Gastric Band vs Gastric Sleeve
Gastric Band vs Gastric Sleeve is an article that aims to give you all the information you do not know about Gastric Band vs Gastric Sleeve and more. We kindly shared the main headings with you;
What is gastric band?
A surgically implanted tool to aid in weight loss for obese people is the adjustable gastric band. It is considered one of the bariatric procedures that limit how much you can eat at once (restrictive weight loss surgery). In contrast to other operations, the adjustable gastric band shrinks your stomach without permanently severing it.
What makes you a good candidate for gastric band surgery?
In general, if you have obesity-related health issues and got unsuccessful results from other ways in terms of losing weight, you may be a candidate for bariatric surgery. BMI plays a major role in determining obesity.
Your doctor might advise bariatric surgery if your BMI is 40 or more. Body Mass Index (BMI) is a method of determining how much body fat you have also known as height to weight ratio. An increased risk of obesity-related disorders is linked to scores of 40 or above.
Another key indicator for gastric band surgery is having a BMI of 35 or higher and at least one condition linked to obesity. A BMI of 35 is regarded as class II obesity in the absence of a connected condition. It is considered clinically severe, or class III obesity, if there is a concomitant medical condition.
In order to confirm that you are in good enough health for surgery, you will also need to undergo medical testing. Physical examinations, blood tests, or imaging studies of your abdomen could be performed. You must stop smoking, and use alcohol or narcotics excessively in order to be eligible for surgery.
How does gastric band work?
A flexible, inflatable tube composed of soft silicone is the gastric band. It is positioned in the shape of a ring around the top of your stomach. A port that is positioned under your skin is attached to this inflatable ring. By inserting a needle into the skin port and injecting the saline solution, your surgeon can tighten the fit of the band while allowing a tiny outflow between the upper and lower halves of your stomach. This pouch in your upper stomach will quickly fill up after eating, helping you feel filled more quickly.
What is the procedure of gastric band surgery?
Due to the general anesthetic that will be administered, the procedure will be performed while you are unconscious.
- During laparoscopic surgery, your abdomen is just incised once through a keyhole. This initial keyhole will be used by the surgeon to insert a tiny pump and fill your belly with carbon dioxide gas. This makes it possible for the surgery to be done and for your surgeon to see what they are doing.
- The laparoscope, a tiny, illuminated video camera, will be inserted by your surgeon. Your organs will be visible on a screen thanks to the laparoscope. Your stomach will be accessed through more keyholes by your surgeon using long, tiny instruments.
- Your surgeon will wrap the gastric band tightly over the top of your stomach, creating a pouch. There will be a small channel between the top and bottom portions of your stomach, giving the appearance of an hourglass.
- A fluid-filled hollow tube exists within the gastric band. This makes the band adjustable. By injecting or withdrawing fluid through this port, your healthcare professional can regulate the pressure of the gastric band.
- A thin plastic tube that will pass just beneath your skin and into a port is connected to the gastric band. Following surgery, your doctor will have access to the port using a specialized, tiny needle to administer or remove fluid as required.
- Your surgeon will secure everything before releasing the gas from your abdomen and closing the keyhole incisions. The process lasts between 30 and 60 minutes.
What to pay attention to after gastric band surgery?
You’ll receive detailed dietary advice from your doctor. For the first several weeks, you’ll be on a liquid diet before advancing gradually to pureed meals, soft foods, and then solid foods. This will allow your stomach to heal. You’ll need to reduce your meals to fit your new stomach pouch when you do start eating solid foods again. Vomiting and nausea are likely to be the side effects of overeating. To receive enough nutrients and properly chew your meal, you must choose high-quality foods. In the first year following surgery, you’ll see your doctor frequently to have your gastric band adjusted. To maintain your weight reduction, your lap band may need to be tightened as you lose weight. In order to ensure that your new diet is providing you with appropriate nutrients, you will also undergo routine blood testing. To assist you in discovering new eating habits, you could receive nutritional coaching. If required, your doctor might recommend vitamins.
How much weight you can lose with Lap-Band?
Over the course of two years, Lap-Band users typically lose 40% or more of their excess weight. That indicates that you would drop 40 lbs. if you were 100 lbs. overweight. Depending on how much you modify your habits following surgery, results may differ. Compared to other bariatric procedures, the gastric band often results in less weight loss.
