800-633-8446 Menu
Send us a text

Now serving New Jersey & Connecticut

Advantages of LAP-BAND or Gastric Sleeve

A lot of the people are talking about LAP-BAND(r) and gastric sleeve. What are the advantages of LAP-BAND(r) or gastric sleeve?

1. Does gastric sleeve provide faster weight loss?

While gastric sleeve may offer more rapid initial weight loss in the first 1 to 2 years, after about 3 years, total weight loss is comparable to weight loss with gastric banding.

The 2 year data from the APEX study show that excess weight loss with the LAP-BAND(r) AP System was 53%.6 That particular study has 508 patients from 44 different sites of care within it and 108 of those patients have reached their two year mark.

The LAP-BAND(r) System was approved in the United States on the basis of a nonrandomized, single-arm study (N=299). Significant improvement in percent of excess weight loss vs. baseline was achieved at 12 months (34.5%), 24 months (37.8%), and 36 months (36.2%).

2. Does gastric sleeve provide guaranteed weight loss?

As with any weight loss procedure, results for gastric sleeve and the LAP-BAND(r) System may vary.

Gastric sleeve results are expected to be similar to gastric bypass. However, the laparoscopic sleeve gastrectomy procedure with a large sleeve volume has shown a slight weight gain during 5 years of observation. Typically, long-term weight loss results are comparable to gastric bypass.

An ongoing U.S. study of 508 patients called APEX has shown significant reductions in weight using the LAP-BAND (r) System. Those treated with the LAP-BAND(r) lost 47% of their excess weight in the first year (N=139 patients at 48 weeks).3,4 And again, the 2 year data from that same study (N=108 patients) showed that the excess weight loss with the LAP-BAND(r) AP System was 53%.

The LAP-BAND(r) System was approved in the United States on the basis of a nonrandomized, single-arm study (N=299). Significant improvement in percent of excess weight loss vs. baseline was achieved at 12 months (34.5%), 24 months (37.8%), and 36 months (36.2%).

3. Is it true that the gastric sleeve procedure requires minimal follow-up?

Since such a large part of the stomach is removed permanently during the procedure, there are not really any “adjustments” or follow-up to be made following the gastric sleeve surgery. This also means that there is no standardized system for follow-up care and motivation of patients. All bariatric surgical procedures need follow-up visits as well as a modified diet and exercise program to enhance success. Without these and the patient’s dedication to them, the procedures will likely fail.

Patients who undergo the LAP-BAND(r) procedures have short and simple adjustment visits with their physicians every 4-6 weeks during their first year of care. Many physicians use these visits as an opportunity to track weight-loss progress and give patients encouragement. Patients also have access to My LAP-BAND(r) Journey, an online patient support resource, which offers patients comprehensive pre- and post-operative tools for practical and emotional support.

4. Is the gastric sleeve less invasive than LAP-BAND?

No. Sleeve gastrectomy is a restrictive procedure that limits food intake by cutting and stapling a thin vertical section of the stomach to make a smaller, narrower stomach pouch. The remaining larger portion of the stomach is then permanently removed. Unlike gastric bypass, there is no re-routing of the intestines. However, the sleeve gastrectomy involves permanently removing a large portion of the stomach.

The LAP-BAND(r) procedure is a restrictive procedure during which an adjustable gastric band is placed around the upper part of the stomach.. This creates a smaller stomach pouch, which restricts the amount of food that can be consumed at one time and helps the patient to feel full sooner. The procedure, which is adjustable and reversible and designed for sustained weight loss, involves no cutting or stapling of the stomach or intestinal rerouting. Most people will spend less than 24 hours in the hospital. It takes most patients about a week to return to work and a month to six weeks to resume exercising.

Additionally per the most recent publication in JAMA, a study examined hospital bariatric surgery complication rates for more than 15,000 patients in Michigan. The study showed that overall the most serious complications were most common after gastric bypass (3.6 percent), followed by sleeve gastrectomy (2.2 percent) and gastric banding (0.9 percent).

If you’re seriously considering weight-loss surgery, we invite you to make an appointment to see one of our surgeons by calling our office at (516) 616-5500 or, if you prefer, click on “Live Chat” in the upper left corner of your screen to have a conversation now.

5 Responses to “Advantages of LAP-BAND or Gastric Sleeve”

  1. ptz dome says:

    Impressive article post on the blog, I share the same views. I wonder why this particular country totally does not think like me and additionally the web publication master :)

  2. I really like your blog and i really appreciate the excellent quality content you are posting here for free for your online readers. thanks peace sandro

  3. Excellent piece of writing, l quite agree with your submission. I will subscribe to your rss to keep up.

  4. Solid post, nice work. It Couldn’t be written any improved. Reading this post reminds me of my previous boss! He usually kept babbling about this. I will forward this article to him. Pretty sure he will have a superb read. Thanks for sharing!

  5. I like this weblog very much, Its a really nice place to read and get information.


Back to blog

Getting Started

Our team is happy to speak with you and help you understand any of the treatments we offer, or answer any questions you have. Please call and speak with us at 800-633-8446, or read more about the surgical and non-surgical options we offer here.

Call: 800-633-8446

Contact Online

What our patients are saying

“The staff and doctors at the New York Bariatric Group are amazing! They are always patient, helpful, and very understanding and pro-active with questions, problems, etc. After Lap Band surgery I feel fantastic. For the last 6 years I have not had to worry if my clothes would fit. I have been able to maintain my weight loss, and have so much more energy.”

Learn more

"Dr. Holover has a great personality, I love him, I consider him a good friend, and I recommend him to everyone. He and his staff are amazing. I thought my recovery would be worse, but it wasn’t. It was great. After a couple of days I was back on my feet and going, with three boys you don’t have time to be down. Now, my kids have to keep up with me!"

Learn more

"My results are incredible; I can go to any store and find clothes that fit, I don’t have to go to the big and tall store anymore. My family and friends say I look great, but more so are so happy about my health. Definitely go for it, it is well worth it."

Learn more

"My recovery was very easy, I started moving around pretty quick because the nurses had me up and about. Dr. Angstadt has a great bedside manner, a cheerful disposition and is very knowledgeable. He was genuinely concerned for me, he answered all of my questions and put me at ease. I couldn’t be happier, I think it is the best decision I ever made."

Learn more

"I was concerned about my health, my blood pressure, cholesterol, my mobility, my flexibility. A few friends told me about NYBG and I went to a seminar. I wanted to live a healthier life and live a long life. My recovery was great, after a week I was 100%. My doctor, Dr. Sekhar, has the best personality in the world."

Learn more

"I had a couple of friends who had bariatric surgery done by Dr. Garber a few years back and I decided to make the appointment. My favorite thing about the surgery is not being able to eat that much, eating whatever I want but in smaller portions. My results are amazing"

Learn more

*Individual results may vary.

BMI Calculator

What is your height?

ft in

What is your weight?

lbs

Your BMI is

Try Again
Chat service by BoldChat