Laproscopic Gastric Banding
This procedure involves placing an inflatable silicon band into the patient's stomach. The band is fastened around the upper stomach to create a new, tiny stomach pouch that limits and controls the amount of food eaten. It also creates a small outlet that slows the emptying process into the stomach and the intestines. As a result, patients experience an earlier sensation of fullness and are satisfied with smaller amounts of food. In turn, this results in weight loss.
Since there is no cutting, stapling or stomach re-routing involved in the adjustable band procedure, it is considered the safest and least traumatic compared to other weight-loss surgeries.
Band Adjustment Procedure
The band is connected by tubing to an access port, which is placed in the abdomen below the skin during surgery. After the operation, the surgeon can control the amount of saline in the band by entering the port with a fine needle through the skin. To modify the size of the band, its inner surface can be inflated or deflated with a saline solution. Pregnant women can expand their band to accommodate a growing fetus, while patients who aren't experiencing significant weight loss can have their bands tightened.
Advantages of adjustable gastric band surgery:
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No stapling, cutting, or intestinal re-routing
- Reversible
- Adjustable
- Lowest mortality and complication rate
Disadvantages of adjustable gastric band surgery (see also Risks and Complications):
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Weight loss is slower compared to the sleeve gastrectomy and gastric bypass procedure.
- Regular follow-up is required
- Multiple band adjustments
- Implanting a foreign body
- It is not an effective treatment for sweet-eaters.
Risks/Complications
- Erosion of the band into the stomach
- Slippage and esophageal dilation
Recovery Period
- Hospital stay averages 24 hours
- Return to normal activity in 3-4 days
- Complete surgical recovery usually occurs in 5 day.
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