Obesity Surgery
:: Laparoscopic Adjustable Gastric Banding :: Tube Gastrectomy
:: Gastric Bypass
Lap. Gastric Banding
Laparoscopic Adjustable Gastric Banding
Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.
Advantages:
- Keyhole approach .. Less scarring or wound problems Earlier return to work (1-2 weeks)
- Adjustable : by filling port the outlet size can be reduced
- Reversible: By removing fluid or the band.
- No malabsorbtion
- Lower risk
Disadvantages
- Easy to cheat .. if chocolates or sweets taken.
- Mechanical problems:
- prolapse
- pouch dilatation
- food bolus obstruction
- slippage of the stomach through the band erosion
- infection of the band or port leak
- Revision rate ? 5 -10%
- An entree portion forever.
Optimal pouch capacity 30 mls
Usual weight loss With Lap Band 50-60% of excess weight lost in 2 yrs
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