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Laparoscopic Adjustable Gastric Band, Stomach, Gastrointestinal Surgery

Adjustable Gastric Banding

Restrictive gastric operations, such as an adjustable gastric banding procedure, serve only to restrict and decrease food intake and do not interfere with the normal digestive process.

You may be eligible for the lap band system surgery if : -

  1. Your BMI is = 40, or you weigh twice your ideal weight or are at least 100 pounds (45Kgs.) more than your ideal weight.
  2. You have been overweight for more than 5 years
  3. Your serious weight loss attempts have had only short-term success.
  4. You are not suffering from any other diseases that may have caused your obesity.
  5. You are prepared to make substantial changes in your eating habits and lifestyle.
  6. You do not drink alcohol in excess.
  7. You are willing to continue being monitored by the specialist treating you

The Procedure

In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating the small pouch and a narrow passage into the larger remaining portion of the stomach. This small passage delays the emptying of food from the pouch and causes a feeling of fullness.

The band can be tightened or loosened over time to change the size of the passage. Initially, the pouch holds about 1 ounce of food and later expands to 2-3 ounces.

In this procedure, commonly known as the LapBand®, a silicone elastomer band is placed around the upper part of the stomach to create a small stomach pouch which can hold only a small amount of food. The lower, larger part of the stomach is below the band. These two parts are connected by a small outlet created by the band. Food will pass through the outlet ("stoma" in medical terms) from the upper stomach pouch to the lower part more slowly, and one will feel full longer. The diameter of the band outlet is adjustable to meet individual needs, which can change as one loses weight.

Advantages :-

There are several weight loss surgeries available today but adjustable Gastric Band is superior to many of them. It has several features that make it the safest method of weight control.

Simplicity : - The procedure is simple to perform with a short operating time.
  • It can be placed laparoscopically without a large incision.
  • It does not require any opening in the gastrointestinal tract that reduces the risk of infection.

The Side Effects

It is important to note that the Adjustable Gastric Banding Surgery is risk-prone, since on every 100 surgeries, 15 of them prove to be a failure. Like most other medical treatments,

The Adjustable Gastric Banding surgery does have some side effects that include :-

  1. Gastric perforation : - Though this side effect has remote chances of occurrence, this can prove to be fatal for an infant during the first month after birth if the mother acquires this side effect after surgery.
  2. Intra-gastric migration : - Intra-gastric migration is a possible ramification of Adjustable Gastric Banding. This results in localized collection of pus surrounded by inflamed tissue in the anterior walls of the abdomen.
  3. Implant infection : - This is comparatively a common side effect as compared to gastric perforation and intra-gastric migration. There are chances that the abdominal wall might get infected while the small box is implanted on it. However, there are effective steps taken now to make sure that the abdominal wall is less prone to such infection.

Complications : -

Intra-operative Complications: Includes Bleeding Gastric Perforation. Early Post-operative: This includes wound infections(1-3%), pulmonary embolism(1%), rarely bleeding & cardio-pulmonary complications etc.
Late Post-operative: This includes band slippage, band erosion, oesophageal dilatation.

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