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Porter Adventist Hospital is among the first in the country to receive designation as Blue Distinction Centers in two surgical services that have recently been added to the Blue Cross and Blue Shield Association's expansion of its Blue Distinction® designation.
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Lap-Band – The Adjustable Gastric Banding Surgery For Weight Loss
Author: JL Good
The Lap-Band™ procedure is a form of weight loss surgery that is is becoming more popular because of its lower costs and quicker recovery times. The operation is also perceived as being less invasive than the more commonly used Roux-en-Y gastric bypass procedure.
The laparoscopic adjustable gastric banding procedure is often called Lap-Band™ surgery, after the inflatable silicon band that divides the stomach, creating a very small stomach pouch with an adjustable opening to the rest of the stomach. The diameter of the band is usually about two inches, but the surgeon can adjust its diameter by pumping saline into it from a reservoir implanted under the patient’s skin.
When the band is in place, the stomach takes on an uneven hour-glass shape, with the smaller portion at the top.
Unlike the Roux-en-Y gastric bypass surgery, the Lap Band procedure does not reroute the upper intestine. Weight loss occurs solely because the size of the stomach is restricted. The adjustable band decreases the amount of food the patient can eat at one time, but does not otherwise interfere with the digestive process.
Because the procedure does not bypass any portion of the intestines, patients who have the gastric banding operation don’t usually experience one of the Roux-en-Y operation’s more uncomfortable side effects, the dumping syndrome. After a Roux-en-Y gastric bypass operation the patient is unable to eat sugary foods, and some patients are also unable to eat red meats and any food with high fat contents. When patients attempt to eat these foods they become nauseous and may vomit, making the experience extremely uncomfortable.
Since the lap band operation does not cause this side effect, post-operative patients are still able to eat the foods that originally led them to obesity, and for this reason long-term nutritional and behavioral counseling is usually recommended.
Gastric banding patients do not lose weight as quickly as patients who undergo the full gastric bypass procedure. This may be the reason why many U.S. surgeons prefer to offer the Roux-en-Y operation for their obese patients. Surgeons in Europe and Australia appear to show a preference for the less invasive Lap Band surgery, because it is usually safer.
Although weight loss is slower with the gastric banding procedure, after 3 to 5 years both gastric banding and gastric bypass patients show comparable weight loss, according to recent studies.
If no complications occur, a Lap Band patient can expect to go home in a day or two after the operation. This helps to reduce the total cost of the surgery, which may run around $14,000 to $18,000 if there are no complications, as opposed to the commonly quoted $35,000 to $40,000 that gastric bypass surgery will cost in the United States.
The Lap Band procedure is less invasive than gastric bypass, and there are fewer reported complications and deaths from this type of surgery. However, complications do occasionally occur, and a second operation is sometimes needed. A recent study that looked at the records of 300 gastric banding patients found a 5% complication rate, while other studies have found the rate of complications to be higher. Some patients will need a second operation due to band slippage or because the stomach pouch becomes dilated.
As with all patients who undergo rapid weight loss, gall stones are common, and long-term nutritional and behavioral counseling is needed for the best outcomes.
When you get your gastric bypass surgery you will have a new stomach that only holds about three tablespoons of food at a time. You will gradually stretch you stomach so that it holds a cup to a cup and a half of food when you eat. Initially though your stomach will be very small and it will be easily upset. This is why you absolutely need to go on a special diet starting from the moment you wake up after surgery. You start off with liquids while in the hospital. These will be clear liquids like broth, Jell-O, juice and water. Believe me you may be thinking now that this is not appetizing or filling, but when you wake up you will feel differently. You will also be very thirsty and ice will do wonders for your pains If this goes well you can move up to something called full liquids. These are your breakfast shakes or weight watchers drinks. They have lots of protein which your body needs at this time. You should also start taking chewable vitamins as well to supplement your diet. ...
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MAGEE, Miss. -- A preacher who lost more than 300 pounds hopes his example will help others get healthy, WAPT-TV in Jackson, Miss., reported. At 56 years old, Rickard Kight weighed 500 pounds. He realized something had to change.
The International Sports Sciences Association applauds certified personal trainer Anthony Reed of Cincinnati, OH for his achievements in the wellness arena. Once weighing 591 lbs, Anthony lost 371 lbs during his own personal weight loss journey and now uses the knowledge, motivation, and energy that he has acquired to help those struggling with overweight and weight loss issues.
LEHI, Utah (ABC 4 NEWS) - ABC 4 is taking action tracking the results, risks and rewards of a Utah County couple who went under the knife in a desperate effort to save their lives. Gastric bypass is one of the most popular weight loss surgeries on the planet. In November we introduced you to a Utah County couple who went under the knife as a team. Mike and Lorena Downey tipped the scales with a ...
Dr. Francesco Rubino, chief of gastrointestinal metabolic surgery at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, is now enrolling overweight and mildly obese patients -- those with a body mass index (BMI) of 28 to 35 -- in a study of gastric bypass surgery aimed at reversing Type 2 diabetes. Because of their non-morbidly obese status, these patients do not qualify for the surgery ...
Sarah White has lost about 170 pounds since a September 2008 gastric-bypass surgery — and the results show as much in her attitude as in her waistline.
A March 2 story on Sarah White's success at weight loss has generate a comment from a person who have had gastric-bypass surgery.nurse909 shares her thoughts and experience about gastric-bypass surgery.I am 25, having had gastric bypass at age 20....
On March 1, Holly Caponi came home from work, ate her dinner and went straight to bed, too hungry to stay awake any longer.Caponi, 25, of Crest Hill, is having laparoscopic gastric bypass surgery next week, but preparations for the procedure begin two weeks in advance.
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