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How Did You Decide On Lap Band Versus Sleeve?



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Hi everyone. I have begun my 6 month pre-op program with UTMB and expressed my favorite option to get the band. My nurse practioner asked if I would like to consider the sleeve. So I am now trying to sum up the pros and cons of the band and sleeve.

Question for you all is...what made you ultimately decide on the band rather than the other surgical options like the sleeve?

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I wanted a completely non altering device implanted which left my biology in tact.

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I chose the band because I didn't want anything permanently to change in terms of my anatomy. I am a month out and feel great. It was a great decision!

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I chose band to have control on restriction and go slower so I could get used to it...crazy but worked for me. I didn't want cut, and I didn't want dumping syndrome. Also I have a sister who had bypass. Not for me, she is considering lap now.

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It was the ONLY option for me as there was no way I was cutting off and rerouting my organs (bypass) and dealing with "dumping syndrome" or getting my stomach permanently stapled! ( the sleeve). Some opt for Plication..when they fold the stomach in half and staple it..along with putting in a Band..my doctor called this the mexican lapband..they dont do that at Yale. All surgeries have risks..make an informed decision with your doctor thats right for you!

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I agree with the above posts; also my Primary Care Physician would only agree to Lap Band; she was very much AGAINST changing your anatomy; she said you are trading one health issue (obesity) for other health issues. So, I followed her advice. I am very happy about it. Also, the band can be taken out or reversed.

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I was originally going to get the sleeve, and at the last minute changed to the band. I can give you some insight on why...the smaller stomach of the sleeve can slowly stretch back out over time. I was worried about 7-10 years down the road falling into old habits and my stomach just changing to accommodate over eating. The band is reversible, if at anytime I have issues or don't want the band anymore I just ask for it to be taken out. These were the 2 major issues I thought about before being banded.

Since being banded I LOVE my decision. I'm only 2 weeks out from banding, but I do not regret my choice. I am looking at my band as my newest BFF, and she is definitely keeping her end of the deal. I already feel better about myself, and knowing this "friend" is here to help me I have no worries of losing the weight and then gaining it back--as I have done so many times in my life.

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I researched which one wold be best for me. I wanted the band because you lose weight more slowly than bypass or sleeve. I wanted to have more control over my weight loss. I didn't want to lose it so fast that I didn't recognize myself!! My PCP and my surgeons PA tried to talk me out of the band but my surgeon said I am definetly wright for the band. I'm only 32 and I have the mind set to get to my goal. Either the band or slave are great tools to help....but I like the fact that if a year down the road if I were to fail the band and it just wasn't working for me....I can always get the sleeve. My surgeon believes that I will succeed with the band but the sleeve is always an option...but I agree with others...I want to keep all my original organs intact!!!! But I was banded Nov 12 and I'm down 25lbs so far and I'm so happy with my choice!! My kids already notice a change in me and that makes me smile!!! Hope you make the right decision for you. Its your body and you have to live with it...not your doctors....don't be pushed into something you don't want. In the end its your decision!!

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Like many of the above posters I preferred lapband because it meant my insides weren't going to be chopped up and that scared the bejesus out of me. I wanted a way to help me control my never ending hunger and a way to be in control of food not the other way around. It's still early months for me being banded but so far so good and I no longer have an obsession with food and my hunger has gone apart from the natural hunger when it's time to eat. I no longer think about food 24/7 except when it's time to eat and I feel a lot is because of the lapband taking those sensations away for me.

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..my doctor called this the mexican lapband..they dont do that at Yale.

OMG that's so hilarious and offensive at the same time LOL!!

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I appreciate everyones response to my question. My doc and nurse definitely do not want to make the decision for me. She just wanted me to research these 2 options. So far I still like the band for the control of restriction. And I like the sleeve for the lower cost maintenance since the band refills will not be covered on insurance and will cost 150.00 each time. Oye....still have plenty of time to decide.

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I appreciate everyones response to my question. My doc and nurse definitely do not want to make the decision for me. She just wanted me to research these 2 options. So far I still like the band for the control of restriction. And I like the sleeve for the lower cost maintenance since the band refills will not be covered on insurance and will cost 150.00 each time. Oye....still have plenty of time to decide.

Keep in mind....after the first year your fills will be few and far between. Once get in the green zone it's pretty much smooth sailing. The fills do evaporate slightly and you lose the fat around the stomach so the band loosens but I had 5 or 6 fills the first year... 2 the second year and as I approach year 3 I don't anticipate needing one for some time.

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I'm not offended lol...I think its hilarious a doctor said something so non-politically correct!

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I agree that you can expect to have up to six fills the first year; unless your doctor will be more aggresive than mine was

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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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