Lap-Band and Laparoscopic Sleeve Gastrectomy

Procedures Involved In 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.

Using surgery as an option for weight loss should come at the rear end after everything else has been attempted. Lifestyle options are the most ideal way of shedding off extra weight even though their effect takes fair long to be appreciated. The two main areas where lifestyle changes can be adopted is in the level of physical activity and the diet. Ensure that you take part in intensive physical activities regularly and cut down on high calorie foods in the diet.

This surgery is also known as gastric banding. As suggested by the name, a silicon band is used. Fitting this band on the upper portion of the stomach significantly reduces the size of your stomach. As a matter of fact the remainder is just a small pouch whose capacity is about an ounce of food. This operation is done laparoscopically meaning that very small incisions (surgical cuts) are required to see it through.

When the stomach size is reduced, you will eat less than before as only a small amount of food can be held at a given point in time. Your appetite will also be affected as you will be having early satiety during mealtimes. Over time, you will start losing weight since very little of consumed food ends up in tissues as storage.

A plastic tubing is usually connected to the silicon tube on the stomach to help make adjustments when need be. This is made possible by filling this tube with saline or withdrawing the same. When the tubing is filled with saline, the degree of the squeeze is increased and the size is reduced further. The reverse happens when the saline is drawn from the tube.

Just like the lap band operation, gastric sleeve gastrectomy is a restrictive operation. This means it limits the amount of food that one can eat in one sitting. The stomach is cut along its length to leave just a small portion of the original. Generally, between 75 and 80% of the organ is removed. What is left is a tubular structure that can only hold a fraction of the food held previously. Weight loss is through reduced food consumption and reduced absorption of nutrients.

Complications are few and rare with these operations. Those that are likely to be encountered include nausea, vomiting, minor bleeds, food leakage, esophageal spasms and infections among others. Many of them are fairly easy to manage and resolve within a few days or weeks. Potential candidates need to discuss the possibility of these complications with their surgeons beforehand.

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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