has been heralded as the newest medical procedure for the treatment of morbid obesity. Actually the history of
calls for a review.
Dr. Wilkinson first introduced the first entirely restrictive bariatric procedure in 1978. This procedure used nonadjustable gastric banding. Dr. Wilkinson applied a 2 cm Marlex mesh around the superior portion of the stomach. He then separated the stomach making a small upper pouch then allowing the rest of the stomach to remain the same. The pouch eventually dilated and thus there was no satisfactory weight loss.
This was followed by Dr. Molina who introduced
the gastric segmentation
procedure but with an interesting change. Dr. Molina placed a Dacron vascular graft around the superior portion of the stomach.
Unfortunately the Dacron graft was found to produce adherence to the liver, thus it was ultimately replaced by PTFE, another Gortex product, that worked without the adherence to the liver. This was because PTFE is actually Teflon.
Later in 1983, a Dr. Kuzmak suggested using a 1 cm Silicone® band to accomplish the encircling of the stomach. This created a 13 mm stoma as well as a 30-50 mL proximal gastric pouch. The use of this band was eventually modified to give adjustability to the band diameter using a patented band that resembles an inflatable balloon. This is now known as laparoscopic adjustable gastric banding.
There are many advantages of gastric banding. Prior to the current banding technique those who suffered through gastric bypass surgery were coming down with severe anemia from the lack of nutrients from food. Unfortunately, food was being poorly absorbed as it passed through the body too quickly. Gastric Sleeve Surgery Malabsorption is an impairment of the digestive process that leads to malnutrition and anemia. With gastric banding there is no malabsorption, thus no anemia.
Gastric bypass surgery also caused an impairment known by the name of dumping. Dumping is when the undigested contents in your stomach are carried or “dumped” into the small intestine much too rapidly. Symptoms of dumping are abdominal cramps that are accompanied by nausea. It is better known as rapid gastric emptying, which explains it a bit better. With gastric banding dumping no longer occurs.
The mortality rate for gastric bypass surgery was also found to be much higher than in gastric banding. Also, the time required for a hospital stay is longer for
a gastric bypass
than gastric banding.
There are still new horizons to be plumbed regarding both gastric bypass surgery as well as gastric banding. If you are suggested either procedure by your Doctor, be sure and do your research. Read all about both procedures in the Internet. Feel free to go to lectures being held in hospitals and above all be thoroughly informed.
You should then consult with various Doctors who specialize in these procedures and ask some in-depth questions. It’s also a good idea to bring someone with you to take notes for you. Of course, you will get a second opinion once you’ve narrowed down your choice as to which procedure seems to fit you and your needs best.
I suggest you check out my other guide on stomach staple and roux en y
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