Laparoscopic Adjustable Gastric Band
Laparoscopic Adjustable Gastric Band is a restrictive surgical procedure; it works by limiting the amount of food that can be eaten at one time. During this procedure, two medical devices are implanted in the patient: a silicone band and an injection port. The silicone band is placed around the upper part of the stomach and molds the stomach into two connected chambers. The injection port is attached to the abdominal wall, underneath the skin. The port is connected to the band with soft, thin tubing.
The band is adjustable. Adjustments are made by your healthcare professional using a needle to inject saline solution into your band through the port. Adding saline increases the amount of restriction provided by the band, helping patients feel fuller sooner and with less food.
Laparoscopic Roux-en-Y Gastric Bypass surgery
Laparoscopic Roux-en-Y Gastric Bypass surgery uses a combination of restriction (limiting the amount of food that can be eaten at one time) and malabsorption (bypassing a portion of the small intestine means the patient's body absorbs fewer calories). During the procedure, the surgeon creates a smaller stomach pouch. The surgeon then attaches a Y-shaped section of the small intestine directly to the pouch. This allows food to bypass a large portion of the small intestine, which absorbs calories and nutrients. Having the smaller stomach pouch causes patients to feel fuller sooner and eat less food.
Laparoscopic Sleeve Gastrectomy
The Sleeve Gastrectomy is a restrictive procedure. It works by limiting the amount of food that can be eaten at one time. During this procedure, the surgeon creates a small, sleeve-shaped stomach. It is larger than the stomach pouch created during Roux-en-Y bypass—and is about the size of a banana.
Sleeve gastrectomy patients experienced resolution rates for type 2 diabetes, high blood pressure, high cholesterol, and obstructive sleep apnea that are similar to resolution rates for other restrictive procedures such as gastric banding.
To learn more about sleeve gastrectomy, visit the website of the American Society for Metabolic and Bariatric Surgery (ASMBS) and review the ASMBS Position Statement on Sleeve Gastrectomy as a Bariatric Procedure. http://asmbs.org/2011/12/sleeve-gastrectomy-as-a-bariatric-procedur/
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