The gastric sleeve is often followed by a Gastric Sleeve or duodenal switch after the patient has lost a significant amount of weight. Called a “staged” approach to weight loss surgery, this makes the second procedure less risky than it would have been had it been the first and only procedure. The timing of the second surgery varies according to the degree of weight loss. It usually occurs within six to 18 months. The gastric sleeve is increasingly being performed as a stand-alone procedure, but many times it is considered the first step in a two part process.

Compare Gastric Sleeve vs Lap Band Side by Side

Lap Band Procedure
“An adjustable and removable plastic band placed around the upper stomach dividing it into a tiny pouch above the band with the remaining stomach below.”

IMPORTANT SAFETY STATISTICS:

Mortality rate: 0.05%

Total complications: 9%

Major complications: 0.2%

Gastric Sleeve Procedure
“An irreversible surgical procedure that forever changes the body’s anatomy removing a portion of the stomach to reduce its size and capacity.”

IMPORTANT SAFETY STATISTICS:


Mortality rate:
0.39%

Total complications: 22%

Major complications:
1.9%

How long does the procedure take? (Lap Band)
The procedure is routine and only takes approximately 25 minutes.
How long does the procedure take? (Gastric Sleeve)
The gastric sleeve procedure takes approximately 1 hour.

How would you describe the procedure? (Lap Band)
The lap band is placed around the upper part of the stomach to form a ring. It is locked and secured with minimal stitching.
How would you describe the procedure? (Gastric Sleeve)
During sleeve gastrectomy, the surgeon will remove the larger, rounded part of the stomach from the body. (This is the only gastric surgery in which part of the stomach is taken out of the body.) The remaining stomach looks like a sleeve (or hose or tube) and holds about 15 percent as much food as the original stomach.

Is the procedure reversible? (Lap Band)
Yes! One of the unique features of the Lap Band is that it is reversible and adjustable – it can be removed completely, or adjusted for the desired rate of weight loss.
Is the procedure reversible? (Gastric Sleeve)
No, the gastric sleeve is permanent and not reversible.

How long do I have to be in the hospital? (Lap Band)
Patients are discharged the day after surgery and can return to work with no heavy lifting after just a few days.
How long do I have to be in the hospital? (Gastric Sleeve)
2 nights in the hospital, 3 nights in a hotel.

How quickly can I return to normal activities? (Lap Band)
Patients recover faster and are able to resume normal activities sooner than other methods of weight loss surgery.
How quickly can I return to normal activities? (Gastric Sleeve)
After the surgery, patients usually incur intense pain, swelling, and discomfort which lasts a few weeks. Most patients can resume normal daily activities after one week.

Are there any major health risks I should be concerned about? (Lap Band)
Although the major risks are significantly less than other forms of bariatric surgery, possible risks do exist and include: band slippage, stretching of the pouch and erosion into the stomach. If any complications become serious, the band can simply be removed or replaced.
Are there any major health risks I should be concerned about? (Gastric Sleeve)
Yes, as with any major surgery, there is a risk of blood clots, other complications or death:
• Complications can occur with the stapling, such as leaks or bleeding
• You may need malabsorptive surgery – intestinal bypass or duodenal switch – in addition to your sleeve gastrectomy in order to lose all the weight you need and want to lose
• The smaller portion of the stomach may stretch, causing weight gain
• Gastric surgery puts you at higher than normal risk. of developing gallstones and gallbladder disease

What are the most common risks associated with each procedure? (Lap Band)
• Standard risks associated with major surgery
• Nausea and vomiting
• Band slippage (minor revisional surgery)
• Band erosion (minor revisional surgery)
• Access port problems (minor revisional surgery)
What are the most common risks associated with each procedure? (Gastric Sleeve)
• Standard risks associated with major surgery
• Nausea and vomiting
• Separation of stapled areas (major revisional surgery)
• Leaks from staple lines (major revisional surgery)
• Nutritional deficiencies

What is the average cost of the procedure? (Lap Band)
Costs: $5,500.00 – $25,000.00 (Avg. $16,125.00)
What is the average cost of the procedure? (Gastric Sleeve)
Costs: $7,500.00-$20,000.00 (average cost: $12,600.00)

What are the major advantages of each procedure? (Lap Band)
• Promotes weight loss by restricting amount of food that can be eaten at any one time
• No stomach stapling or cutting, or intestinal re-routing
• Digestion system is not changed, and digestion goes on as normal
• Adjustable
• Reversible
• Low malnutrition risk
• Done laparoscopically (keyhole surgery)
What are the major advantages of each procedure? (Gastric Sleeve)
• Promotes weight loss by restricting amount of food that can be eaten at any one time
• Sleeve gastrectomy may be safer than gastric bypass for patients who have a number of health risks
• It lowers the risk of ulcers compared to gastric bypass
• Unlike gastric bypass, which changes stomach openings, sleeve gastrectomy leaves the openings intact — it does not involve any bypass of the intestinal tract and patients do not therefore suffer the complications of intestinal bypass such as intestinal obstruction, anemia, osteoporosis, vitamin deficiency and protein deficiency
• Digestion system is not changed, and digestion goes on as normal
• The surgery cuts away the part of the stomach that produces grehlin, a stomach hormone that stimulates hunger
• Weight loss in the first 2 years is an average of 40-60% of excess weight
• Done laparoscopically (keyhole surgery)

What are the major disadvantages of each procedure? (Lap Band)
• Slower initial weight loss
• Regular follow-up critical for optimal results
• Requires an implanted medical device
• In some cases, effectiveness can be reduced due to band slippage
• In some cases, the access port may leak and require minor revisional surgery
What are the major disadvantages of each procedure? (Gastric Sleeve)
• Doctor will remove 2/3-3/4 of your stomach during surgery
• It is a permanent, non-reversible procedure
• Cutting and stapling are used
• Only restricts some solid food, and not liquid