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how did you choose between lap band and the gastric sleeve? i was set on the lap band, until i read news reports about the problems people have long term with the band after 5-10 years...now i am worried...can you tell me what was the deciding factor for you? thanks

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and....is the reports based on older models of the lap band? and the newer bands not as likely to cause long term problems? just want someone to explain it to me...thanks

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For me it was at the LBS/GBS seminar that decided for me. After listening to the pros and cons of the Gastric Bypass for 45 minutes and not really comfortable with what I hearing I decided to go with the Lap Band.

Pros: Less documented complications, no actual cutting of the stomach, no problems with stomach leaking due to dissection and reattachment of intestines, reversable, less evasive surgery and less than 1% mortality rate.

Cons: slower weight loss than the GBS, periodic fills required and No dumping after ingesting sugar.

It was a no brainer after hearing all the complications associated with the GBS. I found out later my Cardiologist would not let me have the GBS because of a pre-exsisting heart condition. My only option was the LBS.

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how did you choose between lap band and the gastric sleeve? i was set on the lap band, until i read news reports about the problems people have long term with the band after 5-10 years...now i am worried...can you tell me what was the deciding factor for you? thanks

I don't think I ever believed WLS would help so reversible was appealing to me. I was pretty floored when it did work.

If I had it all to do over again I'd get as sleeve without a doubt. It's essentially like a band with perfect restriction all the time. No fills, unfills, restriction issues, slips, erosion, port pain, port flips, etc.

I wish I would have done as you are and considered the option of a sleeve before surgery.

BTW, **after** the initial 30 days of the procedure complications drop dramatically for sleeves over bands. Your risk for problems is much less with sleeves vs. bands, virtually no follow up care, etc.

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As much as I love my band and all it's doing for me, I would have preferred the sleeve. The deciding factor for me was $750 out of pocket for the band and $17,000 out of pocket for the sleeve. My insurance doesn't cover the sleeve.

My DH is 2 years out from his banding and doing very well, so when I went to the surgeon for consultation that's what I planned to pursue. I learned about the sleeve during the consult (he discussed by-pass, sleeve, and gastric banding).

I think I would have been very disappointed had it been the other way, if I'd gone in planning for the sleeve, only to be denied by my insurance. But I was told upfront at the consultation that my insurance only covered by-pass and banding.

Had I been self pay, absolutely would have chosen the sleeve.

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I liked the idea of the band being adjustable. Plus, the surgeon offered all of those and his wife had a band, so I figured if that's the one he chose for her, that's the one I'd take. :thumbup:

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I told my PCP that I want the band or bypass and he said yes to the band and no to the by pass so I took his recomendation.

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I will have to add that I too liked that the band is reversible.

But it would have been nice not to have to pay for fills (insurance doesn't cover them) and not to have to travel over 2 hours for them.

The lady who shared my room in the hospital had by-pass, we had the same surgeon, but she traveled out of the country a lot so he recommended that for her.

I really think it has to be an individual decision with your surgeon considering your lifestyle among other things.

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What exactly is a sleeve and what site gives info about it? I am in the process of my six month Medically supervised diet with the intentions of getting the band. I'd like to investigte the sleeve more.

Thanks

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My understanding is that the sleeve is where the stomach is stapled top to bottom lengthwise then the excess is cut away. The stomach is shaped like a long sausage and can only hold a specific amount of food.

The cost was about the same for the surgery at the time I had mine. (I think his prices have gone down since he opened his own surgical center.)

This is on Dr. Curry's web page.

Trace W. Curry, M.D. Lap Band, Realize Band, Sleeve Gastrectomy, and Gastric Bypass Surgeon :: Weight Loss Surgery :: Sleeve Gastrectomy

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Some aspects of the sleeve did appeal to me, but when you compare a sleeve operation to a lap band operation, you can see that the sleeve is more involved. Plus it's not reversible. I want something where I'm under anesthesia for the shortest possible time, the least possible can go wrong and, if all else fails, I can have it all undone. That means a lap band.

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thanks for all of your answers...my doctor does not do the sleeve, and i don't know if my insurance covers it...if it does i think i would rather do the sleeve, just because of the complications that i have read about...and the idea of something being in me is freakin' me out somewhat....but it may be my only option....but i will be doing some more research and prayin....thanks

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For me it was being there for my Dad when he had the Gastric Bypass 6 years ago and almost died from it. Also, he never did get to his goal weight and has gained back about 100lbs. He ate around the bypass and has stretched his pouch out and there is nothing he can do about it.

I like the fact that the lapband was less invasive and the fact that it was adjustable. I also liked that it was reversible if needed.

Since I had a complication and know how it feels to have to go back in for surgery, I have thought about the fact if I ever have to go in to have something repaired again. I think that it will be worth it. I finally have something that is helping me lose the weight. It is WONDERFUL!!

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I considered bypass and discussed the issue with my surgeon who recommended the band. I'm only 25 and want more babies so the band was the one which would allow pregnancy with the least amount of complication.

That did it for me!

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
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    • Doughgurl

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      1. Phil Penn

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    • 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

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      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

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      · 1 reply
      1. LeighaTR

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