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Facts On Lap-band And Laparoscopic Sleeve Gastrectomy

By Catherine Howard


The number of weight loss surgical procedures being done in New York has continued to increase tremendously. Part of the reason for this is the fact that the techniques that are employed have been greatly improved and the procedure is now not only safe but also very effective. Lap-band and laparoscopic sleeve gastrectomy are two of the most commonly performed bariatric operations. It is important that one first tries out lifestyle changes before turning to surgery for weight loss.

The two types of surgeries achieve their effect by reducing the size of the stomach. As a result, one is likely to experience early satiety and their food consumption is going to reduce. Most of what is eaten goes to energy provision with very little being stored in adipose tissues as fat. The net effect within subsequent weeks and months is weight loss. The main difference between sleeve gastrectomy and lap band surgery is that lap band surgery is reversible while gastrectomy is not.

Lap band surgery is usually conducted using a laparoscope. This is an instrument that makes it possible to enter the abdomen through minimal access. A silicon based band is placed on the upper section of the stomach such that it compresses the area and reduces the organ to a small pouch. Approximately one ounce of food can be held by the pouch after a single meal.

The surgery is generally safe but one needs to be aware of the potential complications. Nausea, vomiting, bleeding and aversion to food are among those that are most likely to be seen. To reduce nausea and vomiting, the compression by the band is reduced so that the stomach size increases slightly. This is done by drawing saline from a plastic tube joined to the band.

Sleeve gastrectomy is a surgical operation that involves the reduction of the stomach size by as much as 80%. The resultant tubular structure resembles a sleeve (hence the name). Apart from faster filling, the stomach also causes faster movement of food which effectively reduces the amount of nutrients absorbed. Side effects include leakage of food into the abdominal cavity, bleeding and infections.

The ideal body mass index, BMI, of a potential candidate should be more than 40. For persons that are already suffering from conditions believed to be caused or aggravated by excessive weight, a lower BMI is usually considered. Examples of these conditions include sleep apnea, esophageal reflux disease, hypertension and diabetes among others. Research has shown that surgery helps reduce the severity of these conditions.

There are a number of situations in which bariatric surgery is deemed inappropriate. One such situation is when there is a high risk of complications. Underlying hormonal problems such as hypothyroidism are among the reasons why the procedure may be cancelled or postponed until the problem has been managed. Other examples include gastrointestinal tract diseases such as inflammatory bowel disease, peptic ulcers and esophagitis.

This surgeries are usually done as day cases hence once can be discharged from hospital on the day that they are operated. In a few cases, there may be a need for one to be retained for 24 to 48 hours for observation. You will be instructed to take a liquid diet for about two weeks as the wounds heal. This is especially important in the case of gastrectomy.




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