Band vs sleeve
jackierhof
Posts: 17
Hello. I met with the surgeon today and she told me that the band is getting phased out, but I could still get it. She recommends the sleeve. I have around 130lbs to lose. What are your thoughts? I'm nervous about both, but ready!
Thank you!
Thank you!
0
Replies
-
From what I have read and understood through my own classes this is true, my healthcare provider (Kaiser/Calif.)is no longer doing lap band at all. Sleeve is becoming increasingly popular and with dedication you will lose the weight.
Do the research I hope you're offered education classes about WLS to make an informed opinion. According to my carrier 9 out of 10 lap bands have to be removed due to problems, the Sleeve is a great tool, as many of our VSG members will tell you. They have been very successful! I hope to have mine done this summer.0 -
I personally had the RNY, however I had the options going with the band, VSG or RNY. I didn't even consider the band at all. I didn't want to continually have to go in for fills, or reductions. I didn't like the idea of a device sitting in my abdomen for years.
What I've seen and heard through these forums about the bands makes me think that they should be phased out. Or at least I'm not surprised. I've heard many problems about them slipping and causing pain, being overfilled and causing pain, being under filled and causing overeating etc.
VSG and the band are similar in that they both leave the GI tract intact. No extra vitamins like the RNY, no mal-absorption. They are merely restrictive. The VSG will have a longer recovery time initially, but will then allow you more autonomy later on. You won't constantly go in for band adjustments.
In addition, I've heard a few times that some people who want a revision from band to sleeve or VSG have problems, because the band has essentially grown into the body by being encased in flesh. The body will naturally grow over it much like a tree grows around wire. The longer you let the band sit, the harder it would be to remove.
Lastly, from what my doctor's told me, the band was really only meant for those who wanted to lose up to about 50 or 60 lbs. The sleeve and RNY were expected to get people to lose around 100 lbs.0 -
Personally, I would not choose the band. It may seem like the "less invasive" technique up front, but in the long run, IMHO the complications outweigh that. I have several friends who had one. Three of these folks have had to have them removed, two because it moved and caused damage to their stomachs, (both of these had enough damage they had to be converted to R/Y. They are doing great now! And one who turned out to have an undiagnosed latex allergy. She had hers removed after a year and has managed to maintain her weight loss. A fourth close friend hasn't had any serious complications other than being restricted on what kinds of foods she can tolerate, (she lives on soup and ice cream), but she gained all her weight back. Don't get me wrong, I know a handful of folks from support group that have had success with the band, but everyone I know well... Not so much. Do your research, but know that there are good reasons the band is falling out of favor with surgeons as they look at the long term results.
I couldn't be happier with the sleeve. I'm 6 months out, 75 pounds down and into a size 8 with 25 pounds to go, (this will land me in the middle of the healthy BMI range). I had no complications and a quick recovery. I can eat pretty much whatever I want, (which is both a blessing and a curse) in small quantities. The 10 prescriptions I took pre-op, GONE along with the High BP, asthma, high cholesterol, pre-diabetes, anxiety and general pain form carrying around all that extra weight. I WORK at it now. Log every day in MFP and exercise hard 5 days per week. This is a lifetime commitment. I have no illusions that if I stop food journaling or working out I will get fat again.0 -
hi!
im just a newby,,,only banded the end of January 2014,,,but I know of bansters who have been banded for 5-7 years and have had very few problems,,,i chose the band because I know myself and I will slowly eat more and gain the weight back like many of my friends that have had the bypass etc,,,the band allows me to keep myself in check for years and is a tool to help me monitor myself. if your friend can only eat soup and ice cream, her band is way too tight! the only thing that ive found that I cannot eat is bread,,as it tends to clump together and get stuck,,,just wanted to add my 2 cents in!!
0 -
Hello:
My sister has had 2 lapbands. Her first one eroded and began coming through her skin to the outside. She had it surgically removed, waited quite awhile before having her 2nd one put in. Of course, she had gained all the weight back before the 2nd one, but having the lapband didn't ever change her eating habits. She still eats all kinds of sugars and fats, but in miniscule quanities; nor does she exercise. She also has a lot of heartburn, throws up quite a bit too.
