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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.
Endoscopic sleeve gastroplasty is a newer type of weight-loss procedure. Endoscopic sleeve gastroplasty reduces the size of your stomach using an endoscopic suturing device without the need for surgery. This procedure is an option if you're significantly overweight â a body mass index of 30 or more â and diet and exercise haven't worked for you. Endoscopic sleeve gastroplasty leads to significant weight loss. It helps you lose weight by limiting how much you can eat.