Thursday, September 15, 2016

Basics Concerning Gastric Banding And Sleeve Gastrectomy

By Ryan Meyer


Bariatric surgeries are increasingly becoming an acceptable method of weight control in New York. In general these methods achieve their effect by reducing the stomach capacity which in turn reduces the amount of food that an individual can eat at a given time. Related to the same is early satiety and reduced absorption of nutrients. There are three main types of bariatric operations that are performed. These include gastric bypass, gastric banding and sleeve gastrectomy.

There are two main types of surgeries that can be used when fixing the silicone band. One of them, the open technique, involves making a surgical incision that runs the entire length of the abdomen. Through this incision, the surgeon can place the band directly before closing the incision using surgical sutures. This method is, however, being dropped in favor of the less invasive laparoscopic technique.

The operations that can be used for the placement of the band are of two main types: the open procedure and the laparoscopy technique. The open procedure involves the use of a large incision running from the pubic region to the epigastric region. The stomach is visualized directly before band placement is done. The laparoscopic technique, on the other hand, uses very small openings known as ports. An instrument known as a laparoscope is used under the guidance of a camera.

The compression force that is used will vary from one individual to another. The most important determinant is the weight of the individual. Obese individuals will get a higher compression force than those that are classified as overweight. A tube connected to the silicone band can be accessed from an area under the skin. Fluid can be injected or withdrawn from this tubing so as to either increase or reduce the magnitude of compression.

You should anticipate a number of complications when you undergo this procedure. Those that are seen commonly include excessive blood loss, injury to internal structures, nausea and vomiting among others. Vomiting and nausea are likely to ensue if the degree of compression is too much. Reducing the compression resolves these symptoms in most cases. The risk of infections is reduced through the administration of antibiotics.

Gastrectomy can also be performed through an open and laparoscopic techniques. The laparoscopic option is the more preferred option due to the lower rate of complications. During gastrectomy, the stomach is cut along its length and a large portion of it (between 75% and 80%). The remnant is a small tubular structure that also resembles a sleeve and hence the name.

The tubular structure of the stomach after the operation reduces the transit time of food considerably. This means that less nutrients are absorbed and this is what all bariatric operations aim to achieve. Side effects that may arise from gastrectomy are similar to those that are seen with the banding procedure. Those that may relate to gastrectomy only include food leakage and the loss of stitches or staples.

An ideal candidate to undergo bariatric surgery is one who has attempted achieving their objective using conservative methods. Such include participation in regular physical exercise and diet modification in a manner that reduces carbohydrate and fat content. Persons that have a high body mass index BMI of say, 40, are more likely to benefit than those with a lower value of this index.




About the Author:



No comments:

Post a Comment