I am also with Kaiser Permanente as my HMO; they no longer perform Lapband Surgeries because of the complications and the statistics of keeping the weight off is very low. They feel, and the majority of the Bariatric Surgeon's agree, that the Gastric Sleeve and the Gastric Bypass are the way to go. THAT and the fact that we must change of behavior towards food and exercise.
I knew of the Lapband technology through my sister, so when my Bariatric Surgeon said he'd perform a Gastric Sleeve on me, I had to take a few months to process that. I did a lot of research, and I also attended some Weight Loss Surgery Support Groups in my area. I asked a lot of questions, read my manual from cover to cover, and got my pantry and refrigerator inline with the new diet I would be on for the rest of my life. I then had my Gastric Sleeve performed at the end of July 2013. I haven't had any complications at all. I am very pleased that I've been loosing some weight and that my body no longer requires many of the medications I was taking. I'm also excited about being able to exercise again! I'm getting closer and closer to my goal weight; I'm looking like myself again and it feels amazing! I wish the same for you; good luck in your journey. Janis0 -
Thank you for your kind words. I am more scared that I won't have the ability to stick to the liquid diet. Can you tell me why you chose the sleeve over the band?0
-
When I researched the options, RNY had the highest long term success rate with the lowest rate of complications or revision surgery, the band had the highest rate of complications, the lowest rate of weight loss and the highest rate of revisions. When I had my surgery sleeve was a relatively new procedure with few studies done on it and no long term studies.0
-
Oh and BTW my surgeon didn't require a liquid diet. I had surgery on a Friday, I was on liquids Thursday (the day before surgery) until my post op class on Tuesday (4 days after surgery). My surgeon had us eat our 1st solid meal (egg, beans and strawberries and/or yogurt) at the post op class.0
-
I was banded on January 28th of this year. Since then I have lost 23 lbs. to date. The band does require more accountability and maintenance. My surgeon says it does work but very few people have what it takes to make it work for them. That being said I had many questions and did much research both externally and internally (soul searching). It isn't the quickest weight loss but I didn't gain it all in a day either. It means retraining how you eat and definitely keeping appointment with your surgeon and nutritionist. You must keep an accounting. The up side is that I feel like I am in total control of my weight loss and enjoy the ownership of that responsibility. If you are that kind of person the band may be right for you.0
-
Thank you for your kind words. I am more scared that I won't have the ability to stick to the liquid diet. Can you tell me why you chose the sleeve over the band?
It varies based on surgeon's requirements, but liquid diets before and after are typically required. I had an RNY and had a 2 week pre-op liquid diet. Yes, it sucked, however my surgery depended on it. If I didn't follow it, I might of had full open surgery (think 12 inch incision) or worse, not be able to have it. The intended purpose is to lose some weight and shrink the size of the liver.
I also had a 2 week post-op liquid diet. Believe me, this one wasn't hard to follow. I had absolutely no desire to eat solid food. For my surgeon the VSGers had a longer liquid diet, 3 weeks I think.
I wouldn't worry about the liquid diet too much. It's a very short amount of time compared to a lifetime of living with your choice. You should select the surgery based on your research into the advantages/disadvantages of each, as well as your surgeons advice. Don't worry about the short-term recovery. It's only a few weeks.
My advice, go sleeve or RNY. The bands have lower odds of being successful in the long term. And remember, the surgery is only a tool to help you change your lifestyle. No matter the procedure, 50% of patients gain it all back within 5 years.0 -
I had a sleeve on 9/26/16 and have lost 113 pounds with 10 to go. The sleeve is the newest of the three so the long term data is not as strong as RNY. I researched all three and felt (for me) the sleeve was preferable to the band for the following reasons;
1) No port, fills or maintenance. Fills are not covered by insurance and the port site must be medically maintained.
2) Permanent capacity restriction. For me limiting portions has been the key.
3) No band slippage, wear or errosion.
4) No malabsorption issues. What I eat I digest and I do not have to focus on soft foods.
5) I can eat enything I want.0 -
I think the choice of surgery is as individual as a fingerprint.
I was banded and I chose the band because, although complications with the band is higher, serious complications are actually lower than the sleeve or bypass. So - you get more problems but, are less likely to die! (Ok that sounds dramatic but, my kids are still young and staying alive is a bit of a motivating factor). There's loads that can sway this though - obv. those going for sleeve or bypass usually have more to lose making mortality rates higher anyway but, still...
