When you have to make a choice about gastric sleeve vs lap band, choosing which type of bariatric surgery is right for you can be a difficult decision. At Jet Medical Tourism… we understand this. It is our goal to provide you with education regarding the different types of bariatric surgeries.

This information can assist you in evaluating your choices so you can decide the most appropriate surgical treatment option best suited to your personal situation.

Differences Between Gastric Sleeve versus Lap Band

Two popular weight loss surgeries for you to consider are laparoscopic gastric banding, and laparoscopic sleeve gastrectomy, commonly referred to as gastric sleeve surgery.

According to a study by the American Society for Metabolic and Bariatric Surgery, patients who had gastric sleeve surgery vs gastric band experienced a +30% decrease in their body mass index (BMI) after 12 months.

The following chart is a side-by-side comparison of gastric banding and gastric sleeve that briefly summarizes the differences between these two surgeries.

 Gastric SleeveGastric Banding
Surgical RiskLow to moderateLow
Rate of
Weight Loss
Slower than gastric bypassSlow and steady
Average
Weight Loss
50-80% of excess body weight within 12 months40% of excess body weight over 24+ months
Operating Time1-2 hours1-2 hours
Recovery Time3-4 weeks2 weeks
Hospital Stay2 nightsLess than 24 hrs
Time off Work2 weeks1 week
ReversibleNoYes
Medical ImplantNoYes
How it
Promotes
Weight Loss
  • Restrictive
  • Limits food intake
  • Reduces hunger sensations by removing Ghrelin (hormone that plays a key role in regulating body weight)
  • Restrictive
  • Limits food intake
  • Slows digestion
  • Creates fullness
Change
to Intestine
  • No change to the intestine during gastric sleeve surgery
  • No change to the intestine during gastric banding surgery
Change
to Stomach
  • Stomach Size is Reduced
  • 60-80% of the stomach is removed, leaving a vertical narrow pouch 2-3 oz (60-100 cc)
  • Stomach Size is Reduced
  • An adjustable silicone ring (band) is placed around the top part of the stomach creating a small 1-2 oz (15-30 cc) pouch
Bariatric Diet & Dietary Guidelines
  • 600-800 calories per day during weight loss (24 months)
  • Eat protein rich foods
  • Avoid high calorie and fat food
  • Avoid carbonated drinks
  • Drink 6-8 cups of water a day
  • Eat 1000-1200 calories per day after 24 months

  • 800 calories per day during weight loss (24-36 months)
  • 1000-1200 calories per day, once weight goal is achieved
  • Eat protein-rich foods
  • Avoid fibrous, dry, or doughy foods as they can get stuck if eaten
  • Avoid high fat and high calorie foods
  • Avoid carbonated drinks
  • Drink 6-8 cups of water a day
New Eating Habits After Bariatric Surgery
  • Eat small portions daily
  • Eat 4-6 times a day
  • Chew food throughly to puree consistency before swallowing
  • Eat slowly
  • Eat high-protein foods
  • No drinking with meals, drink water 30 minutes before or after meals

  • Eat small portions daily
  • Eat 4-6 times a day
  • Chew food throughly to puree consistency before swallowing
  • Eat slowly
  • Eat high-protein foods
  • No drinking with meals, drink water 30 minutes before or after meals

Bariatric Vitamins, Minerals & Nutritional Supplements
  • Multivitamin
  • Calcium
  • Vitamin B12
  • Folate
  • Vitamin A
  • Vitamin B1 (Thiamin)
Pros, Benefits, Advantages of
Weight Loss Surgery
  • Pyloric valve and small intestine are kept intact
  • Reduces hunger (the portion of stomach that produces Ghrelin, the hunger stimulating hormone, is removed)
  • Option for patients who do not qualify for band or bypass
  • Fewer food intolerances
  • Low malnutrition risk
  • May be converted to gastric bypass or duodenal switch
  • Revision option for gastric band patients

  • Simple and relatively safe
  • Reversible
  • Adjustable
  • Short hospital stay
  • Quick recovery period
  • Low malnutrition risk
  • Low rate of complications
  • Does not remove or alter any part of the stomach or intestines

Cons, Risks, Disadvantages of
Weight Loss Surgery
  • Bleeding
  • Blood clots
  • Leakage
  • Infection
  • Pneumonia

  • Band slippage (<5%)
  • Band erosion (<1%)
  • Band fill and adjustments
  • Infection
  • Port problems
  • Stoma obstruction
Am I a Candidate for Weight Loss Surgery?
  • Gastric sleeve is best for obese patients
  • High-risk patients with a BMI > 60 as a “first-stage” procedure
  • Gastric banding is best for patients who are more disciplined with their diet and follow an exercise program
Bariatric
Surgery Method
Laparoscopic Bariatric SurgeryLaparoscopic Bariatric Surgery
Learn More About Different Types of Bariatric SurgeryTypes of Bariatric SurgeryTypes of Bariatric Surgery

Gastric Sleeve Surgery

Gastric Sleeve Surgery, or sleeve gastrectomy (LSG) is a restrictive procedure used by many surgeons as a staging procedure prior to roux-en-y gastric bypass or duodenal switch in very high risk patients. Some surgeons use it as a primary, stand-alone procedure.

Gastric Banding Surgery

Gastric Banding Surgery, or Lap Band is a restrictive procedure that uses a silicon “belt” placed around the upper part of the stomach to achieve weight loss. When deciding if gastric banding is right for, it is important to take into consideration both time and distance involved in traveling for band adjustments.

Considering Sleeve Gastrectomy or Gastric Lap Band

No matter what weigh-loss surgery option is chosen, you need to make a serious commitment to changing your lifestyle – behavior and diet modifications.

Compare Differences Between Types of Bariatric Surgery