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Gastric Sleeve Vs Lap Band



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:unsure: I am in the process of having baratric surgery...i went in for my consultation with my surgeon with the intentions of having lap band...he suggested the sleeve as another alternative and actually said he would choose the sleeve over lap band if he were having the surgery......i am now torn between the 2...i like the fact that with the sleeve you don't have the maintenence issues with adjustments and fills.. once the surgery is done ...its done (barring any complications...my main concern is that it is irreversible whereas the lap band could be removed if there were complications....Sleevers...what made you choose the Gastric Sleeve procedure?

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If you trust your surgeon, if your surgeon has lots of experience doing these procedures, then you should take his/her recommendation very seriously. Also, please read this forum thoroughly. So many of the sleeve patients here have had their lap bands removed and replaced with the sleeve procedure. From what I have read, the lap band has complications long term.

I refer you to the sub-forum within VerticalSleeveTalk called: Band to Sleeve Revisions

You will find many people who have had the lap band surgery commenting on their experiences here.

As for myself, I was sleeved 13 days ago. I wanted a permanent solution with low maintenance (no fills and adjustments.) I didn't want the equipment installed in my body. My primary care doctor introduced me to the idea of the sleeve surgery. I liked the idea of reducing the production of the hunger hormone gherlin -- which is produced primarily in the part of the stomach that is removed. In my research I came across this forum and really learned a lot about the realities of the procedure. I am at the beginning of my weight loss journey but I am very happy with my choice.

Best of luck to you in your decision.

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If you trust your surgeon, if your surgeon has lots of experience doing these procedures, then you should take his/her recommendation very seriously. Also, please read this forum thoroughly. So many of the sleeve patients here have had their lap bands removed and replaced with the sleeve procedure. From what I have read, the lap band has complications long term.

I refer you to the sub-forum within VerticalSleeveTalk called: Band to Sleeve Revisions

You will find many people who have had the lap band surgery commenting on their experiences here.

As for myself, I was sleeved 13 days ago. I wanted a permanent solution with low maintenance (no fills and adjustments.) I didn't want the equipment installed in my body. My primary care doctor introduced me to the idea of the sleeve surgery. I liked the idea of reducing the production of the hunger hormone gherlin -- which is produced primarily in the part of the stomach that is removed. In my research I came across this forum and really learned a lot about the realities of the procedure. I am at the beginning of my weight loss journey but I am very happy with my choice.

Best of luck to you in your decision.

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I didn't want the band because I didn't want a plastic gizmo floating around in my belly and there is a problem with erosion and slippage quite commonly too. I didn't want a bypass because of the malabsorbtion issues with it.

The sleeve IS permanent and a common fear is that you will miss food so much and not be able to eat it because your stomach is so small. Well after healing and losing weight you hardly miss the food, in fact I enjoy the TASTE of food MUCH more and get PLENTY to eat. I am always satisfied. The sleeve WILL stretch just as your regular sized stomach did, but no where near the size of the old stomach, it's just impossible to fill it anywhere near the capacity that of the old stomach.

As mentioned above, trust your surgeon if you feel he is qualified, it sounds like to me he is level headed and knows what works.

Good luck no matter what you choose!

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thanks so much for your input...i feel so much better talking to people that have been through this...thanks again

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thanks so much for you input to helping me make a decision...i like being able to talk to someone who has been through it...

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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!
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    • 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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