I preferred that my anatomy stayed the same. With the band nothing is mucked about with or removed and it's reversible and absorption of nutrients is exactly the same as before.
Also - I think you should make the surgery fit your eating habits. The band seemed the better option for me as I'm not a grazer, I was a three meal a day binger! The band has effectively stopped that and so far I still eat three meals a day - just radically less in portion size.
No matter what you choose all of them can be cheated. You CAN put on weight with all of them. The surgery is back-up but, the main player is still you.
As for liquid diet - post surgery I very much doubt you would want to eat anything solid for a while anyway! Pre-surgery my team had me on proper food of protein and veg and small dairy of about 800 - 1000 cals a day. It wasn't as hard as I thought it would be. Although I do remember a four day period of being a bit tetchy (understatement).0 -
I think the choice of surgery is as individual as a fingerprint.
I was banded and I chose the band because, although complications with the band is higher, serious complications are actually lower than the sleeve or bypass. So - you get more problems but, are less likely to die! (Ok that sounds dramatic but, my kids are still young and staying alive is a bit of a motivating factor). There's loads that can sway this though - obv. those going for sleeve or bypass usually have more to lose making mortality rates higher anyway but, still...
I preferred that my anatomy stayed the same. With the band nothing is mucked about with or removed and it's reversible and absorption of nutrients is exactly the same as before.
Also - I think you should make the surgery fit your eating habits. The band seemed the better option for me as I'm not a grazer, I was a three meal a day binger! The band has effectively stopped that and so far I still eat three meals a day - just radically less in portion size.
No matter what you choose all of them can be cheated. You CAN put on weight with all of them. The surgery is back-up but, the main player is still you.
As for liquid diet - post surgery I very much doubt you would want to eat anything solid for a while anyway! Pre-surgery my team had me on proper food of protein and veg and small dairy of about 800 - 1000 cals a day. It wasn't as hard as I thought it would be. Although I do remember a four day period of being a bit tetchy (understatement).
I completely agree with this. LONG TERM complications are less with the band, long term weight loss is nearly identical to other forms of WLS and IT CAN BE REMOVED. They can't put back the part of your stomach they removed with bypass. All WLS has a risk for complications, there is no safe, complication free surgery. I chose the band because it is adjustable, I find my monthly check ins with my doc are what keep me going, I have a few friends with bypass who basically haven't been to the doc since they had the surgery and most have gained all of their weight back. My surgeon has been offering the band for 14 years and runs a great support network for follow up for patients such as support groups, one on one therapy with a weight loss focused expert etc...0 -
Individual choices, all. I went with the sleeve almost 3 years ago because it seemed like the most "natural" of all the weight loss surgeries. All the sleeve does is permenantly reduce the size of your stomach. No rerouting and reconnecting, no malabsorbtion issues, no problems swallowing pills, and nothing left inside to be maintained or have problems with. And yes, this is a permenant reduction in size. As my doctor explained it to me, all the stretchy part of the stomach was removed, so I cannot restretch my stomach. I like that! Now having said that, please know that it is still possible to regain your weight with any of these, even the sleeve. If we stop eating right, consume way more calories than we need each day and stop exercising, we will regain. With the sleeve, because of the permenant reduction, the regain may be slower, but it will still happen. All of these surgeries are simply tools. As we all know, our changes need to be lifelong changes to get the weight off and keep it off.0
-
Individual choices, all. I went with the sleeve almost 3 years ago because it seemed like the most "natural" of all the weight loss surgeries. All the sleeve does is permenantly reduce the size of your stomach. No rerouting and reconnecting, no malabsorbtion issues, no problems swallowing pills, and nothing left inside to be maintained or have problems with. And yes, this is a permenant reduction in size. As my doctor explained it to me, all the stretchy part of the stomach was removed, so I cannot restretch my stomach. I like that! Now having said that, please know that it is still possible to regain your weight with any of these, even the sleeve. If we stop eating right, consume way more calories than we need each day and stop exercising, we will regain. With the sleeve, because of the permenant reduction, the regain may be slower, but it will still happen. All of these surgeries are simply tools. As we all know, our changes need to be lifelong changes to get the weight off and keep it off.
