Tuesday, October 24, 2017

LAP-BAND vs. Gastric Sleeve

Comparison of Surgical Procedures

Laparoscopic Adjustable Gastric Banding (LAP-BAND)
Laparoscopic Sleeve Gastrectomy
PROCEDURE
  • No change in the anatomy or stomach stapling is required
  • Regular follow-ups allow for optimal results
  • Requires cutting and stapling of the stomach and bowel
SHORT-TERM
(1 YEAR) EXCESS WEIGHT LOSS
  • 42% average weight loss 1 year after surgery
  • 46% to 83% weight loss 1 year after surgery
LONG-TERM
(>5 YEAR) EXCESS WEIGHT LOSS
  • 55% average weight loss 5 years after surgery
  • No follow-up reported > 3 years
  • May require second surgery
POST-SURGICAL MORTALITY (SHORT-TERM)
  • 0.05%
  • 0.39%
EARLY COMPLICATIONS
  • 1.5%
  • Up to 25.5% reported
POST-SURGICAL COMPLICATIONS (LONG-TERM)
  • Band slippage
  • Stoma obstruction
  • Gastroesophageal reflux
  • Nausea and vomiting
  • Gastric remnant dilatation
  • Surture line bleeding and leaking
  • Gastric strictures
  • May require second surgery
ADJUSTABILITY
  • Adjustable
  • Reversible
  • Nonadjustable
  • Permanent
  • May require second surgery, doubling the risks associated with surgery and anesthesia
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