feed tube and a reservoir, same that called Lap-Band in which through the years has evolved to know today. Different brands of adjustable gastric banding there are currently available, among which are named: LAP-BAND ® System, the Swedish Adjustable Band and the mid-band. There is no clear evidence of superiority individual between different types of bands, however the LAP-BAND ® system (Inamed, Santa Barbara, CA) was approved by the US FDA in 2001. This procedure is aimed to facilitate weight loss, by placing a band of silicone around the stomach, whose capacity will decrease up to a size of 25-30 CC., which will be quickly filled and will find it easy to lose weight. The goal is to decrease approximately 40% of its overweight in a period of 1 to 2 years, with the consequent reduction of the health risks associated with obesity. In addition to feel good physically and mentally, by gradually increasing the ability for sports, as well as activities everyday.
How it works and how it is done?
This procedure involves placing a band of silicone through the stomach by means of minimally invasive (laparoscopic) surgery, through small incisions and small instruments possible, forming a small gastric reservoir which to receive food is quickly filled with a draining slow, stimulating early satiety and therefore stimulate weight loss.
With the advantage of stand for laparoscopic surgery, the recovery of patients is much faster to staying only 24 to 48 hours in the hospital, as well as from the aesthetic point of view, avoiding big incisions, which occasionally complications such as postoperative hernias, infections, etc. that will require a second operation to correct these complications.
- It has all the benefits of laparoscopic surgery
- Less pain
- Lower hospital stay
- Smaller incisions
- Reduced risk of complications from the injury
- It is not cut or staple the stomach or intestine
- It is 100% reversible
- It is fully adjustable due to the needs of patients.
- Minimum index of complications
- Minimum index of mortality in comparison with other anti obesity procedures
- Complications from malnutrition are scarce
- Reduced risk of nutritional deficiencies
- Little or no hair loss
- There is no Dumpinmg, characteristic of the bypass or gastric dumping syndrome
- The hospital stay is usually less than 48 hour
The indiscriminate application of the lap-band is not recommended since it entails certain risks. Is especially recommended in cases of failure repeated dietary, drug treatments and behavior modification. Once given the high, it will follow a progression with the diet, after 4 or 5 days you can return to your normal activity, and can exercise without efforts to 2 or 3 weeks since the intervention. Estimated a reduction of 40-50% of their excess weight in 2 years approximately. Weight loss is gradual, allowing the organism adapts best to change and long-term maintenance is secured. Over time, the gastric band can tighten or loosen depending on the results that we go getting. After the intervention, a fractional diet is essential, since we must take care of the “new stomach” that has been created. Requires changes in eating habits, initial weight loss is slow in comparison with the technique of derivation and requires closer regular monitoring by your doctor. Long term and especially in cases of great morbid obesity has higher late complications, reoperation, lower weight loss and overall dissatisfaction to the gastric bypass . In addition to the usual complications of all surgery Bariatric as malnutrition or water-electrolyte imbalance, this technique some people also experience obstruction immediately after surgery. This is due to the inflammation of the tissue within the band, due to operation, causing a blockage of the flow of liquids and food through the stomach. However this is resolved after several days without another surgery. The Lap Band name comes from the surgical technique used (laparoscopy) and the name of the product used (lap-band).
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