Sleeve vs Wrap the Pro’s & Con’s

[Time to get a grip]

My Hubbie and I are both booked in to have our sleeve ops next month but our latest conversation have started us thinking if we are indeed having the right op… So if you are happy to do so can you please share why you chose the procedure that you have had done or having done. Thank You

 

[wannabeminime]

I picked the sleeve because the results are longer term than the wrap, and i wanted my stomach, my trouble maker, GONE! I just preferred the sound of the sleeve compared to the wrap. I didnt want the malabsorption of the bypass. xx

 

[BrianT]

The sleeve picked me really. I went to see the surgeon thinking I was going to have a band, but while talking to the surgeon she advised that based on my eating habits a band wouldn't be effective. The surgeon suggested the sleeve and I've not looked back since.
I can't comment on the wrap as I know nothing about it, all I would say is that you should go by what you surgeon/team recommend. This isn't a "let's do something as we've tried everything else" situation. This is the rest of your life we're talking about here and what may be the right solution for you may not be the right solution for your other half. you really do need to examine your eating habits and be honest with both yourself your partner and your surgeon/team. If you eat lots of sweets tell them, if your passion is constantly picking at high carb foods tell them, mine was quantity more than any particular food as I never felt full up.
Remember there is no point thinking "oh if I tell them I do this or that they'll just think no wonder you're fat" these people don't want to operate unless they absolutely have to and so if they do have to you need to make sure you are having the right surgery for YOU, the one that is going to give you the best chance of attaining your goal weight.
Asking what we have all had done and how it's worked is fine and it will give you a good idea of the implications of each of the surgeries but please don't pick one based solely upon how you think people on here have fared. YOU MUST LISTEN TO YOUR TEAM.

God I don't half waffle on!!


Good luck though which ever way you both choose.

 

[wannabeminime]

Brian its not so straightforward when you're going abroad for surgery, they pretty much leave it up to you to decide!

 

[Ruthiep]

To be honest, I'd never heard of the wrap, or the POSE, when I researched the various procedures. I wanted something effective, maintenance free, and not too drastic like the bypass, so the sleeve seemed obvious. From what I hear from people at our support group who have had the POSE or wrap, the results aren't so great, so I have no regrets at my choice.

However, Mr. Sufi says that if we do experience the dreaded sleeve stretch that he keeps going on and on about, he could improve our restriction by doing the wrap as a secondary procedure rather than a whole new resleeve. I hope I never need to do anything else. I'm almost one year out now, and still have excellent restriction.

 

[wannabeminime]

To be honest, I'd never heard of the wrap, or the POSE, when I researched the various procedures. I wanted something effective, maintenance free, and not too drastic like the bypass, so the sleeve seemed obvious. From what I hear from people at our support group who have had the POSE or wrap, the results aren't so great, so I have no regrets at my choice.

However, Mr. Sufi says that if we do experience the dreaded sleeve stretch that he keeps going on and on about, he could improve our restriction by doing the wrap as a secondary procedure rather than a whole new resleeve. I hope I never need to do anything else. I'm almost one year out now, and still have excellent restriction.

Thats good to hear Ruthie! So SOMEONE in London must be doing the wrap! I wonder who??

 

[Tracey12]

I am having my wrap on Monday so I will post on how it goes. I chose the wrap as I didnt want to lose a healthy part of my stomach. I have a bit of a hang up about "what if I developed something" I can't wait now, excited and hoping everything is ok to proceed.

 

[Sharonimo]

Thats good to hear Ruthie! So SOMEONE in London must be doing the wrap! I wonder who??

Mr Sufi is (privately) offering both the wrap and POSE but not at the NHS hospital he works in where (obviously) the NHS has only approved band, sleeve and bypass.

Sufi works privately at Spire Bushey and CEBLS and The Obesity Clinic:
Mr Pratik Sufi General surgery & Weight loss surgery (Obesity) Consultant, Bushey, Watford, private hospital specialist.

