jeudi 28 avril 2016

Basics Relating To Gastric Banding And Sleeve Gastrectomy

By Martha Foster


Lifestyle changes are highly recommend as ways of losing weight and remaining healthy. Unfortunately, these two are not effective in everyone and there is often a need for other options. Surgical weight loss procedures such as gastric banding and sleeve gastrectomy have increased in popularity in New York in recent years due to their effectiveness and safety profile. The two are types of bariatric surgery.

The two types of procedures are restrictive surgeries. This means that they reduce the size of the stomach which effectively reduces the amount of food that it can hold. Persons who have had the procedures begin to have early satiety which reduces their food intake. Over time, they begin to lose weight since most of the food that is eaten is used to provide energy and very little, if any, is stored as fat.

As the name suggests, gastric banding involves the use of an elastic band made of silicone. This band is slipped onto the upper portion of the stomach using a laparoscopic approach. In laparascopic surgeries, procedures are conducted through small incisions made in the abdomen as opposed to open procedures where one large incision is needed. The squeeze that is provided by the band on converts the stomach into a small pouch.

The band is usually connected to the skin using a small plastic tube. This helps the surgeon (and the patient) to exert some control over the band. By injecting or removing saline (or water) into this tube, the pressure that is exerted on the stomach can be increased or reduced as desired. An increase in the squeeze may be needed if the rate of weight loss is too slow. A reduction may be needed, on the other hand, if there are adverse side effects of the operation.

Gastric banding has been shown to cause up to 50% in weight loss in a couple of months. The procedure is largely safe but a few side effects may be experienced. Such may include nausea and vomiting, wound infections or minor bleeding. Adjusting the tube often resolves the nausea and vomiting but removal of the tube may be needed if these effects are severe.

Sleeve gastrectomy (or gastric sleeve) refers to the surgical removal of a part of the stomach. This may be as much as 80%. The remaining stomach is a tubular pouch which closely resembles a banana. This method helps reduce weight in two ways: reduced capacity of the stomach and faster movement of food (hence less absorption). The shape is also believed to influence gastric hormone production such that one feels less hungry.

Sleeve gastrectomy may be used in adolescents and children. Studies have ruled out any major effects on growth in children less than 14 years. The side effects that one should anticipate include nausea, aversion to food, leakage of food, infections and esophageal spasms among others. After some years, the stomach may dilate slightly but this is hardly a cause for worry.

These two surgeries are performed as day cases. One can, therefore, be released to go home on the same day. Resumption of the normal daily routine can occur within a day or two. As for the diet, one needs to be on liquid diet and mashed foods for at least two weeks. The food to be eaten for the first two weeks should be either liquid diet or mashed foods.




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