Wednesday, August 31, 2016

Information On Lap-band And Laparoscopic Sleeve Gastrectomy

By Timothy Brown


Bariatric weight loss surgery is a procedure that has continue to grow steadily in recent times in New York. There are three main types of bariatric surgeries that are performed. These include gastric banding, sleeve gastrectomy and gastric bypass surgery. While some differences exist among these procedures, the manner in which they work is similar. Lap-band and laparoscopic sleeve gastrectomy have the best outcomes hence are the most commonly performed.

Weight loss surgical options are usually considered as a last resort. There is a need to try out the non-invasive methods first for a period of not less than 6 months. Cut down on your consumption of highly refined carbohydrates and fats as much as possible. These two food groups contribute to the greatest proportion of weight gain. Regular physical activity helps burn excess calories and prevent unwanted storage in adipose tissues.

The decision to undergo either lap band surgery or sleeve gastrectomy is made by the doctor in consultation with the patient. The choice is made after carefully considering the benefits of each of them. Both can be performed through the open technique or through laparoscopy. One of the major differences between the two is the fact that banding is reversible while gastrectomy is a permanent procedure.

To perform the banding procedure, the abdominal cavity is first opened either through a large incision or by making smaller incisions to be used for the placement of the laparoscope. The next step is to place a silicone band around the upper part of the stomach. This band has a compression effect that squeezes the stomach and reduces its size considerably. The force of compression can be increased or reduced as needed.

Gastrectomy is the removal of part of the stomach. Up to 80% can be removed in a single operation reducing the organ to just a small pouch. The new shape is similar to a sleeve (hence the name). Most surgeons prefer the laparoscopic technique over the open method due to the lower risk of complications associated with the former technique. The remaining part is usually stitched using surgical sutures or staples.

A number of complications may occur following these operations. Excessive bleeding, injury to internal organs and post-operative infections are among the most commonly encountered. In rare circumstances, the staples or stitches used during the operation may come off. Leakage of foods and acids may then ensue and cause chemical injury to other organs. Nausea and vomiting will be experienced if the squeeze of the band is too much.

A reduction in the stomach capacity results in a reduction in the amount of food intake. Related to this is the fact that there is early satiety and suppression of appetite. Removing part of the stomach significantly reduces the surface area that is available for absorption of nutrients. All these changes cause weight loss that begins to be seen within weeks or months.

Although the surgery can be performed in any patient, there are a number of situations in which risks outweigh the benefits. For instance, if the patient has hormonal imbalance involving metabolic hormones they are likely to have poor outcomes. Examples include uncontrolled diabetes and hyperthyroidism. These conditions have to be managed first before the operation is carried out. Gastrointestinal diseases such as peptic ulcers and inflammatory bowel disease may also affect the results.




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