Monday, September 5, 2016

Important Aspects On Gastric Banding And Sleeve Gastrectomy

By Ryan Meyer


Bariatric surgery refers to an operation that is done with the objective of losing weight. Many different forms of this operation exist in New York but the principle under which they work is the same. These operations are done to reduce the volume of the stomach which effectively reduces the amount of food that can be consumed at a given point in time. Less nutrients are absorbed and over time, weight loss sets int. There are a few things regarding gastric banding and sleeve gastrectomy you should know.

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.

There are two main forms of surgical approaches that can be used in the placement of silicone bands. The first, the open technique, is performed through a large incision in the anterior abdominal wall. Under direct visualization, the surgeon locates the stomach and places the band in the desired region manually. The second method which is the commoner and more preferred of the two is the laparoscopic approach. Here access to the abdominal cavity is through very small incisions.

The compression force used varies from patient to patient and is mainly determined by the condition of the patient. Excessive weight tends to require a higher degree of compression depending to weight that is just slightly more than average. A plastic tube continuous with the band has one of its ends placed just below the skin in an accessible area. The force of compression can be adjusted by filling the tube with saline or withdrawing it.

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.

The ideal candidate of bariatric surgery is an individual who has tried out other methods of weight loss but has been unsuccessful. Such include regular exercise and eating a diet that has less carbohydrates and fat. The body mass index should ideally be more than 40. Persons with weight-related complications may have the surgery regardless of their body mass index.




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