Gastric Imbrication Laparoscopic Gastric Banding Laparoscopic Roux en Y Gastric Bypass Tummy Tuck If we are mother of two, three children and have tried all our way to achieve your pre-pregnancy weight. Or we have lost a significant amount of weight after Bariatric surgery, dieting or extensive exercise? Lastly, have you recently put on lot of weight on your abdomen? The only problem is that the skin, muscles and fat in your abdominal region sag. Or maybe we have always wanted flat abs, and no matter how many sit-ups we do, it’s just not happening. its a general problem we hear every day.If so, a tummy tuck may be an option to a shapely abdominal region. Dieting and exercise can tone the abdominal muscles, but they are not effective to correct that loose, sagging skin.
Obesity related health problems, that can be improved or solved with weight loss surgery
- Osteoarthritis of weight bearing joints.
- Sleep apnea / respiratory problems.
- Type II Diabetes (Total remission if duration less than 5 years).
- High Blood pressure / heart disease.
- Infertility / menstrual irregularities.
- Gastro esophageal reflux / Heartburn.
- Extremity Venous stasis.
- Skin breakdown.
- Urinary stress incontinence.
- Pulmonary embolus.
- Dyslipidemia (lipid metabolism abnormalities).
- Swollen legs / skin ulcers.
Laparoscopic Roux en Y Gastric Bypass
Stapling is used to create a small, upper stomach pouch leading to early satiety/satisfaction with small quantity of food. Essentially a large part of stomach & small intestine is bypassed, so that food & digestive juices mix with each other distally. This results in delayed & reduced absorption of nutrients & calories.
Surgical Time* : 2 – 3 hours
Hospitalization* : 2 days
Recuperation Time* : 4 days
Average of 77% of excess body weight loss one year after surgery. Studies show that even after 14 years of surgery, patients have maintained 80% of excess body weight loss. Study of 20000 patients showed that 96% of associated health conditions were improved or resolved, including back pain, sleep apnea, high blood pressure, Type II diabetes and depression. In most cases patients report an early sense of fullness, combined with a sense of satisfaction, that reduces the desire to excessive eating.
Laparoscopic Gastric Banding
Procedure Type Restrictive
The gastric banding is the least invasive of all procedures. An adjustable silicon band is placed around the stomach to create a small stomach. Small quantity of food can fill up the small stomach providing satisfaction/satiety to the person. Narrow outlet of this small stomach delays progression of food into intestine – person feels full for longer period. The size of the stomach opening can be adjusted by injecting saline through a button under the skin. Person is able to eat smaller meals at long interval.
Surgical Time* : 30-60 minutes
Hospitalization* : 24 hours
Recuperation Time* : 4 days
Daily mandatory intake of protein with a multivitamin intake will prevent any possible nutritional deficiency. Special dietary advice is provided to post-op patients & regular follow up is essential. Complications after gastric band surgery has reduced significantly over a period of time with change in dissection technique, band design, and is the safest procedure. Surgery can be reversed. Digestion and absorption is normal. When eating less the body draws the required energy from its own fat.
The mean weight loss at two years after surgery is 40-55% of excess weight.
Most patients have significant improvements in their associated diseases as they lose weight. The reported incidence for common diseases is as follows.
Diabetes : Improvement in >45%-80%
Hyperlipidemia : Resolution in > 70%
Hypertension : Improvement in >38-70%
Sleep Apnoea : Resolution in > 94%
Procedure type – Restrictive
The Gastric Imbrication is a laparoscopic (keyhole) procedure, which is very simple and yet effective. It is less invasive and shorter than the Sleeve and Bypass surgeries, with equally good results. It is a reversible procedure which involves only 3 tiny cuts on the abdomen and the stomach is folded over itself and stitched. The tiny cuts are so small that they don’t require any stitches and the patient walks home the next morning. – The procedure results in reducing the capacity of the stomach to 100-150 ml and as a result the patient gets a feeling satiety with a small meal.
Surgical time : 1 hour
Hospitalisation : 1 day
Recovery period : 2 days
Advantages of the Gastric Imbrication
- It does not require any stapling, disconnecting or reconnecting the intestines and food absorption is normal.
- It is technically a simpler procedure than the gastric sleeve resection and the bypass.
- Patients have achieved excess weight loss of 60-90% at the end of one year.
- 90-98% resolution of Diabetes, Hypertension, hyperlipidemia, Sleep apnoea, knee joint pain and much better quality of life.
- Provides satiety with small amount of food.
- No malabsorption.
Usually band adjustment is required only 1-2 times during the lifetime. This is an outdoor procedure requiring 15-30 minutes only.