Weight Loss Surgery

Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Advantages

  • Keyhole approach : Less scarring or wound problems Earlier return to work (1-2 weeks)
  • Adjustable : By filling port the outlet size can be reduced
  • Reversible: By removing fluid or the band
  • No malabsorbtion
  • Lower risk

Disadvantages

  • Easy to cheat if chocolates or sweets taken
  • Mechanical problems
    • Prolapse
    • Pouch dilatation
    • Food bolus obstruction
    • Slippage of the stomach through the band erosion
    • Infection of the band or port leak
    • Revision rate ? 5 -10%
  • An entree portion forever

Optimal pouch capacity 30 mlss

Usual weight loss With Lap Band 50-60% of excess weight lost in 2 yrs

To find out more about Laparoscopic Gastric Banding visit www.lapband.com.au

 

Laparoscopic Sleeve Gastrectomy

Sleeve gastrectomy is a weight loss surgery performed to reduce the stomach size and restrict the amount of food intake. It is indicated for obese peoplewith a BMI of 60 or more. The procedure involves creating a sleeve-shaped stomach that is about the size of a banana and larger than the stomach pouch created by Roux-en-Y bypass. Sleeve gastrectomy is most commonly performed as the first procedure in a two-part treatment, with the second part of the treatment being gastric bypass.

Overview of Sleeve Gastrectomy

  • Latest surgical treatment for carefully selected patients
  • No implantation of a foreign/medical device
  • About 70% to 80% of the stomach will be removed during the procedure
  • Loss of about 85% of excess body weight is reported
  • Procedure is irreversible, but it can be converted to a Gastric bypass
  • You may require long term vitamin and mineral supplementation
  • Associated with low perioperative risks, even in high-risk patients
  • No long term (beyond seven years) outcome data available/reported
  • Obesity Surgery Society of Australia & New Zeland
  • The International Society for Diseases of the Esophagus
  •  Australia &New Zeland Gastric & Oesophageal Surgery Association
  • The Centre For Bariatric Surgery
  • OSSAN
  • Epworth Healthcare
  • Fellow of the Royal Australian College of Surgeons
  • The Royal Melbourne