Lifestyle changes are highly recommend as ways of losing weight and remaining healthy. Unfortunately, these two are not effective in everyone and there is often a need for other options. Surgical weight loss procedures such as gastric banding and sleeve gastrectomy have increased in popularity in New York in recent years due to their effectiveness and safety profile. The two are types of bariatric surgery.
Bariatric surgeries are also known as restrictive surgeries. This is because they are designed to reduce the capacity of the stomach which effectively reduces the amount of food that is held at any given point in time. Since, the stomach fills a lot faster than before, there is early satiety and by extension, reduced food intake. The weight loss that is seen in subsequent weeks and months is mainly due to reduced food intake.
As the name suggests, gastric banding involves the use of an elastic band made of silicone. This band is slipped onto the upper portion of the stomach using a laparoscopic approach. In laparascopic surgeries, procedures are conducted through small incisions made in the abdomen as opposed to open procedures where one large incision is needed. The squeeze that is provided by the band on converts the stomach into a small pouch.
The band is connected through a plastic tubing to an area just below the skin. The surgeon (or patient) can exert control on the pressure created by the band. When saline is injected through the tube, the pressure is increased which decreases the volume of the stomach further. This may be needed if the desired effects are not being seen. Drawing the saline achieves the reverse effect which is a reduction in the squeeze and an increase in the stomach volume.
The results of gastric banding greatly vary from one person to another. Studies show that most people achieve weight loss of between 40 and 50% in a few months. While it is a generally safe procedure, there are a number of side effects that one should anticipate. Those that are most commonly encountered include vomiting, nausea, minor bleeding and infections. Adjusting the squeeze helps reduce the nausea and vomiting.
Sleeve gastrectomy involves the removal of a large part of the stomach to leave between 20 and 25% of the original. The resultant shape is tubular or sleeve-shaped (hence the name). Weight loss is mainly due to two effects. The first is the reduced volume which also reduces food intake and contributes to early satiety. The second is the increased transit time that reduces food absorption.
Sleeve gastrectomy has been approved for use in children and adolescents. Studies show that it has no negative effects on the growth of children. Possible complications of this procedure include leakage of food, nausea, aversion to food, infections and esophageal spasms. Over time, the stomach may dilate but not significantly. It is important to remember that unlike the banding procedure, the sleeve procedure is irreversible.
These two surgeries are performed as day cases. One can, therefore, be released to go home on the same day. Resumption of the normal daily routine can occur within a day or two. As for the diet, one needs to be on liquid diet and mashed foods for at least two weeks. The food to be eaten for the first two weeks should be either liquid diet or mashed foods.
Bariatric surgeries are also known as restrictive surgeries. This is because they are designed to reduce the capacity of the stomach which effectively reduces the amount of food that is held at any given point in time. Since, the stomach fills a lot faster than before, there is early satiety and by extension, reduced food intake. The weight loss that is seen in subsequent weeks and months is mainly due to reduced food intake.
As the name suggests, gastric banding involves the use of an elastic band made of silicone. This band is slipped onto the upper portion of the stomach using a laparoscopic approach. In laparascopic surgeries, procedures are conducted through small incisions made in the abdomen as opposed to open procedures where one large incision is needed. The squeeze that is provided by the band on converts the stomach into a small pouch.
The band is connected through a plastic tubing to an area just below the skin. The surgeon (or patient) can exert control on the pressure created by the band. When saline is injected through the tube, the pressure is increased which decreases the volume of the stomach further. This may be needed if the desired effects are not being seen. Drawing the saline achieves the reverse effect which is a reduction in the squeeze and an increase in the stomach volume.
The results of gastric banding greatly vary from one person to another. Studies show that most people achieve weight loss of between 40 and 50% in a few months. While it is a generally safe procedure, there are a number of side effects that one should anticipate. Those that are most commonly encountered include vomiting, nausea, minor bleeding and infections. Adjusting the squeeze helps reduce the nausea and vomiting.
Sleeve gastrectomy involves the removal of a large part of the stomach to leave between 20 and 25% of the original. The resultant shape is tubular or sleeve-shaped (hence the name). Weight loss is mainly due to two effects. The first is the reduced volume which also reduces food intake and contributes to early satiety. The second is the increased transit time that reduces food absorption.
Sleeve gastrectomy has been approved for use in children and adolescents. Studies show that it has no negative effects on the growth of children. Possible complications of this procedure include leakage of food, nausea, aversion to food, infections and esophageal spasms. Over time, the stomach may dilate but not significantly. It is important to remember that unlike the banding procedure, the sleeve procedure is irreversible.
These two surgeries are performed as day cases. One can, therefore, be released to go home on the same day. Resumption of the normal daily routine can occur within a day or two. As for the diet, one needs to be on liquid diet and mashed foods for at least two weeks. The food to be eaten for the first two weeks should be either liquid diet or mashed foods.
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