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Friday, September 2, 2016

Basics Concerning Gastric Banding And Sleeve Gastrectomy

By Ryan Meyer


Bariatric surgeries are increasingly becoming an acceptable method of weight control in New York. In general these methods achieve their effect by reducing the stomach capacity which in turn reduces the amount of food that an individual can eat at a given time. Related to the same is early satiety and reduced absorption of nutrients. There are three main types of bariatric operations that are performed. These include gastric bypass, gastric banding and sleeve gastrectomy.

Banding and gastrectomy are more similar than they are different. Banding is performed by placing a silicone band on a part of the stomach (usually the upper portion) so that a compression effect reduces the size of the organ. The individual can consume about one ounce of food most of which goes to the provision of energy with very little being stored. Faster filling results in early satiety which further reduces the amount of food eaten.

Gastric banding is the simpler of the two procedures. It involves the fixation of a special band (made of silicone) onto the external surface of the stomach resulting in compression. The external force reduces the size of the stomach and by extension, the food that one can eat at a given point in time. The reduced size of stomach also causes early satiety which reduces food intake even further.

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.

When the stomach is converted into the tubular structure, the period of time that food takes in the organ is considerably reduced. This is a desired effect of the operation. Side effects that arise from the performance of sleeve gastrectomy are almost the same as those that are realized with the banding technique. Those that may be specific to gastrectomy include leakage of food through incisions on the stomach and displacement of staples or stitches.

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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