Important Facts On Lap-band And Laparoscopic Sleeve Gastrectomy

By Joseph Foster


Surgery is increasingly being accepted as an option of weight loss. The surgeries that are found in this category are known as bariatric operations. The advances that have been made in surgical practice in recent times such as the adoption of laparoscopic techniques have made the operations more effective and safer. Lap-band and laparoscopic sleeve gastrectomy are among the most commonly performed types of bariatric surgeries.

It is important to stress that weight loss surgery is a last resort option. One needs to try out other modalities of weight loss. Lifestyle changes are not only easy to implement but also result in very few complications if any. Ensure that you modify your diet so that it contains less calories and has more protein, vegetables of fruits. Reduce stress, get enough sleep and exercise regularly.

The alternative name for lap band surgery is gastric banding. This term has been adopted because of the use of a silicon band in the procedure. When this band is fitted to the upper section of the stomach, the capacity of this organ is significantly reduced. This operation is usually done laparoscopically. This means that only small incisions are required to gain entry into the abdominal cavity.

With a reduced stomach volume, one tends to fill up rather fast. With filling, comes satiety meaning the overall effect will be a reduction in food intake. Most of the food that is eaten is channeled towards food production and very little is left for storage in tissues. Weight gain is therefore controlled and in a matter of weeks or months, there is net weight loss.

The silicon strip is connected to a long tube that is accessible from under the skin. This tube gives the surgeon and the patient control over the silicon band. One can increase or reduce the pressure exerted by the band by filling the plastic tubing with water or emptying it. Increased pressure may be needed if the pouch is too big and a reduction may be required if it is too small.

There are several complications that may be encountered in the course of these complications. They include minor bleeding, vomiting, esophageal spasms, infections and leakage of food. Many of these complications can be managed easily. You will be well advised to have a discussion with your surgeon regarding these complications and to assess what your level of risk is.

Sleeve gastrectomy, unlike the band procedure, is irreversible. However, both are restrictive surgeries. This means that they are aimed at reducing the holding capacity of your stomach. In the sleeve surgery, a large section of the stomach (75 to 80%) is removed to leave a tubular pouch that looks like a sleeve. The reduced capacity and the increased emptying time are the main causes of weight loss in this case.

Note that the results are not the same even when performed at the same center. The differences are due to patient as well as doctor factors. The most important patient factors include severity of condition, the type of lifestyle after the procedure and genetic factors. Doctor factors may include techniques used and skill level.




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