Lately, people have been asking me why I chose to get a Lap Band and not the gastric bypass like their friend, cousin, coworker, neighbor, etc.
I try to explain to them that when someone chooses to get weight loss surgery, it is a very personal reason of why and which type surgery is chosen. No matter what weight loss method, plan, or surgery we choose, ultimately we're all trying to get to the same destination of improved health and weight loss.
One of the primary reasons that I chose to get a band was that I felt that it was a much safer surgery than other choices that were available to me at that time.
During my own decision making process, I remember thinking....
Which surgery is right for me?
Which surgery potentially carries more risk?
Which procedure is permanent?
Which procedure can be adjusted?
What if medical science and technology change one day?
Which surgeries are reversible?
But at the end of the day, safety was and still is very important to me. Here's what I've learned:
The Laparoscopic Adjustable Gastric Banding procedure is less invasive than the sleeve or gastric bypass procedures because it involves no re-routing or partial removal of internal organs (1).
Banding has a favorable long-term safety profile compared to gastric bypass (2).
Banding has 3 times fewer total complications than the sleeve (3) procedure.
Banding has 5 times fewer serious complications than the gastric bypass procedure (4).
Banding has been shown to have a shorter operative time, shorter hospital stay and shorter time to return to work than gastric bypass (5).
I remember when I was pre-op, I was very overwhelmed trying to consider all the pros and cons of each surgery.
I always recommend that we, as patients, ask LOTS of questions during the pre-op process to determine the best surgery for each of us. Each weight loss surgery is not "one size fits all" and we have to do our research.
References:
1. Needleman. Surg Clin N Am. 2008;88:991-1007. O’Brien. J Laparoendosc Adv Surg. 2003;13:265-270.
2. Parikh. J Am Coll Surg. 2006;202:252-261.
3. DeMaria EJ, Pate V, Warthen M, Winegar DA. Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes
4. DeMaria EJ, Pate V, Warthen M, Winegar DA. Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes
5. Chapman. Surgery. 2004;135:326-351, Fisher. Obes Surg. 2004;14:67-72, Parikh. J Am Coll Surg. 2006;202:252-261. HLTH/2947/11/APC61SC11