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Laparoscopic Gastric Banding
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What is a Laparoscopic
Gastric Banding?
It is a procedure using a
belt-like silicone device to wrap around the proximal part of the stomach in order
to restrict the food intake. It creates a very small gastric reservoir for
food and thus makes the patient early satisfy (easy to get full). It contains
a balloon that can be inflated to tighten the wrap, thus this is an adjustable system.
How is it done?
It is done by using a laparoscopic
technique. There will be 5 to 7 small incisions. The sizes of the incisions
were between 0.5 to 3 cm. The longest incision is for the site of a metal
part that will be buried in the subcutaneous plane under the skin. This part is
used to fill (or inflate) the balloon.
Why is it done?
It is aimed to restrict the
food intake and thus results in significant weight loss. Persons whose body
mass index are above 35 kg/sq.m with comorbid conditions are indicated for this
procedure.
Risks & complications
Before surgery, the patient
needs to be assessed for his or her surgical risk. The operation
is done under general anesthesia. Therefore, it harbors same risks as other
surgeries.
Long-term complications are usually related to the band itself. Slippage of
the band, prolapsed of the stomach into the band and erosion of the band into the
stomach walls are those known complications. Complication occurs in about
10% according to the literature.
Alternatives
Laparoscopic gastric bypass
is a good alternative. We also offer this procedure to morbidly obese patients.
Candidate eligibility
The best candidates for Laparoscopic
Gastric Banding are people whose Body Mass Index (BMI) is over 35 kg/sq.m. with
comorbid diseases (e.g., diabetes, hypertension, sleep apnea, etc) and those who
are over 40 kg/sq.m. with or without comorbid are eligible to this procedure.
BMI = body
weight in kg / (height in meters)2
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