+10 -
Thank you for all of your comments. I am leaning towards the Sleeve. It looks like it has the results I want. I have the desire for the change, but am scared that I will not be able to stick to the changes that I have to make. I have had the same bad habits for over 10 years. I know what I have to do and I need to stay motivated.0
-
Everyone I know that had the band, either went back and had the sleeve, or they are currently working toward getting the sleeve. I have had tremendous success with the sleeve.0
-
Thank you for all of your comments. I am leaning towards the Sleeve. It looks like it has the results I want. I have the desire for the change, but am scared that I will not be able to stick to the changes that I have to make. I have had the same bad habits for over 10 years. I know what I have to do and I need to stay motivated.
I think everything is afraid of that. The thing about the sleeve and the bypass is that they force you to change your lifestyle temporarily. With the sleeve you'll be on nothing but liquids for probably 2 weeks pre-op, then 3 weeks or so post op. You are forced to reset your diet. For the first two weeks, you'll get full just drinking water and some protein. I kid you not. So, take advantage of that and embrace your new lifestyle. It will become habit over the few months and you won't have to look back. I never though I'd be able to eat only 1800 calories, and be completely satisfied doing it.0 -
I asked my surgeon about the LapBand going away, he said that is a complete falsehood! There may be a new version (currently they are using the 3rd generation) but it will not be going away and is equally as successful long term as other WLS options.0
-
I asked my surgeon about the LapBand going away, he said that is a complete falsehood! There may be a new version (currently they are using the 3rd generation) but it will not be going away and is equally as successful long term as other WLS options.0
-
Bottom line: Do your research and choose the option that seems best for you. All three are better than doing nothing and dieing of an obesity related disease. Go to a support group, ask questions and make an informed decision.0
-
Thank you for all of your comments. I am leaning towards the Sleeve. It looks like it has the results I want. I have the desire for the change, but am scared that I will not be able to stick to the changes that I have to make. I have had the same bad habits for over 10 years. I know what I have to do and I need to stay motivated.
Jackie, I was so scared of failing this too that I hesitated for 2 years. I was 55 when I had my sleeve, so I had much more than your 10 years of bad eating habits to overcome. I get it! I'm not going to tell you this will be easy, but I will tell you it is so worth it! The people I see on here who struggle the most is those that feel deprived that they can't eat this or drink that anymore. For me, there is nothing I'm deprived of and that's because I CHOOSE not to eat or drink certain things. Every change I've made in this journey is by my choice. I choose to follow this program because I want the weight loss and I want the weight loss more than I do the ______ (insert your favorite bad food). For me this was ice cream. I could eat it all day, every day, in place of meals, with meals, as a snack, if it was in the house I ate it. I had absolutely no control. Ice cream is my trigger food or my kryptonite. My last spoonfull of ice cream was in May of 2011, my surgery was in July 2011. Yes I can eat ice cream, I can eat almost anything I want to. I choose not to. I don't want to find out I can't control myself still. Again, continuing to lose the weight and keeping it off is just more important to me than any food.
You will be successful in getting the weight off and keeping it off if you go into this with the right mind set. And if you remember. Everything is a choice. You are not being deprived, you are making a choice. You are choosing to be healthy and that means being a normal weight. The perks to being a normal weight are looking and feeling better, much better (cuter) selection of clothes and shoes, being able to do more things, etc. Jackie, if I can do this, so can you!0 -
I have to say I love my band and wouldn't change it for the world. I have been banded 3 1/2 years. I lost weight consistently for most of that time. I did gain a little recently due to cheating (which one can do with the band easier than the others).
When I started pursuing this there was a fairly even mix between band and bypass with my provided (who didn't do the sleeve at that time). Bypass people all lost tons of weight quickly but were grey, with falling out hair and generally looked sickly. Lap banders lost it slower but never had those issues. Only 2 people I encountered through there in the 4 years since I started going have had to have their band removed.
I have 3 good friends who elected to have the sleeve after I had my band. They all lost weight faster than I did. They all also can and do consume more food than I still am able to, and one is almost back to her presurgery weight.
The biggest benefit for me of my band is that it makes the rules when my head says I need a pizza. Which my head still does, and I expect will continue to do for the rest of my life0 -
Bottom line: Do your research and choose the option that seems best for you. All three are better than doing nothing and dieing of an obesity related disease. Go to a support group, ask questions and make an informed decision.0