Video

What are the differences between weight loss surgeries?

27 Jul

As I have been traveling down this road, I have done lots of research. Although I will admit Lindsay has done a lot more! I will let her share her good finds.

One of the first questions the Dr. will ask is “what procedure do you want?” Well, can’t really answer that without some background knowledge and understanding the differences. (Isn’t it nice that we have choices now?) So let me share with you some of the research that I have found concerning the different types of weight loss surgery.

there are lots of choices but today I will go over three of the most popular:

Laparoscopic Adjustable Gastric Band (AKA Lapband):

The Lapband induces weight loss by restricting the amount of food that can be eaten.  The Lapband is an inflatable band that is placed around the upper portion of the stomach creating a small stomach pouch with most of the stomach below the ring. The stomach pouch produces feelings of fullness with only a small amount of food. The size of the stomach opening can be reduced, along with further restriction of food intake, by filling the band with sterile saline.  The saline is injected through a port that is placed under the skin and fat and is connected by a hollow tube to the band. The is done gradually over time with repeated fills. The Lapband requires no cutting or stapling of the stomach or intestines and  is not only adjustable but also reversible.

PROS:  Reversible, adjustable, slower weight loss, least invasive, fast recovery, does not alter digestion

CONS: Continual care for adjustments, slower weight loss, foreign object implanted in body,

Laparoscopic Gastric Bypass (AKA Bypass):

The Bypass induces weight loss by reducing the amount of food that the stomach can hold and also by decreasing the amount of nutrients that are digested and absorbed. The surgery is performed by dividing the stomach and creating from the upper portion of the stomach a small pouch. The stomach is about the sizeof a person’ts thumb and holds only about 3 tablespoons of food. After the pouch is formed, the small intestine is cut and the lower portion is attached to the small stomach pouch. Food now passes from the mouth through the esophagus to the small stomach pouch and directly into the second part of the small intestines, bypassing the larger part of the stomach and about 1 or 1 1/2 feet of the small intestines, creating less digestion and absorption of what is consumed. The larger bypassed stomach maintains its blood supply and , although this part of the stomach no longer has food going through it, the smell of food, the taste of food, chewing and swallowing food stimulate the stomach to continue to produce gastric juices that eventually mix with the food stream in the small intestines.  The RYGB is considered the “gold standard” of weight loss surgery and is considered a highly effective procedure.

Pros: Gold standard, fast weight loss fast and dramatic, up to 83% of diabetes II cases cured, 50-93% of hypertension cases resolved, 82%  asthma cases improved or resolved, oldest surgery with most research available.

Cons: It is an invasive surgery that permanently alters your stomach. Even with newer innovations in laparoscopic surgeries, it still requires a hospital stay and a lengthier recovery time than some of the other surgeries. The malabsorption can cause what is known as “dumping syndrome”, where patients that eat too much sugar get sick, non reversible.

The Sleeve Gastrectomy (Sleeve):

The sleeve induces weight loss by reducing the size of the stomach. The sleeve is performed by surgically removing 75% to 80% of the stomach. The remaining part of the stomach is roughly the size and shape of a banana and holds a little more than 3 oz. Since this operation does not involve any “cutting”or rerouting” of the intestines., it is a simpler operation than the gastric bypass. Unlike the adjustable gastric band, the sleeve gastrectomy does not involve a foreign device. For certain patients, particularly those who are super morbidly obese, the  sleeve gastrecotmy may require a second surgery that is malabsorptive.

Pros:  Fast weight loss, no foreign device, loss of appetite, stomach continues to function normally, you can still eat the same foods, only in smaller portions, surgery performed through small incisions, leaving few scars, The hunger-stimulating hormone, ghrelin, is removed when 85% of the stomach is sectioned off, simpler procedure than gastric bypass, with fewer complications.  93% cure and improved diabetes II and hypertension.

Cons:  non-reversible , post-surgery complications, such as leakage at the staple site, may occur, gastric sleeve has no effect on liquid intake, so high-calorie beverages should be avoided, weight may be regained gradually if you do not adhere to your diet, as the newly-formed stomach may stretch.

I have chosen The Sleeve because it fits where I am in my life. I know that my lifestyle will drastically change however I am looking for a drastic weight loss that will keep me motivated yet limit the side effects.  Lapband is too slow weight loss and Bypass is too fast , so for me the Sleeve was just right (just like Goldilocks said)goldilocks.

What surgery are you leaning towards and why?

552de-gettingreadyto

Advertisements

5 Responses to “What are the differences between weight loss surgeries?”

  1. misslapband August 17, 2013 at 6:24 am #

    I am scheduled to go on for lapband in early September. I have to admit, the idea of permanently removing a whole section of my stomach was a little too scary for me.

    • gotsleeved August 17, 2013 at 12:24 pm #

      Congratulations on your upcoming Lapland ! Yes , I am a bit freaked myself about 80% of my stomached will be removed . But tonsils and gallbladders and appendix are removed for health reasons all the time . This is for my health .although I will admit as the day gets closer I am getting more and more freaked out .

      • misslapband August 19, 2013 at 12:35 pm #

        I hear you. 21 days to go for me and counting. I am so nervous I can’t even talk to my husband about it. When I get that freaked out I am really stressed 🙂

Trackbacks/Pingbacks

  1. Which Weight Loss Surgery? | gotsleeved - July 30, 2013

    […] What are the differences between weight loss surgeries? (gotsleeved.wordpress.com) […]

  2. What is a lapband and why am I getting one? | My Lapband and Me - August 19, 2013

    […] What are the differences between weight loss surgeries? (gotsleeved.wordpress.com) […]

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Flirty by Thirty

A Vertical Sleeve Gastrectomy (VSG) Weight Loss Surgery Journey

The Odd Spot

Your Health. Your Way

Bariatric Blog

4 out of 5 dentists recommend this WordPress.com site

Two Sleevers

High Protein, Low Carb Recipes for Better Health

Book Hub, Inc.

The Total Book Experience

strawberrycalorie

Me. Yes, quite frankly, this is my story && my thoughts.

Don Charisma

because anything is possible with Charisma

Natalie Breuer

Natalie. Writer. Photographer. Etc.

OneShrinkingTeacher

A great WordPress.com site

juliansherman.net/

Building A Business While Having A Life

The Neighborhood

telling the story from every vantage point

Table For Two UMBC (TFT-UMBC)<-Serch this!

Hunger, Obesity, School lunch

A Bariatric Story

My journey to having bariatric surgery and beyond

La Guerra de La Gorda

...fighting a battle for Mexcellent health...

Lachlan + Cathy

Welcome to the House of Payne

shesjustpleasantlyplump

My (flab)normal life.

My Journey to Fit and Healthy

Transforming from fat to fit and loving it

cancer killing recipe

Just another WordPress.com site

The WordPress.com Blog

The latest news on WordPress.com and the WordPress community.

%d bloggers like this: