Question:
lap & lap-rny

Is there a difference btwn lap band & Lap-RNY? If yes can you please expalin the difference and is the healing tim different    — sawwas (posted on September 11, 2008)

September 11, 2008
Lap Band is less envasive than Lap RYN. In the Lap Band a band is placed around your stomach. In Lap RYN the stomach is actually physically made smaller and is re routed to the intestine (the Y) There is more healing time with RYN, but you do lose more weight with RYN then Lap Band. I originally had wanted Lap Band and after much research decided on RYN. You need to do some research yourself and decide what fits your needs best.
   — Masonzmommy

September 11, 2008
The Lap in RNY means laproscopic, that means they do the procedure with camera and small tools so that they dont have to open you completly up. Lap Band means they place a band around your stomach rather then cutting it like they do in RNY. Studies have shown that the same amount is generally lost between the two surgeries however RNY does produce faster results.
   — Kimberlin Katayama

September 11, 2008
Lapband surgery is less invasive and may be done in a surgical office, or just one day at the hospital. RNY is done under general anestheic, and requires a normal 2-3 day hospital stay. Lapband requires "fills", to adjust the band, which may or may not be paid by your insurance. Lapband surgery is designed for less wt loss over a 1 1/2 to 2 year time frame, with a 60-80 wt loss range. For heavier people, the RNY is a much better chioce, as it's results tend to be more successful. Sugars can be consumed by most patients with lapband, and sugars can cause many RNY people to "dump" (feel nausiated, ill, diarrhea, anxiety, etc) at very minor amounts of sugar. Both surgeries require behavior modification for long term results. Lapband heals in a few days, while RNY may take up to 3 months to fully heal. But this is not a painful healing process either. If you have more wt to lose than 80 pounds, the RNY would probably work better. DAVE
   — Dave Chambers

September 11, 2008
Lap bad add a foregin devise to your stomach and stomach area that is inflated to control the amount of food that goes into your gut. Lap RNY is the same exterior sergury but you have a pouch made, the stomak set asside and the first third of the small intestine contected to the last third. The middle part becoms the new stomack of about the size of a man's thumb and the strat of your intestines for processing food. You lose more weight because you can not absore fat, sugar or many carbs. This causes you malnutrion for the rest of your life, but a much faster way to lose more and keep it off.
   — William (Bill) wmil

September 11, 2008
There are two different nomenclatures that you need to be aware of when dealing with Weight Loss Surgery. Sometimes the terms that are used sound similar and can be confusing. There is the Lap-Band, and the RNY (which is often done laparoscopically), and then there is a procedure called the Lap-RNY. Now, there are TWO ways to perform the RNY. There is the OPEN RNY, in which the surgeons operate on the patient with a large incision, and the LAPAROSCOPIC RNY, in which the surgeons operate through several SMALL incisions using a LAPAROSCOPE. These are NOT to be confused with the LAP-RNY which is ACTUALLY the SAME RNY as EITHER of those two procedures but with the ADDED insurance of a LAP-BAND around the POUCH that is created during the procedure! SOME people use the term Lap-RNY to DEFINE the PROCEDURE that is used for the RNY that uses Laparoscopy instead of open surgery. Others use it to define the procedure that places the Lap-Band around the Gastric Pouch that is created using EITHER procedure. Frankly, I tend to lean toward the LATTER definition, but THAT is MY preference. Yes, the healing time IS different between the two types of surgery. It is about the difference between the healing times between the Lap-Band and the RNY. I hope that this helps. If you need more information, check out my home page and look for my post titled "Surgical Comparisons" at: http://www.obesityhelp.com/morbidobesity/information/answers1.php?N=H1221180770 . If you can't find the post on my profile page, look for it in the March 2008 archives. Use the information that you find there to start your own research. DO your own research. It is VITAL that you do your OWN research and NOT rely on others to do it for you because the people on the boards are BIASED in favor of their OWN SURGERY! I have had the Vertical Sleeve Gastrectomy, and I will TELL you in all HONESTY that I truly BELIEVE that it is the BEST SURGICAL OPTION for MOST PEOPLE! That is not to say that it is the best surgical option for YOU! Only YOU and your SURGEON can make that decision! There are people on the boards who will RIDICULE you for MAKING that decision if they think you have made the WRONG ONE! I am NOT one of those, but they are OUT there. They are the same people who will give you BAD ADVICE when it comes to your surgical options, so you cannot RELY on them to give you what you need. DO YOUR OWN RESEARCH! I hope this helps. Hugh
   — hubarlow

September 12, 2008
I'm sorry, but I think that you should completely ignore what Hugh and (William)Bill have said! Others have gotten it right, though. The lap-RNY is the term that is used for the laproscopic RNY surgery. There is open RNY, lap-RNY, and the Lap Band. In the Lap band surgery, they will insert a silicone ring around a portion of your stomach. It requires several visits to the surgeon for "fills". That is when they put more silicone in the ring to reduce the size of the opening to restrict food intake. The Lap RNY, the surgeon makes about 5 small incisions in your abdomen and inserts a camera and some surgical tools to section off part of your stomach (nothing is removed), they then cut the lower part of the small intestines and re-route it up to your "pouch". Then they take the bypassed intestines and attach that to the bottom part of your regular stomach as it still produces the stomach acids required for digestion. The stomach acids combine with your food much further down in the system than "normal", therefore causing the food to bypass the small (or large, can't remember which) so that the calories (and much of the nutrients) are not absorbed into the body. Now, because your body does not get it's nutrients from the food, you will be on vitamin supplements for probably the rest of your life. However, in my opinion, it is much better for me to be taking supplements than having to live with being fat, ostracized, and un-healthy. The open RNY is when they cut an incision from your sternum to your belly button, sometimes lower, depending on the case. The doctors will do the same thing that they do with lap-RNY, but through an open site instead of through the small holes. This is necessary if someone is extremely obese, over 500lbs usually, sometimes lower, depending on the fat around the stomach. Alot of doctors will insist that you lose some weight before the lap RNY so that it shrinks your liver so that it is easier to get to the stomach as the liver is "in the way". This is why many people end up on a liquid diet or on protein drinks before surgery. I hope that I have answered your question satisfactorly. If you have any more questions, you will find some sites on the main board that will direct you to info about the various surgeries. Good luck to you!
   — anitak