirement for a year to earn the money for the Sleeve.  I was that convinced that it was the best for me!  I am still convinced.  Good luck and keep us posted.  pat

(deactivated member)
on 7/4/11 5:33 am

Lap Band vs Sleeve result with a lap you lose at 40% of your goal weight with a sleeve it is about 70% and bypass 95%. I weighed 297 in 2007 when I had the lap band put in it took me 6 months to lose 60lbs and then I just couldnt seem to lose any more. I was constantly going back and forth to fill/unfill and being stuck with a needle in my stomach numerouse times was no fun.  If they filled to much it cause acid reflux and I would have to go back to have some fluid removed.  If they removed to much I would be able to eat large servings of food and would have to go back to refill.  Got tired of all the Dr's visits regained 30lbs. Also the port was placed near my waistline which cause slight discomfort when wearing a belt.  Had the band removed and a sleeve done last week and already down 20lbs. Looking forward to reaching my goal weight in 6 months. No more time off from work for pokes in the stomach

emelar
on 7/4/11 5:57 am - TX
I walked into the WLS seminar thinking I wanted the band, then I saw the model of the stomach with the band around it and the tubing with the port.  All I could think of was "mechanical failure."  To many parts for something to go wrong with.  Continued researching and realized that the band is NOT reversible - it's removable.  But it often causes damage to the stomach and esophagus.  Not to mention problems with the port.  It's sewn to a muscle and has been known to come unconnected, flip, and leak.

I didn't go back to a seminar for a few years and that's when I learned about the sleeve.  It has all of the advantages of the band without the downside.  Yes, it's permanent - but were you planning on having your band removed?  The biggest surgical risk with the sleeve is a leak along the incision line right after surgery.  Your surgeon should check for a leak either in surgery or before they discharge you.  When the stomach is reduced, it takes away the part that produces the hunger hormone, ghrelin.  Most (not all) people experience a reduction in hunger.  I did.


madeinvt
on 3/22/12 9:28 am
Hi Everyone: I am new to the site. I'm about 4 months into the program and cannot decide between the lapband and the sleeve. I'm 32, 5'3, 265 pounds.

Is there anyone out there who has gone through a pregnancy after the band or the sleeve? I'm pretty sure I'm heading for the sleeve - but, not sure if the band is a better option for pregnancy reasons. I know you really should not try to become pregnant for atleast one year after surgery.

Your thougths??

Also, sagging skin issue with the sleeve? Has the weight loss been so rapid that you have moderate to sever sagging skin?

Thanks, everyone. I'm really glad this site is available.
USAF Wife
on 3/22/12 9:56 am
On March 22, 2012 at 9:28 AM Pacific Time, madeinvt wrote:
Hi Everyone: I am new to the site. I'm about 4 months into the program and cannot decide between the lapband and the sleeve. I'm 32, 5'3, 265 pounds.

Is there anyone out there who has gone through a pregnancy after the band or the sleeve? I'm pretty sure I'm heading for the sleeve - but, not sure if the band is a better option for pregnancy reasons. I know you really should not try to become pregnant for atleast one year after surgery.

Your thougths??

Also, sagging skin issue with the sleeve? Has the weight loss been so rapid that you have moderate to sever sagging skin?

Thanks, everyone. I'm really glad this site is available.


I'm into my 2nd pregnancy post-VSG, I'm so glad I never got pregnant with the band considering I could rarely eat decent food because food would get stuck, I would puke on some water some days so ya know, it just isn't worth it. The complications keep climbing, climbing and success stories without major trips to the doc for fills/unfills, or complications are declining.

I can say my skin is not horrible even after losing 137lbs with VSG alone in 10.5 months. My extra skin served me well in my last pregnancy, and I'm sure it'll work out great this time too. I delivered Tatum on 30 October 2011, and now I'm 10 weeks pregnant again. So, least to say, life is hectic yet pretty dang normal. The band gives NO better pregnancy stats at all. VSG did not complicate my pregnancy in any fashion. I know women who have had to have their bands removed during pregnancy, or gained weight and could never get back down or get a good fill after delivery.

I've had both the band and sleeve. The band nearly killed me, I lost additional tissue during my revision, had complications from the damage the band did. That's the short personal story, here's some stats for you on the band:


http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=16839478&ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum

A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates.

Suter M, Calmes JM, Paroz A, Giusti V.

Source

Department of Surgery, Hôpital du Chablais, Aigle-Monthey, Switzerland.

Abstract

BACKGROUND:

Since its introduction about 10 years ago, and because of its encouraging early results regarding weight loss and morbidity, laparoscopic gastric banding (LGB) has been considered by many as the treatment of choice for morbid obesity. Few long-term studies have been published. We present our results after up to 8 years (mean 74 months) of follow-up.

