What about Gastric Sleeve?

What about Gastric Sleeve?

How does Gastric Banding compare to Gastric Sleeve (Sleeve Gastrectomy)? Sleeve Gastrectomy (also known as Gastric Sleeve surgery) is a relatively new approach to weight loss surgery. With Gastric Sleeve, using a small stapling device, around two thirds of the stomach is removed laparoscopically, via a small tube. Unlike Gastric Banding Procedure, Sleeve Gastrectomy surgery is irreversible.

A summary of differences between Sleeve Gastrectomy and adjustable Gastric Banding

Sleeve Gastrectomy Surgery

Procedural differences:

Requires stomach cutting and stapling to create a small sleeve shaped stomach, about the size of a banana. The larger part of the stomach (around two-thirds) is permanently removed.

Is the procedure adjustable?

No: Adjustment is not possible.

Is the procedure reversible?

No: Due to stomach cutting and removal this procedure is considered permanent and cannot be reversed.

Are the results long-term?

No: Sleeve Gastrectomy surgery has been shown to significantly reduce excess weight, at least in the short term. There is very limited long-term data with recent studies showing weight regain at 4-5 years post-surgery. In a recent study, the average excess weight loss at 5 years was 45.3%.

Complications can include:

  • Gastric remnant dilation
  • Risk of possible staple-line leakage
  • Suture line bleeding, leakage and gastric strictures
  • Risk of gastric reflux

Gastric Banding Procedure

Procedural differences:

The adjustable Gastric Banding Procedure involves implanting a device; this requires no cutting, stapling or removal of any part of the stomach. Instead, a band is placed around the stomach to limit the amount of food it can hold.

Is the procedure adjustable?

Yes: Gastric Banding can be quickly, easily and non-surgically adjusted to affect weight loss results during a brief visit to the doctor’s office.

Is the procedure reversible?

Yes: Adjustable Gastric Banding can be reversed with the stomach returning to its original shape.

Are the results long-term?

Yes: Adjustable Gastric Banding has been shown to significantly reduce excess weight. A recent study found patients maintained an average of 47.1% excess weight loss at 15 years.

Complications can include:

  • Acid reflux and vomiting
  • Band slippage
  • Stoma obstruction