How long-lasting is the gastric band surgery?
Although the Lap-Band is intended to last a lifetime, this hasn’t yet been demonstrated. Because of this some patients subsequently switch to more permanent bariatric surgeries with a higher success rate. According to studies, between 35 and 40 percent of patients may have their gastric bands taken off after ten years.
What is gastric sleeve?
One kind of weight-loss surgery is gastric sleeve surgery. This procedure is sometimes referred to as vertical sleeve gastrectomy or sleeve gastrectomy (VSG). Your food intake is limited after gastric sleeve surgery, which causes weight loss. From 50 to 90 pounds could be lost. The gastric sleeve reduces the size of the stomach. On the other hand, the gastric band only controls the brain signals to make you feel less hungry and you get satisfied with small portions easily.
What makes you a good candidate for gastric sleeve surgery?
Just like in gastric band surgery, severe obesity is treated by gastric sleeve surgery. For those who have tried alternative weight loss techniques without long-term success, it is encouraged. If you have a body mass index (BMI) of 40 or above and are extremely obese, your doctor might recommend gastric sleeve surgery. If you have a BMI of 35 to 40 and a medical issue like sleep apnea, high blood pressure, heart disease, or type 2 diabetes, your doctor might also suggest it to you.
What are the pre-operation requirements for gastric sleeve surgery?
- The gastric sleeve procedure must first be approved by your medical team as a viable choice for you. For those who misuse drugs or alcohol, or who can’t commit to a long-term change in lifestyle, weight-loss surgery is not recommended.
- You must engage in a bariatric surgery education program before undergoing surgery. You can use this to prepare for surgery and adjust to life after surgery.
- You’ll receive nutritional guidance.
- Additionally, you might undergo psychiatric testing.
- You’ll also require tests and physical examinations.
- Smokers must give up several months prior to surgery.
- Before surgery, your surgeon can advise you to reduce your weight. Your liver will become smaller as a result, making surgery safer.
- In the days leading up to your surgery, you must cease taking aspirin, ibuprofen, and other blood-thinning medications.
- Prior to surgery, you shouldn’t consume any food or liquids after midnight.
What is the procedure of gastric sleeve surgery?
For your surgery, general anesthesia will be used. You will doze off during the procedure as a result of this. Laparoscopy will be used by your surgeon. Your upper abdomen will receive a number of little cuts (incisions) from him or her. The surgeon will next use these incisions to introduce a laparoscope and small surgical instruments. A sizing tube will then be inserted by the anesthesiologist via your mouth and into your stomach. The stomach will next be divided by the surgeon using a laparoscopic stapler, leaving a vertical sleeve that is considerably smaller. The excised portion of the stomach is then removed from the abdomen using surgical incision. After that, your surgeon might perform an upper endoscopy or a dye study to check for any sleeve leakage.
What to expect after the gastric sleeve surgery?
The day following surgery, you’ll probably return home. For the first week or two, your diet will consist solely of liquids. You’ll receive a schedule of the different meal kinds to eat during the ensuing weeks from your surgical team. Liquids are followed by pureed foods, soft foods, and finally conventional food. Every meal should be quite tiny. Eat slowly and thoroughly chew each bite of food. Don’t transition to regular food too rapidly. Vomiting and pain may result from this. Determine the healthiest foods for you to eat by consulting your medical team. You’ll need to alter your eating habits after your stomach has healed. Due to your small stomach, you must consume small meals.
Surgery for weight reduction patients may make it difficult for them to receive enough vitamins and minerals. This is due to the fact that they consume less food and perhaps absorb fewer nutrients. You might also need to take a calcium-vitamin D supplement in addition to a daily multivitamin. You might require more vitamins and minerals like iron or vitamin B-12. You’ll receive instructions from your medical team. In the first year following surgery, you will require periodic blood tests every few months. This is to ensure that you do not have low calcium or vitamin D levels, high blood glucose levels, or low blood iron (anemia). You might require medication to lower stomach acid if you frequently get heartburn.