METHODS:

Prospective data of patients who had LGB have been collected since 1995, with exclusion of the first 30 patients (learning curve). Major late complications are defined as those requiring band removal (major reoperation), with or without conversion to another procedure. Failure is defined as an excess weight loss (EWL) of 50%), LGB should no longer be considered as the procedure of choice for obesity. Until reliable selection criteria for patients at low risk for long-term complications are developed, other longer lasting procedures should be used.



http://archsurg.ama-assn.org/cgi/content/short/146/7/802

ONLINE FIRST
Long-term Outcomes of Laparoscopic Adjustable Gastric Banding

Jacques Himpens, MD; Guy-Bernard Cadière, MD, PhD; Michel Bazi, MD; Michael Vouche, MD; Benjamin Cadière, MD; Giovanni Dapri, MD

Arch Surg. 2011;146(7):802-807. doi:10.1001/archsurg.2011.45

Objective  To determine the long-term efficacy and safety of laparoscopic adjustable gastric banding (LAGB) for morbid obesity.

Design  Clinical assessment in the surgeon's office in 2009 (≥12 years after LAGB).

Setting  University obesity center in Brussels, Belgium.

Patients  A total of 151 consecutive patients who had benefited from LAGB between January 1, 1994, and December 31, 1997, were contacted for evaluation.

Intervention  Laparoscopic adjustable gastric banding.

Main Outcome Measures  Mortality rate, number of major and minor complications, number of corrective operations, number of patients who experienced weight loss, evolution of comorbidities, patient satisfaction, and quality of life were evaluated.

Results  The median age of patients was 50 years (range, 28-73 years). The operative mortality rate was zero. Overall, the rate of follow-up was 54.3% (82 of 151 patients). The long-term mortality rate from unrelated causes was 3.7%. Twenty-two percent of patients experienced minor complications, and 39% experienced major complications (28% experienced band erosion). Seventeen percent of patients had their procedure switched to laparoscopic Roux-en-Y gastric bypass. Overall, the (intention-to-treat) mean (SD) excess weight loss was 42.8% (33.92%) (range, 24%-143%). Thirty-six patients (51.4%) still had their band, and their mean excess weight loss was 48% (range, 38%-58%). Overall, the satisfaction index was good for 60.3% of patients. The quality-of-life score (using the Bariatric Analysis and Reporting Outcome System) was neutral.

Conclusion  Based on a follow-up of 54.3% of patients, LAGB appears to result in a mean excess weight loss of 42.8% after 12 years or longer. Of 78 patients, 47 (60.3%) were satisfied, and the quality-of-life index was neutral. However, because nearly 1 out of 3 patients experienced band erosion, and nearly 50% of the patients required removal of their bands (contributing to a reoperation rate of 60%), LAGB appears to result in relatively poor long-term outcomes.


Author Affiliation: The European School of Laparoscopic Surgery, Department of Gastrointestinal Surgery, Saint Pierre University Hospital, Brussels, Belgium.


Band to VSG revision: June 3, 2009
SW 270lbs GW 150lbs CW Losing Pregancy Weight Maintenance goal W 125-130lbs


(deactivated member)
on 5/1/12 2:16 am
(deactivated member)
on 5/1/12 2:17 am
Hello people!
I'm 23, unmarried, 5.3' in tall, weigh around 178.2 lbs. (81 kilos) (BMI = 31.6).
Been overweight & obese all my life.
Recently, I started reading about these bariatic surgeries. Lap Band particularily caught my attention since it doesn't make major changes to the body.
Consulted a local bariatic surgeon too but he dismissed Lap Band & recommended Sleeve surgery, but the idea of stapling my stomach really scared me.

I watched a lot of youtube videos, read a hundred articles but never posted a query like this before.

My questions are:

1. I read that only people with BMI > 40 & who have around 100lbs to lose are eligible for bariatic surgeries. Whereas I weigh only 178.2lbs & my BMI is only 31.6. (Obesity Class 1), should I go ahead & get a permanent solution?
Since I've been obese since always, I'm sure I'l grow up to gain more, if I dont act now.

2. Are you expected to start exercising soon after the surgery (after 3 weeks, of course)?
Will exercising movement hurt the staples? Will thowing up hurt the tummy (& cause bleeding)?

3. I've been detected with PCOD & on medication. Will I require to stop the medication for PCOD? If I continue, will it affect the surgery-recovery?

4. I also read that during pregancy, due to lack of nourishment for the mother & child (since the stomach size is reduced), the growth of the unborn gets affected (the child is born weak, small in size etc).
How far is this true?

5. On a scale of 1-10, which one is the ultimate surgery for weight loss? Considering I cant afford the follow-up of Lap-Band (filling/unfilling).

If anyone can answer these, my life will change forever. I'm really looking forward to do it but these questions are holding me back from changing my life.