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This excellent download teaches physicians how to talk to patients about weight, which is a difficult subject for anyone, made even more difficult when care providers need to tell their patients they are worried.
From – Stop Obesity
Weight is a complex and sensitive issue, and conversations about weight can be challenging. Many factors are at play, not least of which may include feelings of failure, shame, and concerns about being judged by health care providers.
Source: About: Stop Obesity Alliance
The formal name is a Laparoscopic Adjustable Gastric Band.
A gastric band is just what the name says, a band around your stomach. It is performed using laparoscopy.
- Your surgeon places a ring with an inner inflatable band.
- This creates a small pouch at top of your stomach.
- When you eat, the food fills the pouch
- This makes you feel full after eating only a small amount of food
- The inflatable band has a circular balloon inside that is filled with salt solution
- Your surgeon adjusts the size of the opening from the pouch to the rest of your stomach by injecting the salt solution.
After surgery, you will need several follow-up visits to adjust the size of the band opening.
- If the band is too restrictive, your surgeon can reduce the size to allow more food to enter your stomach.
- Likewise, the band may be increased by adding more salt solution, thus making it more restrictive
- The band may also be removed if it is causing you complications.
The U.S. Food and Drug Administration (FDA) has approved use of the gastric band for
- People with a BMI of 30 or more
- People who also have at least one health problem linked to obesity.
What is the difference ?
Bariatric surgery is the preferred method for many reasons, but primarily because of recovery times. Open bariatric surgery, involves making a single, large cut in the abdomen. That cut takes a long time to heal, and affects muscles and tissue.
Most surgeons now use laparoscopic surgery.
- They make several small cuts
- Thin surgical tools are inserted through the cuts
- A small camera allows the surgeon to view the procedure on a video monitor
- Laparoscopic surgery has fewer risks
- Open surgery and may cause more pain and scarring
- Recovery times are faster with laparoscopic surgery
There are advantages to open surgery if you have certain conditions.
- If you are extremely obese
- If you have had prior surgery
- If you have complex medical problems (called ‘comorbidities’)