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Gastric Banding

The Laparoscopic Gastric Banding

The laparoscopic gastric banding is a procedure where a band is placed around the upper part of the stomach creating a small stomach pouch restricting the amount of food that a person can take eat. The rest of the stomach remains below the band and food will pass through the outlet slower than in normal digestion, making the patient feel fuller longer. 

One of the major advantages is that the diameter of the band is adjustable. The inner surface of the band can be inflated with saline solution or deflated to modify the size of the opening. The band is connected by tubing to a reservoir, which is placed well under the skin during surgery. After the operation, the surgeon can control the amount of saline in the band by entering the reservoir with a fine needle through the skin.
- No part of the stomach is stapled or removed. 
- The intestines are not rerouted, the small intestine can absorb nutrients from food,    and waste can be eliminated in the normal manner.
- The Band is implanted using laparoscopic surgery through several small incisions. 
- The Band is intended to be a long-term implant. 

At this time, there is no evidence to suggest that the Band will need to be replaced, except in the event of a complication . Because gastric banding surgery does not permanently alter stomach and intestinal anatomy, the Band can be removed if necessary. Reversal surgery is simple and weight gain is usually observed in people who have their band removed.  As you eat less food, your body will stop storing excess calories and it will begin to use its fat energy stores.
Improvements in Obesity-Related Conditions
Scientific literature supports that weight loss in obese patients with type 2 diabetes aids in the control of the disease. In the clinical study, patients who had diabetes and an elevated level of a form of hemoglobin (HbA1c) in their blood prior to surgery had their level of this form of hemoglobin drop below 7 percent after losing weight with the Band. Clinical study patients who had diabetes and a normal hemoglobin (HbA1c) level in their blood prior to surgery maintained values below 7 percent after surgery. The American Diabetes Association® (ADA) considers diabetes to be under control when this particular form of hemoglobin is 7 percent or less. The clinical study patients experienced a 22 percent increase (10mg/dl) in good cholesterol (HDL) 36 months after surgery. They also experienced a decrease in bad cholesterol (LDL), total cholesterol, and triglycerides. At the three-year follow-up visit, these improvements were statistically significant.

Improvement in Quality of Life

Clinical study reported improvements in various aspects of patients quality of life:
• Patients reported a significant improvement in their vitality, mental health, and social functioning three years after surgery.
• Patients reported a significant improvement in the physical aspects of their quality of life three years after surgery. This included improvement in general health, reduction in bodily pain, and increased ability to complete daily and work activities.
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