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Procedures Involved In Lap-band And Laparoscopic Sleeve Gastrectomy

By Joseph Foster


The use of surgery to facilitate weight loss is a practice that has continued to increase in popularity by the day. One of the reasons as to why this is the case is because great advances have been made in the surgical field resulting in operations can be performed through minimal access with very few complications. Lap-band and laparoscopic sleeve gastrectomy are examples of procedures that have helped many people lose unwanted weight.


Using surgery as an option for weight loss should come at the rear end after everything else has been attempted. Lifestyle options are the most ideal way of shedding off extra weight even though their effect takes fair long to be appreciated. The two main areas where lifestyle changes can be adopted is in the level of physical activity and the diet. Ensure that you take part in intensive physical activities regularly and cut down on high calorie foods in the diet.

The alternative name for lap band surgery is gastric banding. This term has been adopted because of the use of a silicon band in the procedure. When this band is fitted to the upper section of the stomach, the capacity of this organ is significantly reduced. This operation is usually done laparoscopically. This means that only small incisions are required to gain entry into the abdominal cavity.

With a reduced stomach volume, one tends to fill up rather fast. With filling, comes satiety meaning the overall effect will be a reduction in food intake. Most of the food that is eaten is channeled towards food production and very little is left for storage in tissues. Weight gain is therefore controlled and in a matter of weeks or months, there is net weight loss.

The silicon strip is connected to a long tube that is accessible from under the skin. This tube gives the surgeon and the patient control over the silicon band. One can increase or reduce the pressure exerted by the band by filling the plastic tubing with water or emptying it. Increased pressure may be needed if the pouch is too big and a reduction may be required if it is too small.

Just like the lap band operation, gastric sleeve gastrectomy is a restrictive operation. This means it limits the amount of food that one can eat in one sitting. The stomach is cut along its length to leave just a small portion of the original. Generally, between 75 and 80% of the organ is removed. What is left is a tubular structure that can only hold a fraction of the food held previously. Weight loss is through reduced food consumption and reduced absorption of nutrients.

Sleeve gastrectomy, unlike the band procedure, is irreversible. However, both are restrictive surgeries. This means that they are aimed at reducing the holding capacity of your stomach. In the sleeve surgery, a large section of the stomach (75 to 80%) is removed to leave a tubular pouch that looks like a sleeve. The reduced capacity and the increased emptying time are the main causes of weight loss in this case.

Appreciate that results will vary from one person to another. This differences are affected by both patient and doctor factors. Patient factors may include the magnitude of the initial problem, lifestyle after the procedure and genetic factors. Doctor factors include type of technique used and level of skill of the surgeon.

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