LAP-BAND vs. REALIZE Adjustable Band

There are many options for obese people considering weight loss surgery. For those considering adjustable gastric banding, there are two basic options: LAP-BAND and the REALIZE band. Most bariatric surgeons agree that it is important to educate yourself on all the options available to you. Both LAP-BAND and REALIZE are extremely effective and very safe, and are great options for weight loss surgery. There are slight operational differences which are discussed below.


LAP-BAND

The LAP-BAND is a product of Allergan, and FDA-approved. The clinical trials began in 1995, and were made available to the public 6 years later in 2001. It holds the distinction of being the first gastric band to receive FDA approval.

There are 2 sizes: the standard size which can accommodate 10 ccs of saline solution; and the large size which can hold 14 ccs. The larger size is recommended for heavier patients. The fill capacity of both sizes is 360 degrees. It also comes with 2 different styles of ports. The first port measures 14.7 mm while the second port is lower-profile and sized at 11.9 mm.

The LAP-BAND is connected to the abdominal wall muscles. Adjustments can be made with special needles. The doctor will add or remove saline as he sees fit to adjust the band accordingly. A tighter fit means stricter food restriction, and a loose fit will mean that the food intake can increase.

REALIZE Band: How is it Different?

Ethicon Endo-Surgery, a division of Johnson & Johnson, manufactures REALIZE Bands. Though it gained FDA approval only in September 2007, the product has been in use by patients outside of the U.S. as early as 1986. It has been marketed in non-U.S. countries under the brand name Swedish Adjustable Gastric Band.

Just like the LAP-BAND, the REALIZE band also features a fill capacity of 360 degrees, but has a single-sized band which can sustain up to 11ccs of saline. There is one adjustable port that is low profile. However, unlike the LAP-BAND, the REALIZE port is attached to the abdomen muscle with specialized clips that are located on the rear of the port.

Making the Final Choice

In general, both the REALIZE band and the LAP-BAND system are proven and tested to be effective and safe surgical choices for those interested in gaining long-term weight maintenance. They both also provide an internet-based support portal. LAP-BAND offers "My Lap-Band Journey," while REALIZE offers the "Realize My Success" program.