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Mr. Michael Booth : 09 623 3098 / 0508 934 448
 
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Services & Procedures
Obesity 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.

Laparoscopic adjustable banding

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 mls

Usual weight loss with adjustable gastric band is 50-60% of excess weight lost in 2 yrs

 
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