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Facts Related To Gastric Banding And Sleeve Gastrectomy

By Ryan Meyer


Recent years have seen an exponential rise in the use of bariatric surgeries to achieve weight loss in New York. There are many types of bariatric surgeries that can be performed but all of them achieve the desired effects in a similar way. The objective of having such operations is to reduce the size of the stomach which in turn minimizes the quantity of food an individual can consume during a single meal. Gastric banding and sleeve gastrectomy are among the commonly performed bariatric operations.

There are two main types of surgeries that can be used when fixing the silicone band. One of them, the open technique, involves making a surgical incision that runs the entire length of the abdomen. Through this incision, the surgeon can place the band directly before closing the incision using surgical sutures. This method is, however, being dropped in favor of the less invasive laparoscopic technique.

There are two main forms of surgical approaches that can be used in the placement of silicone bands. The first, the open technique, is performed through a large incision in the anterior abdominal wall. Under direct visualization, the surgeon locates the stomach and places the band in the desired region manually. The second method which is the commoner and more preferred of the two is the laparoscopic approach. Here access to the abdominal cavity is through very small incisions.

The compression force that is used will vary from one individual to another. The most important determinant is the weight of the individual. Obese individuals will get a higher compression force than those that are classified as overweight. A tube connected to the silicone band can be accessed from an area under the skin. Fluid can be injected or withdrawn from this tubing so as to either increase or reduce the magnitude of compression.

There are several complications that may occur when one undergoes this kind of operation. They include, among others, excessive loss of blood, infections, vomiting and nausea. Excessive compression is thought to be the main contributing factor for nausea and vomiting. Reducing the compression force reduces the severity of these two. To reduce the risk of infections, prophylactic antibiotics have to be administered.

Just like banding, gastrectomy can be performed either through the open technique or laparoscopically. The procedure itself involves the reduction of stomach volume by surgically removing a portion of it. An incision is made along the greater length of the stomach and as much as 80% is removed leaving behind a very small part that can hold just an ounce of food. The resultant shape looks like a sleeve hence the name.

The conversion of the stomach into a tubular structure results in less time for absorption which is a desired effect of all bariatric surgeries. The side effects associated with the sleeve procedure are similar to those that are result from banding. Additional side effects include leakages of food through the incision site and the loss of staples or stitches used to repair the stomach.

The ideal candidate of bariatric surgery is an individual who has tried out other methods of weight loss but has been unsuccessful. Such include regular exercise and eating a diet that has less carbohydrates and fat. The body mass index should ideally be more than 40. Persons with weight-related complications may have the surgery regardless of their body mass index.




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