Basics Relating To Lap-band And Laparoscopic Sleeve Gastrectomy

By Joseph Foster


The use of surgery in weight loss is a practice that has continued to attract a lot of interest all over the world. The main reason is that surgical techniques have been refined over time and are associated with very few complications and failure rates. These procedures are broadly known as bariatric surgeries. Examples include lap-band and laparoscopic sleeve gastrectomy. There are a number of things that you should know if you consider having any of these operations.

Surgical weight loss options should only be considered if lifestyle changes have been tried with no success for a considerable period of time. Although the lifestyle modifications tend to take a bit long before results can be appreciated, they do not have any serious side effects. The two main areas where changes can be made are the diet and level of physical activity. Strive to have a healthier diet and to engage in regular physical exercise.

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.

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.

One of the major advantages of this operation over any other of its type is the fact that it is easy to exert control over. This is enabled by a plastic tubing that runs from the silicon tube to an accessible area under the skin. By filling or emptying this tube with a liquid such as saline or sterile water the effective pressure of the ring can be controlled; filling the tube increases the pressure and emptying it reduces it.

Sleeve gastrectomy works the same way as the band procedure. In this type of surgery, a large section of the stomach is removed leaving between 20 and 25%. The result is a long tubular pouch which fills at a faster rate than the original organ. The pouch also empties at a faster rate meaning that there is less time for nutrients to be absorbed.

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.

You should appreciate the fact that the results of the operation are bound to vary among patients. These differences exist because of patient and doctor factors. Patient factors may include the severity of the problem, genetic factors or the lifestyle after the operation. The doctor factors may include skill and type of technique used.




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