It is possible to gain back some of the weight you lost after losing it. Make sure to eat healthily and exercise frequently to prevent this. Over time, the sleeve may enlarge (dilate). As a result, you can consume more. But remember that you risk gaining weight if you overeat. To help you maintain your new eating habits, you might wish to join a support group for people who have had weight-loss surgery.
Gastric Band Surgery vs Gastric Sleeve Surgery
Gastric Band vs Gastric Sleeve Surgery can be held from various perspectives as follows,
Gastric band surgery has a longer total recovery period even though gastric sleeve surgery necessitates shorter hospital stays. It is stated that recovering entirely from gastric band surgery could take 4–6 weeks while recovering completely from gastric sleeve surgery could take 2–3 weeks.
Gastric sleeve surgery-specific complications include,
- Gastroesophageal reflux disorder (GERD), which causes acid reflux
- Narrowing along the stomach pouch
- Stomach obstruction
Gastric band-specific complications include,
- Increased sensitivity to alcohol
- Stomach perforation
- Stomach ulcers
- Bowel obstruction
Advantages and Disadvantages
For both of the operations Simply decreasing weight can significantly improve several obesity-related health issues, such as,
- High levels of cholesterol
- Elevated blood pressure
- Heart illness
- Diabetes type 2
- Obstructive snoring
- Illness of the fatty liver unrelated to alcohol
Gastric Band Surgery
There is no split of the stomach or intestines. It results in quicker weight loss in the short term. If necessary, it can also be taken off. The gastric band may be removed for a variety of reasons, including,
- Inadequate decrease of weight
- Difficulties like esophageal dilatation
- Severe reflux or heartburn
- The band slipping
- Decay of the band
However, compared to other bariatric operations, the lap-band results in less weight loss. Other weight-loss operations have different impacts on hormones and metabolism than the gastric band. It is regarded as a strictly “restrictive” operation, which means that it largely restricts how much food you can eat at once. Additionally, many follow-up office visits and changes are needed, particularly in the first year.
There can be new problems that emerge later. According to studies, there is a 50% chance that a gastric band will cause difficulties. Up to 35% of gastric band fixes or removals require additional surgery. In comparison to other bariatric surgeries, the gastric band has a higher rate of failure due to insufficient weight reduction or weight gain.
Gastric Sleeve Surgery
You will still be able to digest and absorb food regularly after having gastric sleeve surgery since it does not change the path that food takes through your digestive system and the remaining portion of the stomach preserves its ability to begin the digestive process. Although the likelihood of developing dumping syndrome is lower than with a gastric band, it is still possible since food will travel through your little stomach sleeve more quickly than usual.
On the contrary, just like with any type of surgery, surgery could result in side effects including bleeding, infection, and blood clots in your legs. Additionally, respiratory issues or other responses could result from general anesthesia. Also, you can experience some issues with nutrient absorption over time or your stomach sleeve might start to constrict (narrow). After surgery, some patients may experience reflux or heartburn. A gastric sleeve could exacerbate moderate to severe reflux if you already have it. Instead, you might want to think about getting gastric band surgery. Reflux and heartburn can be stopped with that kind of surgery.
Following gastric sleeve surgery and gastric band surgery, you’ll typically need to make similar dietary adjustments. For the first few days following surgery, you will only consume liquids. You’ll soon be able to eat soft foods. Following surgery, you’ll follow this diet for four to six weeks. You won’t be able to consume normal food again for six weeks after surgery. Following gastric sleeve or gastric band surgery, you’ll need to follow several crucial dietary recommendations, such as,
- Consuming required vitamins and supplements
- Chewing your food slowly and fully and stopping when you’re satisfied. Over time, your pouch will sag. It is crucial to avoid overeating because your pouch may stretch and lead you to gain back the weight you lost.
- Keeping hydrated by consuming enough liquids
- Avoiding foods that are hard to digest and fizzy drinks
Since the stomach’s physical capacity is decreased, the sleeve limits the intake of almost all calories, both liquid and solid. As a result, weight loss is more predictable and constant than with the band.
Lap band surgery typically costs $14,500, whereas sleeve gastrectomy surgery costs $14,900 on average. However, as lap band surgery requires frequent follow-ups the cost gets higher. For this reason, it is important to consider all the factors before deciding on which type of surgery you prefer to undergo.