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.

Banding and gastrectomy are distinct options but the principles are the same. As the name suggests, banding involves the use of an artificial band made from silicone. This band is usually fixed to a portion of the stomach resulting in compression. The compression causes a reduction in the volume of the stomach which means that less food will be held from the time of the duration onward.

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 used varies from patient to patient and is mainly determined by the condition of the patient. Excessive weight tends to require a higher degree of compression depending to weight that is just slightly more than average. A plastic tube continuous with the band has one of its ends placed just below the skin in an accessible area. The force of compression can be adjusted by filling the tube with saline or withdrawing it.

You should anticipate a number of complications when you undergo this procedure. Those that are seen commonly include excessive blood loss, injury to internal structures, nausea and vomiting among others. Vomiting and nausea are likely to ensue if the degree of compression is too much. Reducing the compression resolves these symptoms in most cases. The risk of infections is reduced through the administration of antibiotics.

Gastrectomy can also be performed through an open and laparoscopic techniques. The laparoscopic option is the more preferred option due to the lower rate of complications. During gastrectomy, the stomach is cut along its length and a large portion of it (between 75% and 80%). The remnant is a small tubular structure that also resembles a sleeve and 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.

Ideal candidates to undergo bariatric surgeries are persons that have tried losing weight through lifestyle modification and have been unsuccessful. Regular exercise and proper diet are among the most effective modalities of weight loss and their benefits must be optimized first before other solutions are considered. A patient with a very high body mass index stands to benefit more than one with a lower value.




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