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Laparoscopic adjustable gastric banding

Laparoscopic Adjustable Gastric Banding

Although extremely obese patients take longer time to lose weight at the beginning, most patients are expected to lose 20 to 40 kilograms during the first year after laparoscopic adjustable gastric banding, the least invasive bariatric surgery available at present.

The laparoscopic adjustable gastric band is an inflatable device made of silicone which is placed around the top of the stomach during a laparoscopic procedure. Laparoscopic adjustable gastric banding treats obesity by slowing down the consumption of food and limiting food intake, with an expected effectiveness of 500 grams of consistent weight loss per week.

The laparoscopic adjustable gastric banding surgery cost is around $2,000, so in terms of cost effectiveness, it is a highly beneficial procedure.

Lap-band, as it is usually called (or LAGB), just like other popular bariatric surgery procedures, is designed for obese patients who have a BMI (body mass index) of 40 or above. Patients with comorbidities (the presence of additional disorders), are also recommended to have laparoscopic adjustable gastric banding even with lower BMI.

Among the secondary obesity-related disorders we find:

  • Sleep apnea
  • Diabetes
  • Osteoarthritis
  • GERD
  • Hypertension
  • Metabolic Syndrome

It should be noted, however, that bariatric surgery is not an easy option, but rather a drastic step carrying pain and the risks of the major gastrointestinal surgical operations.

Laparoscopic Adjustable Gastric Banding Procedure

The inflatable band is placed to create a smaller stomach pouch and reduce the amount of food the patient can ingest in one go. The procedure should not be carried out unless accompanied by a healthy diet and regular exercise. Laparoscopic adjustable gastric banding allows the patient to slow down the eating process, get a sense of satiety while releasing peptide YY, thus reducing appetite and consuming a smaller amount of food.

The surgery consists of a few simple steps:

  1. For the surgical procedure, often called lap band procedure or band replacement, a small incision is made near the belly button and the abdomen is inflated with carbon dioxide to create space and better visibility.
  2. Laparoscopic camera and light source are then inserted.
  3. Additional incisions are made in the abdomen and then the surgeon inserts long handles through which the gastric band is fixed around the stomach. The laparoscopic adjustable gastric band can be removed during a similar procedure.

Some benefits of laparoscopic adjustable gastric banding procedure are:

  • Gastric banding is the least invasive procedure
  • It is reversible
  • Uses laparoscopic surgery
  • Hospital stay is short
  • Fast recovery
  • Small scars
  • The gastric bands are made of biocompatible materials

Results for laparoscopic surgery are satisfying for most patients, which allow them to enjoy recreational activities and enhance their productivity and self-confidence.

In a regular laparoscopic adjustable gastric banding procedure, patients are assessed individually and referred to complementary ancillary therapy, clinical psychologists, hypnotherapists and exercise physiologists when necessary. Dietitians are always present during the procedure, but play a major role primarily in the aftercare.

Post-surgical care requires a dramatic change in diet. In some cases, patients may be prescribed liquid-only diet, mushy foods before they can resume solid food. The long-term success of the laparoscopic adjustable gastric banding depends on choosing and following a proper diet plan.

Laparoscopic adjustable gastric banding surgery cost may vary with location and facility, but expenses do not usually go over $3,000.

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