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.

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Advantages of LAP-BAND or Gastric Sleeve

Thomas

Lost 145lbs

Thomas' success story

I went in for surgery. An hour later, I came out a new man.

Everybody treated me like a king. The day of surgery, I was excited. The hospital couldn’t be any nicer. I went in for surgery. An hour later, I came out a new man. My recovery was awesome. I was out of bed that day. My wife and kids were my motivation on getting this surgery. They are my whole life. I’m happy I’m going to be around for them.

Listen to Thomas’ testimonial

Nicole

Lost 76lbs

Nicole's success story

I hit my goal weight ... and I feel fabulous

I had the gastric bypass. I am Type 2 Diabetic and I wanted to gain control of my sugar. I hit my goal weight in about 5 and half months and I feel fabulous. The procedure has completely changed my life for the better because it has empowered me as a middle aged woman that I can really do everything and anything that I want to do. I don't put an age on anything. I don't say I'm too old for something.

Listen to Nicole’s testimonial

Robert

Lost 76lbs

Robert's success story

I was tired of the way I looked. I was tired of the way I felt.

I knew if I didn't change something soon, I was going to be in a lot of trouble. The consultation process was a lot easier than I expected. I was met with open arms. I was treated like I was the only patient here. Not only did they answer all of my questions, they had questions for me to make sure I was the right candidate for the surgery. After surgery and that weight started dropping off, my life started changing for the better.

Listen to Robert’s testimonial

Samantha

Lost 92lbs

Samantha's success story

I feel like a completely different person.

I had the gastric sleeve procedure. The driving factor behind me getting this procedure was my health. I didn't feel good physically or mentally. I had joint pains, even standing was difficult sometimes. Emotionally, this surgery completely turned my life around. I have so much more confidence. So much more happiness. I feel like a completely different person. I feel stronger. I feel able to accomplish more.

Listen to Samantha’s testimonial

Eileen

Lost 99lbs

Eileen's success story

It saved my life.

The driving factor behind me getting my procedure was that I couldn't get up off the floor with my granddaughter. That was my why. That was my big reason for having this surgery done. After surgery, it was a little bit of a struggle with what to eat. What you put in your mouth that you don't even think about. You don't think about what you're eating or how you're eating and portion size. It's what I do now every single day. The procedure has changed my life in so many ways. It saved my life.

Listen to Eileen’s testimonial

Brittany

Lost 126lbs

Brittany's success story

I am totally comfortable in my own skin.

I think I always grew up identifying myself as less than other people because I was fat. I decided to tackle that and just live my life. I had a sleeve gastrectomy. It changed how I view myself. How I communicate with people. I'm able to be much more of myself and live the life I always thought I should have been living. I am totally comfortable in my own skin. You have the tools you need to succeed here.

Listen to Brittany’s testimonial

Desiree

Lost 157lbs

Desiree's success story

I have a brand new life. I can do things I couldn't do before.

I had a vertical sleeve gastrectomy because I had just become diabetic, and I had hypertension for many years. I lost a total of 157 pounds in 11 months. I have a brand new life. I can do things I couldn't do before. Everyone at New York Bariatric Group has been wonderful. They are kind. They are understanding. They make you feel comfortable. They will guide you every step of the way on your journey so that you can be successful.

Listen to Desiree’s testimonial
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