Dr. Simon Woods, Laparoscopic General and Obesity SurgeonMelbourne Laparoscopic SurgeonCancer TreatmentAustralia Obesity Surgery
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TREATMENT OPTIONS

Obesity Surgery

Laparoscopic Adjustable Gastric Banding :: Biliopancreatic Diversion BPD
Sleeve Gastrectomy

Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a saline solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of fluid.

lap band surgery

Advantages:

  • Keyhole approach .. Less scarring or wound problems. One or two nights in hospital. Earlier return to work (1-2 weeks)
  • Adjustable : by filling port the outlet size can be reduced
  • Reversible: By removing fluid or the band.
  • No malabsorbtion
  • Lower risk than other weight loss operations – risk of death about .01% (1:1000)

Disadvantages

  • Easy to cheat .. if chocolates , liquid calories, (purees, smoothies etc )are consumed
  •  Mechanical problems:
    • prolapse - the band can slip and need to be replaced
    • pouch dilatation - the pouch above the band can distend
    • food bolus obstruction - bread or pieces of red meat or chicken are likely to get stuck
    • Leakage from the reservoir, tubing or balloon – requires replacement of leaking component
    • Erosion of the band into the stomach – approximately 1% chance
    • Dislodgement of the reservoir
  • Limited food choices
    • An entree portion forever.
    • No bread, pieces of meat, or pieces of chicken

Usual weight loss With Lap Band   50-60% of excess weight lost in 2 yrs

Click here for some frequently asked questions on Lapband Surgery.

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