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Facts On Lap-band And Laparoscopic Sleeve Gastrectomy

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By Catherine Howard


The number of weight loss surgical procedures being done in New York has continued to increase tremendously. Part of the reason for this is the fact that the techniques that are employed have been greatly improved and the procedure is now not only safe but also very effective. Lap-band and laparoscopic sleeve gastrectomy are two of the most commonly performed bariatric operations. It is important that one first tries out lifestyle changes before turning to surgery for weight loss.

These two surgeries are slightly different in the way in which they are done but their effect is the same; they all reduce the size of the stomach. As a result the amount of food that can be eaten during a single meal is markedly reduced. Most of what is consumed is used for energy provision and very little ends up as stored fat. Over time, there is net weight loss. The main difference that exists is that lap band is temporary (reversible) while gastrectomy is permanent.

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.

After the operation, one may suffer from a number of side effects that include minimal bleeding, aversion to food, nausea and vomiting. Reducing the compression force by the silicon band may help reduce the severity of some of the symptoms. This is made possible by injecting or drawing saline from a tube that is connected to the band. When water is injected into the tube the size reduces and when it is withdrawn it increases and symptoms abate.

Sleeve gastrectomy is a surgical operation that involves the reduction of the stomach size by as much as 80%. The resultant tubular structure resembles a sleeve (hence the name). Apart from faster filling, the stomach also causes faster movement of food which effectively reduces the amount of nutrients absorbed. Side effects include leakage of food into the abdominal cavity, bleeding and infections.

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.

There are a number of situations in which bariatric surgery is deemed inappropriate. One such situation is when there is a high risk of complications. Underlying hormonal problems such as hypothyroidism are among the reasons why the procedure may be cancelled or postponed until the problem has been managed. Other examples include gastrointestinal tract diseases such as inflammatory bowel disease, peptic ulcers and esophagitis.

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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