Lap-Band Surgery
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Since there is no cutting, stapling or intestinal rerouting involved, Lap-Band Surgery is considered the least traumatic of all weight loss operations. The laparoscopic approach to surgery generally means less post-operative pain and quicker recovery. Like a belt, the Lap Band is fastened around the stomach creating a very small stomach pouch above the band. As a result, you experience an earlier sensation of "fullness" and are satisfied with smaller amounts of food.
Because the Lap-Band is adjustable, it can work with your individual needs. For example, pregnant patients can remove fluid from their band to allow for adequate nutrition, and patients who aren't experiencing significant weight loss can have their bands tightened.
 The Lap-Band is the only procedure available in the U. S. that is adjustable and completely reversible. By reducing the capacity of the stomach, the Lapband restricts the amount of food that can be consumed.
Risks: Infection, erosion, slip, damage to stomach while placing band, mortality 0.2%
See a direct comparison of Lap-Band Surgery and Gastric Bypass Surgery.
Lap-Band Surgery Facts:
In patients having lapband surgery at our clinic, weight loss ranges from 30%-95% of excess weight loss at one year.
Most of our lapband patients have their surgery as outpatients, and return to full activities in 7-10 days.
 Gastric Bypass surgery makes the stomach smaller and allows food to bypass part of the small intestine. The most common bariatric surgery in the United States is a Roux-en-Y Gastric Bypass. The stomach is made smaller by creating a pouch at the top of the stomach. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine. Patients having gastric bypas stay in the hospital an average of 3 to 5 days, and return to normal activities in 4 to 6 weeks.
The result of the surgery is that you will feel full more quickly than when your
stomach was its original size. This reduces the amount of food you eat and the calories
consumed. Bypassing part of the intestine also results in fewer calories being absorbed.
With Gastric Bypass Surgery, it is important to remember surgery will require you to make
several changes in how you eat, such as eating only a few ounces of food at a time because
the surgery creates a much smaller stomach, and lifelong vitamin, and calcium replacement
to avoid micronutrient malnutrition.
Gastric Bypass Facts: Significantly higher risk of surgical complications. On average
70%-80% excess weight loss at one year. Faster resolution of co-morbidities than with LapBand.
Non-reversible.
Risks: Bleeding, infection, leak, dumping syndrome, mortality 2-5%. A more comprehensive
discussion of the risks and benefits of gastric bypass is covered in depth in our
information seminars.
See a direct comparison of Lap-Band Surgery and Gastric Bypass Surgery.
The Sleeve Gastrectomy is sometimes the best solution for those who are concerned about
the potential long-term side effects of a Gastric Bypass. People who need to take
anti-inflammatory medications may also want to consider this option. Typically, these medications
need to be avoided after a Gastric Bypass because the risk of developing ulcers from
these medications may increase.
This procedure generates weight loss solely through gastric restriction (reduced
stomach volume). The stomach is restricted by dividing it vertically. This part of
the procedure is not reversible. The stomach that remains is shaped like a banana.
The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea
of preserving the functions of the stomach while reducing the volume. By comparison,
in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus
is excluded.
Sleeve Gastrectomy Facts: Lower risk than Gastric Bypass. Higher risk than Lap-Band.
Long- and short-term weight loss between Lap-Band and Bypass. No dumping syndrome.
No need for Lap-Band adjustments.
Risks: Leak, nausea, possible need for bypass in the future.
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Lap-Band Surgery
Gastric Bypass
Sleeve Gastrectomy
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