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Laparoscopic Gastric Band surgery is a type of restrictive weight loss surgery. This procedure is entirely reversible and performed laparoscopically. An inflated silicone band is wrapped around the stomach to divide it into two sections: a smaller upper pouch and a larger lower pouch. These two sections connect with a small channel, which slowly allows the passage of food to the large part that keeps the person fuller for a long time. A small amount of food can fill up this small section of the stomach, which provides a sense of fullness. The food needs to be soft and well-chewed. Pros It is a simple procedure and also reversible. In the doctor's office, to loosen or tighten the gastric band change can be made. It is minimally invasive, thus causing less scarring. 40-50% of excess weight loss. Fewer hospital stays (24 hours). Fewer complications postoperatively. Low risk of vitamin deficiency. Cons The effect of this procedure is lesser and slow as compared to other surgical interventions. Over time post-surgery, they may regain the weight. Risk Patients may experience vomiting due to overeating. The gastric band may loosen, slip out of place, or leak. Later, patients require additional surgery. In case of operation, there is a chance of infection. Some complications may even be life-threatening. Laparoscopic Vertical Sleeve Gastrectomy It is a type of restrictive weight loss surgery. The removal of almost 75% portion of the stomach creates a narrow gastric sleeve. Thus, leaving behind a narrow tube-like gastric sleeve that connects to the intestine. This portion cannot hold a large amount of food and results in making you feel fuller. It does not involve any rerouting or reconnecting of the intestine. Thus, it is a much simpler procedure than gastric bypass or duodenal switch. Pros It is simple and relatively less risky for morbid obsession patients. Beneficial for patients with a BMI of more than 40 and or who are sick. After 12-18 months, once the health has improved patient may opt for a second operation such as gastric bypass. In Sleeve gastrectomy the intestine is not affected, so the absorption of nutrients is not hampered. No need for foreign objects and bypass. More than 50% of weight reduction. Improvement in type II diabetes. Require Less stay in hospital (2 days). Cons It is an irreversible process. The post-surgery complications are earlier than adjustable gastric band surgery. In the long term, it may show vitamin deficiency. Risks The risk associated with the surgical process includes infection, leakage of the sleeve, and blood clots. Gastric bypass surgery It is a malabsorptive type of weight loss surgery procedure. It involves bypassing the small intestine at varying degrees. It can also be restrictive by reducing the stomach size by stapling the large part of the stomach. Further, the stomach is attached to the part of the small intestine. The food bypasses most of the stomach and small intestine. Thus, allowing little absorption of food. Roux-en-Y Gastric Bypass Surgery (RGB) A common procedure. It is a "Mixture" type of surgery. It works by malabsorption and restriction action. Here, the stomach division into two halves: the upper smaller part and the lower large part. Then the portion of the small intestine is divided into a Y shape. The Y shape connects to the small portion of the stomach. Thus, when the food is digesting surpasses the first and second portions of the small intestine called the duodenum and jejunum. Dividing the stomach into halves causes less food intake and brings a sense of fullerenes and bypasses the initial part of the small intestine reducing the absorption of calories and nutrients. The bypass mechanism suppresses hunger by bringing change in gut hormones. Pros it has better results like rapid weight loss and improvement in conditions affected by obesity (diabetes, high cholesterol, arthritis, sleep apnoea, high blood pressure, and heartburn). Patients experience almost 50% of weight loss in the first six months after the procedure. It has long-term effects lasting up to 10 years or longer. Cons It is an irreversible process. Patients may face a lack of nutrients as the absorption reduces. Patients may suffer from osteoporosis and anemia due to loss of calcium and iron. Patients have to remain careful about their diet and may have to take supplements. Almost 85% of patients with gastric bypass, may show symptoms related to "dumping syndrome" (nausea, bloating, sweating, pain, diarrhea, and weakness). Dumping may occur as the food quickly dumps directly from the stomach to the intestine. It may result due to a high carbohydrate diet and sugar in the diet. Help with long-term excess weight loss, up to 60-70%. Risks It is a more complicated and risky process. Patients may suffer from gallstones as a result of rapid weight loss. Like other surgeries, there are risks like infection, blood clots or intestinal hernia, etc. Biliopancreatic Diversion with duodenal switch It is almost similar to gastric bypass surgery. The difference is that it involves removing 70 % of the stomach and bypassing a large amount of the small intestine. An advanced version of biliopancreatic diversion with a duodenal switch. Here, a small part of the stomach is cut off and a small part of the intestine is bypassed. It has less chance of dumping syndrome, malnutrition, and fewer ulcers than a standard biliopancreatic diversion. Pros patients can eat larger meals with biliopancreatic diversion surgery than with other surgeries. It has quick weight loss results than gastric bypass surgeries. There is a 60-70% reduction in excess body weight. Cons It is less common than gastric bypass surgery. It has a similar risk to gastric bypass surgery like dumping syndrome, less absorption of nutrients. But opting for biliopancreatic surgery with a duodenal switch may lower some symptoms. Risks It is complicated and risky weight loss surgery. It possesses a danger of a hernia that may require further corrective treatment. It is prevented by performing a laparoscopic procedure. Intragastric balloon treatment Ileal transposition Laparoscopic biliopancreatic diversion Laparoscopic duodenal switch SGIT Gastric bypass Laparoscopic gastric band surgery Laparoscopic sleeve gastrectomy Sleeve gastrectomy. Explore low-cost Bariatric surgery in India, starting from 2000-6000 USD. A comprehensive guide on bariatric surgery cost with different countries.
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Laparoscopic Gastric Band Surgery, Gastric Band Surgery, weight loss surgery,
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