Both gastric sleeve surgery and gastric banding surgery use restrictive techniques to provide weight loss. Both are similar regarding expected weight loss and complication rates, but they do have significant differences.
The main difference between these bariatric surgeries is whether or not the operation is reversible. Gastric sleeve is a permanent weight loss surgery, unlike gastric banding. However, gastric sleeve is a starting surgery that many patients opt for because it gives the option to switch to duodenal switch or any gastric bypass surgery.
Gastric Sleeve versus Gastric Banding: Table Comparison
|Method of Weight Loss||Restrictive ||Stomach size reduced |
|Stomach Alterations||Stomach size reduced ||Stomach size reduced |
|Changes to Intestine||No Change||No Change|
|Operating Time|| || |
|Average Hospital Stay|| || |
|Time off Work|| || |
|Recovery Time|| || |
|Pros:|| || |
|Disadvantages|| || |
|Surgery Description||Long narrow vertical pouch (about 2-3 oz or 60-100cc). Same shape as the duodenal switch pouch but smaller. No intestinal bypass. The VG significantly restricts the volume of food that can be eaten. There is a no malabsorption of nutrients or dumping.||The Lap-Band is an adjustable silicone ring that is placed around the top part of the stomach creating a small (1-2 ounce or 15-30cc) pouch. Gastric Banding moderately restricts the volume and type of foods the patient can consume. The Band delays emptying of the pouch and creates the sensation of satiety. There is no malabsorptive of nutrients.|
|Realistic Expectations|| || |
|Post Surgery Dietary Info:|| || |
|Candidate Efficacy|| || |
Gastric Sleeve Surgery
Gastric Sleeve Surgery is also known as vertical sleeve gastrectomy (VSG). Gastric sleeve surgery can be performed laparoscopically and provides a life-time approach to weight loss. Gastric sleeve patients commonly opt to revise the surgery to duodenal switch and any gastric bypass.
Gastric Banding Surgery
Gastric Banding Surgery is also known under the brand names: Lap-Band and REALIZE band. Often performed laparoscopically, gastric banding is a very common procedure that requires a commitment to lose weight and many physician visits.