Gastric Banding (Lap Band Surgery)
Gastric Banding (Lap Band Surgery)
Restrictive surgeries -- like gastric banding -- are operations used to produce weight loss.In a restrictive surgery a surgeon uses one of a variety of techniques to reduce the size of the stomach. After restrictive surgery, a person feels full faster, eats less, and loses weight.
The full names for the two types of restrictive surgery for weight loss are:
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Laparoscopic Adjustable Gastric Banding Surgery
LAGB (Laparoscopic adjustable gastric banding) is the minimally invasive procedure for obesity. The procedure is also commonly known as ‘Lap Band’. No large cut is made in this procedure. A laparoscope is placed through these cuts. The band is then placed around the top portion of the stomach leaving a small pouch for food. The purpose of creating a small pouch of food is that the patient will feel full after eating only small amounts of food. This procedure will help the patient to lose weight.
Laparoscopic gastric banding is the second most common weight loss surgery, after gastric bypass.
Gastric banding surgery involves the following:
Laparoscopic adjustable gastric banding leads to loss of about 40% of excess weight, on average. For example, someone who is 200 pounds overweight could expect to lose an average of 80 pounds after gastric banding. However, these results vary widely.
Gastric banding is considered the least invasive weight loss surgery. It is also the safest. The procedure can be reversed if necessary, and in time, the stomach generally returns to its normal size.
Gastric banding surgery has a low complication rate. The most common problems after gastric banding surgery include:
Unlike gastric bypass surgery, gastric banding does not interfere with food absorption. For this reason, vitamin deficiencies are rare after gastric banding.
Vertical Banded Gastroplasty (VBG)
Vertical banded gastroplasty also involves a plastic band placed around the stomach. In addition, the surgeon staples the stomach above the band into a small pouch.
Vertical banded gastroplasty results in less weight loss, compared with other surgeries. It also has a higher complication rate. For these reasons, vertical banded gastroplasty is less common today. Only 5% of bariatric surgeons still perform this surgery.
Mixed Surgeries (Restrictive and Malabsorptive)
Restrictive surgery is an important part of nearly all weight loss surgeries. In the most common weight loss surgery, gastric bypass surgery, restrictive surgery is first done on the stomach. This "stomach stapling" creates a small stomach pouch.
The new stomach pouch is reconnected to a part of the small intestine further down. This leads to less food eaten (restrictive) and less food absorbed (malabsorptive).
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