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Understanding The Lap-Band And Laparoscopic Sleeve Gastrectomy

By Arthur Young


Sleeve Gastrectomy or gastric sleeve, is one of the most commonly performed bariatric surgical procedures today. In this weight loss surgery the stomach volume is reduced by surgically removing up to 85% of the stomach area, with the remaining part shaped like a tube or a sleeve, hence the name. The Lap-Band and Laparoscopic Sleeve Gastrectomy, the can be done as part one of gastric bypass procedure or as a definite procedure. It is a restrictive procedure which restricts the amount of food you can consume.

The procedure is gaining in popularity and acceptance among the morbidly obese and bariatric population over the past few years, thanks to the breakthrough of laparoscopic surgical techniques that have made this bariatric procedure simple, safe and quicker weight loss option.

Research has now found that obese patients that go through this procedure are able to keep the excess weight off for longer. The study found that patients lost 57.4% of excessive BMI (Body Mass Index) over a period of 5 years.

Most of those who have tried safer and less costly procedures which are typically non-surgical methods with no much success, and the weight loss surgery comes out as the only option. The gastric sleeve surgery is performed laparoscopically. This involves making small size incisions that cuts away part of the stomach. It is performed by a bariatric surgeon who is an expert in the field. He does this by inserting a small camera also known as the laparoscope through one of the small holes and several tiny instruments to cut away the part of the stomach. This telescope transmits a magnifying image of the patient's abdomen and surrounding areas onto a television monitor, helps surgeons see the whole operation on a screen.

The surgery helps you control hunger as most of hunger-stimulating hormones are removed from the digestive system. You lose 30 to 60% bulge of your pendulous tummy within the first 12 months of operation. No medical device is implanted inside of your abdomen. You can eat most of the food items, albeit in little quantity.

The main advantage associated with the procedure is the high success rate. In a short time of two years, most of patients lose up to 60-80% of excess body weight. Another advantage is that there is no permanently restrictive device or foreign objects like the band which have to be implanted in the body. The objects have been known to slip, erode and even cause an infection. Infections.

The biggest downside is that gastric sleeve is irreversible. Since the cut-away portion of the stomach is removed from the body, the stomach reduction is permanent. The leak may occur at the site of stapling. Stomach pouch may stretch out after a while, which can cause you to regain the lost weight. With the small stomach tube, you may feel uncomfortable and vomit in case you overeat or consume improperly chewed food.

Combined restrictive/malabsorptive procedures: In recent years, the use of procedures combining restrictive and malabsorptive approaches has increased. The procedures in this category work by restricting the stomach size and physically removing parts of your digestive tract, making it harder for your body to absorb calories. The procedure that combine both restrictive and malabsorptive techniques include Gastric bypass that is generally more malabsorption but also works through restriction, the Mini-gastric bypass that works through restriction and Duodenal switch that is mostly malabsorption.




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