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Lap Band vs. Vertical Sleeve Gastrectomy?



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Well that pretty much says it all. I had really been thinking about the lap band (hard), then ran across what the VSG is on the internet and it sounds like a good solution also. Anyone have an opinion?

Thanks in advance!

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can I ask where you found this info on the internet. I am not banded and want to explore all my options too

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Moving this to the lounge since our surgical forums are specific to the lap-band. You may get better responses here re: VSG.

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Hi Disneyfreak,

I am presently going down the Lapband path and am planning on being banded this spring. I just recently found out about the VSG and would prefer this procedure, but there does not appear to be any surgeons in South Central PA that does them and when I queried my insurance (Capital Blue Cross - FEHB) they said that they currently consider VSG to be experimental.

Although VSG a more extreme procedure (removal of ~3/4 of the stomach), it is a "restrictive" only WLS similar to the Lapband, which appeals to me. What I like about VSG over the Lapband is that there are no fills, no "getting stuck", sliming, PBing, slippage, erosion, etc. With the VSG, one can eat whatever they ate before, but only a lot less of it. Just like the with the band, however, eating the right foods and exercising is still vital for tool to work.

Since it does not appear that neither my insurance will change their mind, nor my surgeons will learn this procedure anytime soon, I am very very happy to continue with my stroll down the Lapband path.

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I am interested in having the Lap Band sleeve done...I am wondering about it any feed back on it...good or bad..any information will be helpful thank you:thumbup:

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Its an easy surgery I had it on aug 14.2008, I don't think you loose as quickly as you can with the band but most people I talked to were very satisfied. I lost 29lbs from pre diet to one week ago, but since I have been eating solid food now I have gained 2 lbs. Everybody says its just a plateau and it happens at this time but I am a little worried. good luck

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Actually weight loss is supposed to be much quicker, more like with a bypass.

My surgeon says at first I'll lose 1-2 lb. a day though that will eventually slow down, of course. Then it's about 2-3 a week. Lap band is supposed to be about 1-2 a week, more like dieting. Er, dieting without WLS that is. It's not like we aren't dieting.

I really don't care how fast it comes off though as long as IT DOES and, more importantly, it STAYS OFF.

Edited by MacMadame

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I originally went to my surgeon with thoughts of the band in my head, but after learning about the sleeve I knew it was for me. I am married to a Marine, and we move every three years so I knew that the required permanent aftercare (fills, unfills) would get tiresome. Also, after I learned about the port and the possible problems with the band I became worried about the foreign object I was going to put in my body.

Anyway, I had my sleeve done exactly two weeks ago, and I am feeling great! I had absolutely no pre-op diet (my "last meal" was actually KFC) and I have lost 16lbs so far. I do not feel hungry or have an acid problem. The first four days were hard as I had problems with nausea and headaches and dehydration, but after I crossed the week mark I was feeling pretty good. Now I am getting my Water and Protein in and able to walk a mile a day on the treadmill.

Deciding which surgery is best for you is very personal, but I honestly think the sleeve has less problems and complications and better weight loss.

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I originally went to my surgeon with thoughts of the band in my head, but after learning about the sleeve I knew it was for me. I am married to a Marine, and we move every three years so I knew that the required permanent aftercare (fills, unfills) would get tiresome. Also, after I learned about the port and the possible problems with the band I became worried about the foreign object I was going to put in my body.

Anyway, I had my sleeve done exactly two weeks ago, and I am feeling great! I had absolutely no pre-op diet (my "last meal" was actually KFC) and I have lost 16lbs so far. I do not feel hungry or have an acid problem. The first four days were hard as I had problems with nausea and headaches and dehydration, but after I crossed the week mark I was feeling pretty good. Now I am getting my Water and Protein in and able to walk a mile a day on the treadmill.

Deciding which surgery is best for you is very personal, but I honestly think the sleeve has less problems and complications and better weight loss.

I've been banded and I've been sleeved, being sleeved is 1000x easier.

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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.
      · 0 replies
      1. This update has no replies.
    • 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.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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