Gastric Sleeve vs Lap Band Surgery

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.

Contact Jet Medical Tourism® today.

 

What is gastric sleeve surgery?

Gastric sleeve surgery, also known as vertical sleeve gastrectomy (VSG) is the most widely chosen form of weight loss surgery today. The procedure is relatively less invasive and entails a shorter recovery period and low risk. You can expect safe and predictable weight loss results as long as you work with a skilled and experienced bariatric surgeon.

  • Surgical procedure: Gastric sleeve surgery is mostly performed as a laparoscopic procedure, which minimizes subsequent scarring and makes the surgery more precise. The surgeon will create five to six tiny incisions in the abdomen to remove about 80% of the original stomach tissue, leaving behind a small, sleeve-shaped pouch.
  • How it works: VSG is a restrictive procedure, which means, it will limit your stomach’s capacity to hold food. As a result, you will eat smaller meal portions and feel full faster. At the same time, gastric sleeve will lower the production of hunger hormones in your body. You will feel hungry less often, and it will aid your weight loss process.

What is Lap band surgery?

Lap band surgery is the least invasive among all major weight loss surgery procedures. However, in recent years, many surgeons do not recommend this procedure because of its higher rates of weight loss failure and weight regain. At your initial consultation, you should ask your surgeon about gastric sleeve vs. lap band in order to make an informed choice.

  • Surgical Procedure: Lap band does not involve removal of the original stomach tissue. The surgeon will place a gastric band around the top part of your stomach. The band is connected with a tube accessible through a port inserted beneath the abdominal skin. Then the band is inflated to the desired degree to constrict around the stomach and create a small pouch.
  • How it works: Lap band surgery works on the similar restrictive principle as VSG. It will reduce your capacity to eat and help you meet your weight loss goals. The difference between gastric sleeve vs. lap band is that in this case the silicone band is adjustable or even removable at a later stage. However, lap band may not help in terms of hormonal weight loss.

READ: Lap band complications

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 surgeon’s 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.

Lap band vs. gastric sleeve eligibility

To be eligible for gastric sleeve surgery, your body mass index (BMI) should be at least 40. If you have one or more obesity-related co-morbidities, you will qualify for gastric sleeve surgery at BMI of 35 or higher. In case of lap band surgery, while these standard eligibility guidelines will apply, surgeons may recommend this surgery only in exceptional cases where the patient is unfit or unwilling to undergo a gastric sleeve.

Cost of lap band vs. gastric sleeve

Lap band costs are likely to be slightly lower than that of gastric sleeve. In the US or Canada, a gastric sleeve surgery may cost up to $20,000 or more in some areas, while a la p band may cost up to $15,000 on average. If you are looking for affordable options, you can compare the costs of gastric sleeve vs. lap band in Mexico. Gastric sleeve may cost up to $7,000, while a lap band may cost up to $5,500 in Mexico.

YOU MIGHT ALSO LIKE: Gastric  sleeve cost in Mexico

Lap band vs. gastric sleeve recovery

After a gastric sleeve surgery, you can expect to have a downtime of about one week. You should stay confined to your home or hotel at this time and allow the wounds to heal safely. Lap band, on the other hand, will have a downtime of only two to three days because it’s a minimally invasive procedure. Side effects and post-op discomfort could be slightly higher in case of gastric sleeve. Full recovery is faster in case of lap band.

CHECK THIS: What is the recovery time for gastric sleeve surgery?

Lap band vs. gastric sleeve results

Success rate of gastric sleeve surgery is one of the highest among all types of bariatric surgery. You may be able to lose up to 75% of your excess weight at 12. Many patients achieve their ideal body weight at 18 to 24 months. Lap band surgery, on the other hand, has a less than stellar track record with regard to weight loss results. Many patients fail to achieve adequate weight loss or regain weight quickly after their lap band surgery.
Differences Between Gastric Sleeve versus Lap Band.

READ: Gastric sleeve results: Expected weight loss after VSG surgery

Lap band vs gastric sleeve: Comparison

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 vs. lap band pros cons

It’s paramount to objectively look at the pros and cons of both lap band and gastric sleeve before you make a final choice. During your pre-op consultation, you should request your surgeon to list out the lap band vs. gastric sleeve pros and cons for you. Each individual case is different, so a consultation with the bariatric surgeon is vital for this decision.

Gastric Sleeve Pros

  • Medically proven and widely recommended by bariatric surgeons
  • High success rate in terms of long-term weight loss
  • Helps resolve or reduce co-morbidity symptoms
  • Moderately invasive and involves no intestinal changes

Gastric Sleeve Cons

  • The surgery is irreversible and involves permanent tissue removal
  • May not be appropriate for patients with very severe obesity
  • Significant post-operative recovery process is involved
  • Side effects and complications may occur in a few patients

RELATED READ:Pros and cons of gastric sleeve surgery

Lap Band Pros

  • Minimally invasive procedure with short surgery time
  • The procedure can be fully reversed at any time in future
  • Lowest risk of side effects during early post-op phase
  • Minimal post-op discomfort and fast recovery

Lap Band Cons

  • High incidence of weight loss failure and weight regain
  • Frequent problems with band adjustment may occur
  • Damage to stomach tissue due to band erosion over time
  • High rate of revision surgery for conversion to gastric sleeve

READ: Lap band complications

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.

Final words on gastric sleeve vs. lap band

When you are considering a life-altering procedure such as weight loss surgery, it is understandable if you feel uncertain or confused about the right choice of procedure. Get ready to consult with a trusted bariatric surgeon who will educate you about the exact lap band vs. gastric sleeve differences relevant to your condition, and help you make a correct and confident decision.

Compare Differences Between Types of Bariatric Surgery