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Laparoscopic adjustable gastric banding

Laparoscopic adjustable gastric bandingIn the course of  a gastric band surgery, a silicone band is placed around the upper part of the stomach, constricting it and forming the stomach into an hour-glass shape which restricts the fast flow of food . The diameter of the band can be adjusted by injecting fluid into it through a port placed under the skin.  The placement of the band reduces the size of the stomach  and the amount of food  that can be eaten. The post-surgery weight loss is  less compared to sleeve or bypass surgeries: 40-50% of excessweight.

Gastric band surgery is fully reversible, the band can be removed and the original anatomy restored.

Compared to gastric bypass surgery, gastric band surgery does not reduce absorption of nutrients and therefore subsequent vitamin deficiency  is unlikely. The main post-surgery problems  are difficulty  in swallowing, nausea, inadequate weight loss and the need for frequent band adjustments. The gastric band is a foreign body, which will need to be removed or replaced  at some point.

Important! The number of gastric band surgeries has dropped recently  worldwide. The main reason for this is inadequate weight loss with subsequent weight gain and frequent need for reoperation.

Pros

  • Excess body weight loss of 40-50%;
  • Remission of type 2 diabetes: 40-60%;
  • Mortality rate of the surgery is low: less than 0.1%;
  • Reversal of the procedure and restoration of the original anatomy is possible; ?
  • Post-surgery use of food supplements and vitamins is required during the first year, after that it is recommended.

Cons

  • Possibility of foreign body complications ;
  • Frequent need for reoperation;
  • Frequently inadequate weight loss and subsequent weight gain.