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| The bariatric procedures
performed at Baylor Medical Center
at Frisco are described briefly in
the following paragraphs. Consult
with your bariatric surgery
specialist to answer your specific
questions. |
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LAP-BAND
Procedure |
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The
Operation:
The idea behind the
operation is to create a small pouch in
the upper part of the stomach with a
controlled and adjustable stoma, without
stapling, thus limiting food intake.
A gastric band device
is introduced through tiny (1cm)
incisions in the abdomen and is placed
around the upper part of the stomach.
The resulting pouch (or the "new
stomach") dramatically reduces the
functional capacity of the stomach. The
band has a balloon from the inside that
is adjustable and can reduce stoma size,
thus prolonging the period of fullness.
The operation is
performed under general anesthesia and
can last between 30 minutes and 1 hour.
The Band is fitted around the uppermost
part of the stomach, forming a 15cc
small pouch. It is designed so that it
can be inflated or deflated at any time
after the operation. This helps the
patient continually lose weight until
they reach their goals. The restriction
takes place in the radiology suite and
normally takes 15 minutes. This simple
procedure is painless. They inject
saline into a port placed under the skin
in the wall of the stomach. The tube
that comes off of the band leads to the
port.
Advantages of gastric banding:
- No cutting of the
stomach - No stapling of the stomach
- Calibrated pouch and stoma size
- Can be adjusted to patient's needs
after surgery with no operation to
adjust the stoma - Laparoscopic
removal possible - Fully reversible
- Short hospital stay (normally does not
exceed 48 hours)
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Gastric Sleeve or Vertical
Sleeve Gastrectomy (VSG) |
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The
Gastric Sleeve procedure - or Vertical
Sleeve Gastrectomy (VSG) - is an
operation in which the left side of the
stomach is surgically removed. This
results in a new stomach which is
roughly the size and shape of a banana.
Since this operation does not involve
any "rerouting" or reconnecting the
intestines, it is a simpler operation
than the gastric bypass or the duodenal
switch. Unlike the Lap-Band procedure,
the sleeve gastrectomy does not require
the implantation of an artificial device
inside the abdomen.
Advantages
of Vertical Sleeve Gastrectomy
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It does not require disconnecting or
reconnecting the intestines -
It is a technically simpler operation
than the gastric bypass or the duodenal
switch - There is no foreign
body inside your body - It
does not need adjustments or fills -
It may be a safer operations for
patients with a body mass index (BMI)
more than 60. |
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