Sunday, January 24, 2016

The Rise Of Popularity In Lap-Band And Laparoscopic Sleeve Gastrectomy

By Arthur Young


Sleeve Gastrectomy or gastric sleeve, is one of the most commonly performed bariatric surgical procedures today. In this weight loss surgery the stomach volume is reduced by surgically removing up to 85% of the stomach area, with the remaining part shaped like a tube or a sleeve, hence the name. The Lap-Band and Laparoscopic Sleeve Gastrectomy, the can be done as part one of gastric bypass procedure or as a definite procedure. It is a restrictive procedure which restricts the amount of food you can consume.

This procedure reduces the amount of food that the stomach can hold. It has also been found to reduce the amount of a specific hormone, ghrelin, which is produced in the stomach. This hormone is what triggers hunger and with smaller amounts being produced the individual has a reduced appetite. The final result of this procedure allows food to pass through smoothly even with a smaller stomach.

Research has now found that obese patients that go through this procedure are able to keep the excess weight off for longer. The study found that patients lost 57.4% of excessive BMI (Body Mass Index) over a period of 5 years.

The procedure is considered minimally invasive, usually resulting in smaller scars, lesser pain, a shorter hospital stay and quicker recovery. In the surgery, a bariatric expert will remove approximately 85% of the stomach, along with most of hunger-stimulating hormones, Ghrelin. Using a stapling device, a thin vertical sleeve of stomach is created and the remaining large portion of the stomach is removed.

The surgery helps you control hunger as most of hunger-stimulating hormones are removed from the digestive system. You lose 30 to 60% bulge of your pendulous tummy within the first 12 months of operation. No medical device is implanted inside of your abdomen. You can eat most of the food items, albeit in little quantity.

The main advantage associated with the procedure is the high success rate. In a short time of two years, most of patients lose up to 60-80% of excess body weight. Another advantage is that there is no permanently restrictive device or foreign objects like the band which have to be implanted in the body. The objects have been known to slip, erode and even cause an infection. Infections.

This procedure doesn't require regular check-ups and adjustments like the gastric band. With gastric sleeve, there is no malabsorption of nutrients therefore you are not required to take minimal vitamin and mineral supplementation after the surgery. This make it less costly and more effective, partly contributing to its popularity. It does not require extreme adjustment to the lifestyle, and is therefore an easy and more successful procedure.

Combined restrictive/malabsorptive procedures: In recent years, the use of procedures combining restrictive and malabsorptive approaches has increased. The procedures in this category work by restricting the stomach size and physically removing parts of your digestive tract, making it harder for your body to absorb calories. The procedure that combine both restrictive and malabsorptive techniques include Gastric bypass that is generally more malabsorption but also works through restriction, the Mini-gastric bypass that works through restriction and Duodenal switch that is mostly malabsorption.




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