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Lap-Band vs. Sleeve gastrectomy



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I am far from perfect and never claimed to be. This is MY OPINION from the research I have collected and I do have a right to express my opinion. I did not mean to step on any toes.

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I MUCH appreciate your opinion Oma! Eveyone here has made their decisions with the help of other people's opinions and information. This should not be about picking sides!!!! We are all just people trying to better ourselves! Thanks for your input! And thank you everyone else also. Your suggestions, help, tips, and personal stories help more than you know!

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I am having my band surgery tomorrow and It is obvious that there is a lot of misinformation about the band. No matter what surgery you choose, there are possible complications. As one person said, if I have a problem, its because of something I did. Often times, with the bypass for instance, it is nothing you did, its just a complication, ie: a stricture.

I chose the band because I do not want issues with malabsorbtion. I have a family history of cancers and heart disease and decided that if I should get sick later in life (I am 47) , I want to be able to absorb nutrition and fight! I also like the idea that it is reversible should something go worng. I know that with a band, I have to depend on me and my own dedication to make my tool work for me. I think since many people know the weight loss with a bypass or VSG is quicker, it is automatic that you will lose weight and you rely on that. When you get a band, you go in knowing that it is only a tool to aid you in your weight loss journey and if you dont work, it wont work. I think in some ways it is a natural process that keeps us honest with ourselves. Of course those are just my opinions,

I belong to an online support group on a site called Daily Strength. The group is called Gastric Bypass surgery, but all the bariatric surgeries are represented there. I can tell you that I have seen person after person post about serious side effects they endure from the gastric bypass and it just reinforces my decision to go with the band. I also know people in real life who have had it and the complications are real. So far, the people I know with the band have enjoyed success with no complications thus far. Ultimately, you need to chose the surgery that you think best fits you and the one who can live with the rest of your life. Dont think about how quickly you will lose, think about how healthy you will be later...

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My main reason for wanting to do the band was reversibility. My original doctor wanted me to do the bypass because of the faster weight loss to help resolve my diabetes. I didn't want to do that because I wasn't in favor of making a permanent change to my digestive tract. After the pressure to change I decided that I wanted to have the sleeve because even though it's a permanent change you have less of a change to the digestive system (no dumping or malabsorbition). However my insurance wouldn't cover the sleeve because you needed to have a BMI of 50 or higher. Fortunately in my research of the sleeve, I found out about sleeve plication which is a relatively new procedure that is supposed to give similar results to the sleeve. For the sleeve plication the stomach is folded onto itself and sewn to form a sleeve. Since this procedure is new there aren't that many doctors in the US preforming it. I was able to find a doctor in FL that does the procedure along with the Lap Band which is covered by insurance. I'm excited about this surgery because it gives me the benefits of both the sleeve and the band and by doing both it reduces some of the disadvantages of the other (for example the sleeve helps to reduce band slippage and the plication offers restriction without stomach removal) Also because of the restriction gained from the plication some people who have had this procedure feel that they don't have to get their band filled which eliminates band fill issues, and if for some reason the restriction from the plication isn't enough you can have the band filled.

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I like hearing everyone's opinions here and its certainly ok to disagree! Theres no way anything is right for everyone! The other worry I had about the sleeve is what if I lost a certain amount of weight but not to normal BMI (I kept getting fills till I got there) then what do I do to lose the rest? Diet and exercise? Yeah, right!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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