We will compare the 2 most popular operations among obesity surgeries and talk about their advantages and disadvantages.
Gastric sleeve and lap band operations are different applications. Although the methods and effects of all of them are different, the main goal is to make the patient lose weight.
Table of Contents
What is Gastric Sleeve and how it is performed?
Gastric sleeve surgery is known as stomach reduction surgery for short. In gastric sleeve surgery, 80 percent of the stomach is removed through approximately 0.5 cm holes drilled through the anterior abdominal wall without making a large incision. Because the remaining 20 percent resembles a tube, the tube is called gastric surgery.
This closed intervention is called laparoscopic surgery. The fundus section is located in the 80 percent part taken by surgery. The fundus is the area where the hunger hormone is secreted. On the other hand, it also has an absorption-reducing effect, although not as much as a gastric bypass.
Before all obesity surgeries, there are a number of procedures that need to be performed to investigate the suitability for surgery. For example, a person who is going to have obesity surgery must comply with the body mass index (BMI) data set by the World Health Organization.
BMI is obtained by dividing a person’s weight by the square of their height. Each result has categories such as thin, normal weight, obese, extremely obese.
In order to have obesity surgery, the result must be 40 and over. If there are additional diseases other than obesity, it is sufficient to have a result of 35 and above.
Gastric sleeve surgery is performed by laparoscopic method. Laparoscopic surgery is a closed surgery technique. In its place, several holes of about 0.5 cm are made, and the camera and treatment tools are sent through these holes to the abdominal region.
The surgeon, on the one hand, monitors the operating field from the high-resolution monitor in front of him, and on the other hand, the treatment is performed.
Thanks to this technique, both the operation passes more comfortably and safely, and the postoperative process is more painless and faster. In the operation performed under general anesthesia, 80 percent of the stomach is removed with the help of stapler and in the light of the sent tube.
The most important point of the operation is to control the bleeding in the suture line after the stomach is removed. To determine if there are any leaks on the seam line, the stomach is inflated with the help of special dyes.
After the checks, the tube sent at the beginning of the operation is removed and the drainage system is inserted.
Gastric Sleeve Pros
- The gastric passageway narrows. A feeling of saturation occurs with a small amount of food.
- The production of hormones that cause a feeling of appetite decreases. Appetite decreases.
- It is possible to eat a balanced diet.
- It is eaten from everything, it is eaten little.
- The natural flow path in the gastrointestinal tract is maintained.
- The rate of complications and side effects is relatively low.
- It allows you to lose most of the extra pounds in about a year.
Gastric Sleeve Cons
- A large part of the stomach is removed. It is not possible to return the stomach to its natural state again.
- The weakening potential may decrease in those who are fond of liquid and high-calorie foods, sugary foods
- There is a possibility that the tabulated stomach will expand over time and, accordingly, its weight-loss effect will decrease over the years.
- It is an operation that requires more technological materials than stomach folding surgery.
- It has been over the past decade that it has become a widely performed surgery. Although the five-year results are very successful in a wide range of patient groups, the longer-term follow-up results have not yet been fully clarified.
Which One Is Better: Lap Band or Gastric Sleeve?
Weight-loss procedures like the lap band and gastric sleeve aim to lessen the stomach’s ability to support weight loss. The best choice for you will depend on your specific situation as both have benefits and drawbacks.
Lap bands are thought to be a less invasive option, but they need to be adjusted more frequently, whereas gastric sleeves are thought to be a more invasive option, but they recover more quickly and require fewer adjustments. To determine the best course of action for you, it is crucial to speak with a qualified surgeon.
What is Lap Band and how it is performed?
Lap Band surgery is one of the three common bariatric surgery procedures. Compared with other popular weight loss surgeries, Lap Band surgery is performed in the shortest time, and the intraoperative complication rate is very low.
It is important to remember that complication rates may be higher after Lap Band surgery compared to other surgeries.
The patient lies on his back, the legs are fully opened and slightly bent. The operating table is given a position of approximately 30° feet down (reverse Trendelenburg). The operator works the patient’s legs.
The first assistant is located on the left side of the patient, the second assistant is located on the right side. a long and special needle called a Verres needle is inserted through the incision above the navel that is removed.
This first incision is about 6 fingers below the breastbone (xiphoid) and is in the middle line. This incision, through which the optical camera will enter, is 10 mm long. Carbon dioxide gas is filled into the abdomen so that the intra-abdominal pressure is 15 mmHg.
The purpose of this is to push the intestines and intra-abdominal organs back, thereby opening the operating field and protecting the organs from injury. The tube part of the band, usually 10 mm, from the outermost trocar, is inserted into the abdomen.
This end is held by the endograsp roticulator and is passed through the back of the stomach at the level of the dissecting area.
Lap Band Pros
- The rate of getting rid of excess weight at an early stage is about 40-50%
- The stomach is not cut and the intestines are not interfered with.
- Patients may be discharged the next day.
- It is a reversible process.
- The risk of complications is very low.
- The lack of vitamins and minerals is very rare.
Lap Band Cons
- It provides less weight loss than other methods.
- The presence of a foreign body in the body.
- In some patients, complications such as slipping on the tape or getting into it by eroding the stomach may develop.
- Mechanical problems with the tape may occur
- In those who eat by straining the band, it can cause problems with the expansion of the esophagus and a deterioration in its angle with the stomach.
- It requires strict dietary control and follow-up.
- The rate of repeat operation is high.
Lose Weight With Lap Band Or Gastric Sleeve?
The two procedures differ in their surgical approach. Both are surgically effective in losing weight, but the surgery is not always effective. A gastric sleeve surgery has lower risks than a lap band.
Gastric sleeve surgery involves removing 80 percent of the stomach. Gastric sleeve surgery has a higher success rate and fewer complications than a lap band procedure. As a result, it’s much more common to see people losing weight with a gastric sleeve surgery.
A gastric sleeve works by altering the body’s hormones. It works by restricting the size of the stomach, which in turn reduces appetite. In contrast, a lap band patient is always hungry, so this procedure fails in the long run.
The recovery time is longer than with a gastric sleeve. However, gastric sleeve surgery provides superior weight loss results in the first 12-18 months.
While both surgeries help you lose weight, some people are heavier than others and experience more significant weight loss. BMI is a factor in the weight loss and BMI of patients. Patients with higher BMIs are more likely to lose weight than those with lower BMIs.
In addition, the Lap-Band adjustment process can affect weight loss. It may cause the patient to feel fuller with smaller portions of food, so the surgery is not always the best choice.
The gastric band procedure also has some disadvantages. It requires a foreign implant and has a higher rate of reoperations. Additionally, it may lead to esophageal problems and can increase the risk of cardiac arrhythmias.
Also, gastric banding is not without complications, and there are risks involved with aging. A gastric sleeve can last up to five years, but even if your band does not, you may eventually need to have it removed.
References:
https://obesitynewstoday.com/adjustable-gastric-band-pros-cons/