In fact I can't see "wrap" mentioned on this link but I am pretty sure I saw it somewhere else on one of his links a while ago.

He does say on one of his blurbs that he offers the wrap and POSE as "experimental" procedures that are not as tested as the sleeve, band and bypass but for people with less weight to lose or who want a less invasive procedure, they have the option of choosing those procedures.

 

[wannabeminime]

Thanks Sharon. Have you seen it written anywhere about the wrap being suitable for those with less to lose? Meaning that, with a higher bmi, the wrap isn't suitable? X

 

[Gillykit]

I picked the sleeve because the results are longer term than the wrap

There is no evidence of this as the wrap (or plication as its referred to in the UK) is a newer procedure and as such there is less data - and I read everything I could find in the medical journals.
I was 'wrapped' in the UK in August and so far my weight loss results are similar to the sleeve according to my surgeon Prof Ammori. I chose this procedure as I don't have any co-morbidities, am otherwise healthy, didn't really snack but ate large portions and had a sedentary lifestyle. I didn't want to be re-plumbed or to suffer malabsorption, or lose part of an otherwise healthy organ. I don't feel hunger and have great restriction. Whilst my surgeon did say that with a BMI of 50 the plication has reported better results in lower BMI patients, there is also a whole body of medical data available showing the wrap has historically been used as the first stage in weight loss surgery for high BMI patients,but the majority didn't progress to the second stage as their successful weight loss did not require it. Whatever you choose it is personal to you and your needs and lifestyle, but is only a tool. Like any other tool you need to work with it and exercise alongside your healthy eating. 'Long term' weight regain is down to you and how you treat your new friend, not the type of surgery. I am very happy to be a 'wrapper' but it's down to personal and informed choice at the end of the day x

Sent from my iPhone using WLSurgery

 

[Gillykit]

He does say on one of his blurbs that he offers the wrap and POSE as "experimental" procedures that are not as tested as the sleeve, band and bypass but for people with less weight to lose or who want a less invasive procedure, they have the option of choosing those procedures.

Not sure what he means by 'less invasive' with the wrap I still have 5 battle scars and my stomach has been folded in on itself and stitched. Pretty sure my surgeon had to be fairly invasive to achieve that lol

Sent from my iPhone using WLSurgery

 

[emmten]

Don't know where I read it, but I have seen something saying wrap may not be best option for those with BMI over 45. Also, agree with Gillikat, surgery is hardly less invasive, just that nothing is taken away!

Don't know why POSE is often linked with wrap, they are completely different. POSE done via endoscope rather than surgical incisions and the results seem to be disappointing. I believe wrap results are generally comparable with sleeve. NICE are also due to report on the issue soon, will be interesting to see what they say.

 

[wannabeminime]

There is no evidence of this as the wrap (or plication as its referred to in the UK) is a newer procedure and as such there is less data - and I read everything I could find in the medical journals.
I was 'wrapped' in the UK in August and so far my weight loss results are similar to the sleeve according to my surgeon Prof Ammori. I chose this procedure as I don't have any co-morbidities, am otherwise healthy, didn't really snack but ate large portions and had a sedentary lifestyle. I didn't want to be re-plumbed or to suffer malabsorption, or lose part of an otherwise healthy organ. I don't feel hunger and have great restriction. Whilst my surgeon did say that with a BMI of 50 the plication has reported better results in lower BMI patients, there is also a whole body of medical data available showing the wrap has historically been used as the first stage in weight loss surgery for high BMI patients,but the majority didn't progress to the second stage as their successful weight loss did not require it. Whatever you choose it is personal to you and your needs and lifestyle, but is only a tool. Like any other tool you need to work with it and exercise alongside your healthy eating. 'Long term' weight regain is down to you and how you treat your new friend, not the type of surgery. I am very happy to be a 'wrapper' but it's down to personal and informed choice at the end of the day x

Sent from my iPhone using WLSurgery

I didnt mean that the sleeve will last longer, i meant that there are more long term results available. I didnt want such a new procedure.