Thursday, May 5, 2016

Facts On Lap-band And Laparoscopic Sleeve Gastrectomy

By Catherine Howard


There is an exponential rise in the demand for weight loss surgical operations in New York . The major contributing factor for this surge is the safety and the effectiveness of modern surgical techniques. The two most common types of bariatric surgery are lap-band and laparoscopic sleeve gastrectomy. Although these operations can be offered to anyone, the general advice is that one should first try losing weight using lifestyle changes.

The two types of surgeries achieve their effect by reducing the size of the stomach. As a result, one is likely to experience early satiety and their food consumption is going to reduce. Most of what is eaten goes to energy provision with very little being stored in adipose tissues as fat. The net effect within subsequent weeks and months is weight loss. The main difference between sleeve gastrectomy and lap band surgery is that lap band surgery is reversible while gastrectomy is not.

Lap band surgery is usually conducted using a laparoscope. This is an instrument that makes it possible to enter the abdomen through minimal access. A silicon based band is placed on the upper section of the stomach such that it compresses the area and reduces the organ to a small pouch. Approximately one ounce of food can be held by the pouch after a single meal.

The surgery is generally safe but one needs to be aware of the potential complications. Nausea, vomiting, bleeding and aversion to food are among those that are most likely to be seen. To reduce nausea and vomiting, the compression by the band is reduced so that the stomach size increases slightly. This is done by drawing saline from a plastic tube joined to the band.

In sleeve gastrectomy, surgical resection of the stomach helps to reduce it by as much as 80%. The resultant stomach takes the shape of a sleeve (hence the name). Due to the reduction in capacity there will be early satiety and generally a reduction in consumption of food. The other benefit of this transformation is the fact that transit time is greatly reduced and so is the absorption of nutrients.

Experts recommend that the ideal candidate should have a body mass index (BMI) of at least 40. However, if they have some conditions that may have been contributed or worsened by excess weight, then a lower value of BMI may be considered. The reason for this is that bariatric surgeries may help slow the progression of such conditions. Examples include sleep apnea, gastro esophageal reflux disease, diabetes and hypertension among others.

A number of high risk situations in which having the procedure is not recommended include. One of them is the presence of a hormonal abnormality such as that involving the thyroid hormone. The surgery has to be postponed in this case until the problem is treated. Other likely high risk conditions include esophagitis, inflammatory bowel disease and peptic ulcers among others.

The operation is typically conducted as a day procedure meaning that you can leave the hospital on the same day. In a number of cases, there may be a need to remain in hospital for a day or two for observation. Once you are discharged, the doctor will prescribe a liquid diet for at least two weeks. Ensure that you adopt a healthy lifestyle after the operation so as to get optimal results.




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