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Laparoscopic Adjustable Gastric Banding (LAP-BAND) |
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Laparoscopic Sleeve Gastrectomy |
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PROCEDURE |
- No change in the anatomy or stomach stapling is required
- Regular follow-ups allow for optimal results
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- Requires cutting and stapling of the stomach and bowel
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SHORT-TERM (1 YEAR) EXCESS
WEIGHT LOSS |
- 42% average weight loss 1 year after surgery
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- 46% to 83% weight loss 1 year after surgery
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LONG-TERM (>5 YEAR) EXCESS
WEIGHT LOSS |
- 55% average weight loss 5 years after surgery
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- No follow-up reported > 3 years
- May require second surgery
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POST-SURGICAL MORTALITY (SHORT-TERM) |
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EARLY COMPLICATIONS |
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POST-SURGICAL COMPLICATIONS (LONG-TERM) |
- Band slippage
- Stoma obstruction
- Gastroesophageal reflux
- Nausea and vomiting
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- Gastric remnant dilatation
- Surture line bleeding and leaking
- Gastric strictures
- May require second surgery
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ADJUSTABILITY |
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- Nonadjustable
- Permanent
- May require second surgery, doubling the risks associated with surgery and anesthesia
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