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A 32-year-old member asked:

Which is better gastric sleeve or lap band?

4 doctor answers8 doctors weighed in
Dr. Paul Harper
General Surgery 52 years experience
Depends: The results vary according to the surgeon and the patient. Both can work although some recent reports suggest that lap bands no longer be done. Like everything else, studies can say what you want them to say. I prefer the sleeve gastrectomy for many patients but i'm sure that others will disagree. We are bothh right.
Dr. Terry Simpson
General Surgery 35 years experience
Why quote a bad study - arg. The band is a great tool for weight loss but yes - some surgeons shouldn't do them
Oct 12, 2013
Dr. Terry Simpson
General Surgery 35 years experience
Nether : They are both tools for weight loss and while early weight loss is greater w the sleeve the band has durability.
Dr. Stephen Archer
Bariatrics 30 years experience
Sleeve: In most recent studies the sleeve has shown better weight loss and resolution of other illnesses such as diabetes. Keep in mind however that the sleeve is not reversible. The choice of the right operation is made by you in discussion with your surgeon. Great question.
Dr. Brad Snyder
Specializes in General Surgery
Define better...: The "success" of a weight loss operation depends on how it is defined. Is there a specific weight you wish to obtain? Want to get off medications? Want to curb you sugar intake? Depending on the expectations, the best operation changes for every person. In terms of excessive weight loss, the sleeve is superior to the band.

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A 49-year-old member asked:

What are the pros and cons of a lap band and a gastric sleeve?

1 doctor answer8 doctors weighed in
Dr. Jason Sample
General Surgery 24 years experience
Complicated: Fewer and fewer lap bands are being placed these days. The weight loss with them is not as consistent, they can slip, etc. A gastric sleeve has more reliable weight loss, though it is a bigger operation. I'd suggest having a conversation with a bariatric surgeon so that he/she can lay out all risks and benefits. Also, you'd get a chance to ask more questions.
A 33-year-old member asked:

What is the difference in cost between a gastric sleeve and a lap band?

1 doctor answer6 doctors weighed in
Dr. Matthew St. Laurent
Bariatrics 29 years experience
Depends: Prices for each surgery vary based on the region you live and demand.The band has become less popular over the last few years with the subsequent rise in sleeve procedures.As of this year, the sleeve has become the most common weight loss procedure in the USA. As a result band prices tend to be a little cheaper than the sleeve.Difference can be as much as $5,000-6,000.In my area, price is the same
A 34-year-old member asked:

How do the results from a lap band differ from those of a gastric sleeve?

1 doctor answer2 doctors weighed in
Dr. Gregg Nishi
Bariatrics 22 years experience
Sleeve gastrectomy : The general consensus at the national meetings I attend is that sleeve gastrectomy results seem to be much better than lap band results. In addition, lap band patients often have complications from their band (prolapse, erosion, leakage, dilated pouch, esophageal dysmotility). The lap band now only accounts for only 8% of the operations done (sleeve 47%, bypass 42%). We rarely do bands now.
A 44-year-old member asked:

What are common complications with a gastric sleeve or a lap band?

1 doctor answer2 doctors weighed in
Dr. Matthew St. Laurent
Bariatrics 29 years experience
Eating problems: With an experienced surgeon, complications from both procedures should be very low, probably less than 2%. Most problems I see arise from patients eating incorrectly. Eating to large of a bite, too fast or not chewing well can lead to nausea,vomiting,reflux & discomfort. This can also happen if a patient's band is filled too tight. Make sure you follow your surgeon's recommended eating guidelines
A 43-year-old member asked:

Which was generally more successful in 2013: the lap band or gastric sleeve?

1 doctor answer2 doctors weighed in
Dr. David Earle
General Surgery 31 years experience
Sleeve - any year: However, which weight loss operation you have is an individual decision. Weigh the pro's and con's of each procedure, and choose what seems the best fit for you, based on eating habits, BMI, medical problems, etc. Hope this helps!

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Last updated Jan 5, 2019
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