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Lap Band Over Gastric Sleeve. Although Gastric Sleeve is a great procedure, some patients may experience inadequate weight loss. This can be, in part, due to the gastric sleeve stretching out over time, thus allowing patients to eat larger quantities of food. The procedure is performed laparoscopically using a few tiny skin incisions, takes 45 minutes, and is a same day procedure. A Lap-BandÂ® / Realize-BandÂ® can be placed over the gastric sleeve, to give patients the added restriction that they may have lost.
Gastric sleeve as a standalone procedure is a relatively new weight loss surgery. Long-term data is not yet available, and as a result, some of the long-term risks and benefits are not known. This surgery was initially used as the first part of a two-part procedure called a duodenal switch, which includes a bypass.