Gastric Banding - Gastric Bypass
Looking for Laparoscopic Gastric Banding and Gastric Bypass Advice?
Severe Obesity is a condition that brings with it a great number of severe medical consequences many of them being life threatening or life shortening. The typical health problems are heart disease, diabetes, hypertension, arthritis, certain types of cancer and psychological problems. There are obviously numerous ways to deal with this and the non-surgical route is the preference and should be tried first. If the obesity is so severe and nothing is working to reduce it then surgery is a possibility. It needs to be considered carefully and the right medical expertise should be sought.
Where is Laparoscopic Gastric Banding an option?
Gastric Banding is carried out by keyhole surgery and is a far less invasive operation than a Gastric Bypass because neither the stomach nor intestine is operated on. This helps a patient whose medical problems may be too severe to risk the anaesthetic problems of a full gastric bypass. It can also help the severe obese patient rather than the morbidly obese patient where a gastric bypass may not be considered as a choice under nationally set guidelines.
Basically surgery is only considered when the person is either severely obese or morbidly obese and when dieting and exercise is not reducing the weight. The problem is that appetite regulation is a very complex issue and the standard messages created in the body and brain is not understood and it is impossible for some people to regulate their appetite in an acceptable way.
What does Laparoscopic Gastric Banding do?
There are several different types of Gastric Banding operation but basically a hollow silastic band is placed around the upper part of the stomach. This gives a small upper part and a larger lower part. The smaller up part limits the amount of food that a person can eat at one time and reduces the appetite. This is a restrictive process and is usually a good first stage. It does not reduce absorption as in a gastric bypass operation. The band can be adjusted by injecting saline into or removing saline from the band the reduce or increase the capacity of the upper part of the stomach.
What are the benefits?
1) The bulk of patients lose 50 to 60% of their excess weight
2) Diabetes II will most likely be cured.
3) The risk of heart problems is reduced
4) All other weight related problems are significantly improved
5) Psychological problems are greatly improved.
How long does it take and how long will I be in hospital?
The operation is usually about 1 hour in theatre and you should spend one night in hospital
What problems may occur during and after surgery?
There are the usual problems, which can occur with any operation and these should be discussed with the surgeon but the operation is minor compared to a gastric bypass.
The operation in itself is not a cure and it requires a discipline on diet and lifestyle, which will be given by the hospital team but requires practice by the patient
If the person is morbidly obese then Gastric Bypass Surgery may be a possibility and this could be examined at the same time but it is a far more difficult and demanding operation. See page on Gastric Bypass Surgery
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