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Laparoscopic Adjustable Gastric Banding (LAGB): |
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Procedure |
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In this procedure a silastic band is placed on the uppermost part of stomach, just below the junction of esophagus (food pipe) with stomach. In this way a Stomach pouch of capacity of 15ml is created. A very small opening in the stomach pouch connects it to the remaining stomach. | |
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Effects |
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This is a restrictive type of procedure. The band divides the stomach into hourglass shape. Patients fills full immediately even after eating a very little amount of food. Also, food is stored for long time as the pouch has a small opening distally. This effect gives patient satiety for longer duration. | |
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Indications for LAGB |
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Patient with BMI of 33 kg/m2 with at least one co morbidity |
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Patient with BMI of 37 kg/m2 |
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Excess weight of 30kgs for at least 5 years |
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Failure of previous attempts of maintained weight loss with supervised methods like diet and exercise |
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Large volume eaters |
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Less than 50 years of age |
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Ready to exercise and accept the dietary modifications after surgery | | |
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Advantages |
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Least invasive among the other bariatric procedures |
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Technically a reversible procedure ( Removal of band causes weight gain) |
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Good % of excess weight loss (EWL) (40-50 %) |
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Does not create any major disturbance in anatomy as in other bariatric procedures |
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Ideal for young patient who does not want to undergo a Major (Malabsortive) procedure and is ready to exercise. |
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Definite improvements in associated co-morbities | | |
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Possible Complications |
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Immediate |
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- Anesthesia complication
- Bleeding
- Injury to stomach and surrounding structures
- Pulmonary complications
- Wound infection | |
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Late |
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- Band or Port Site infection
- Band slippage
- Band Erosion
- Gastric pouch and lower esophageal dilatation | | |
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Post operative Care |
| The dietary changes in post operative period will be as follows |
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Step One |
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- Day 1 – Clear liquid diet |
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Step Two |
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- Day 2 to Day 15 – Full liquid diet |
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Step Three |
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- Day 16 to Day 30 – Semi Solid diet |
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Step Four |
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- Day 31 onwards – Regular Diet | |
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Laparoscopic Adjustable
Gastric Band | |
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