Type of Surgery
Information

Last updated: 11/24/2009
Overweight and obesity are at epidemic proportions in the United States, affecting nearly 130 million adults. Someone is deemed obese, medically speaking, if their body mass index is above 30 kg/m2. While this is definition...
is far from perfect (extremely muscular professional football players often fit the definition of obesity) in general it is a useful tool to define normal body weights and correlate with obesity-related illnesses. Being overweight and obese dramatically increases the risk of developing a number of diseases such as cardiovascular disease, obstructive sleep apnea and diabetes. Death by cardiovascular disease is 50% greater in obese people and 90% greater in severely obese persons as it is for people of average weight. Life expectancy can be expected to drop by eight to 13 years on average for those who have a BMI above 45.
is far from perfect (extremely muscular professional football players often fit the definition of obesity) in general it is a useful tool to define normal body weights and correlate with obesity-related illnesses. Being overweight and obese dramatically increases the risk of developing a number of diseases such as cardiovascular disease, obstructive sleep apnea and diabetes. Death by cardiovascular disease is 50% greater in obese people and 90% greater in severely obese persons as it is for people of average weight. Life expectancy can be expected to drop by eight to 13 years on average for those who have a BMI above 45.
Currently, there is no consensus about the absolute contraindications to bariatric surgery, i.e. reasons for which weight loss surgery is ruled out. Some contraindications that have been adopted by some surgeons include: an extremely high operative risk such as severe congestive heart failure, active substance abuse, poorly controlled or treated psychiatric illness and the inability to provide informed consent (an understanding of the risks and benefits prior to giving consent).
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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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