Type of Surgery
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Last updated: 11/24/2009
The primary alternative to any weight loss surgery is weight control through proper diet, a safe and reasonable exercise program and possibly psychological/psychiatric interventions. Unfortunately, many people fail to benefit from non-surgical...
weight loss strategies and weight loss surgery becomes a reasonable and beneficial choice.
weight loss strategies and weight loss surgery becomes a reasonable and beneficial choice.
The surgical alternatives to adjustable gastric banding are other restrictive surgeries, malabsorption surgeries and mixed bariatric surgeries. Other restrictive procedures involve physically restricting the dimensions of the stomach so that a sense of fullness occurs with less food. This primary restrictive surgical alternative to adjustable gastric banding is vertical banded gastroplasty or stomach stapling. A newer technique that appears to be quite effective is vertical sleeve gastrectomy. In this procedure most of the stomach is removed leaving a small tubular stomach where the larger stomach once was.
The major malabsorption or mixed approaches include gastric bypass, duodenal switch procedures, or a combination approach involving vertical sleeve gastrectomy with duodenal switch. The malabsorption approaches are usually associated with higher complication rates and can cause unique side effects including dumping syndrome and certain vitamin deficiencies. While the weight loss achieved with these malabsorption surgeries can be profound, they require a detailed knowledge of complications up front so that an informed decision can be made. Of note, in the very severely obese patient, malabsorption surgeries may not be an option due to the unfavorable/unacceptable complication rate.
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The video shows a three dimensional animation of how the Realize Gastric Band is inserted and adjusted. There is also an explanation of how the gastric banding results in weight loss for the patient.
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Adjustable gastric banding is a surgical operation intended for weight loss in obese people with a body mass index of at least 35 (obesity starts at BMI 30).
It is best done laparoscopically under general anesthesia. Usually, it takes about one hour. It consists in inserting a hollow plastic band around the stomach. This band is connected by a tubulure to a small box implanted in the abdominal wall. You can constrict the band by filling the box with physiologic serum. Band constriction has a restrictive effect on gastric filling capacity and forces the patient to lower his food intake and it can be modulated by emptying or filling the box with a percutaneous needle. This operation is practised only if the patient is highly motivated for changing his/her eating habits and after a psychiatric assessment.
From http://en.wikipedia.org/wiki/Adjustable_gastric_banding_surgery
Other Information
Average excess weight loss at five years is 48-74 percent after gastric bypass and 50-60 percent after vertical banded gastroplasty -2004
From: Bariatric-Surgery.info
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