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ENTRY CRITERIA FOR A BARIATRIC PROCEDURE:

 

The International criteria are:

  1. BMI of 35-40 with co-morbid factors
  2. BMI > 40, no co-morbid factors needed

 

Co-morbid factors are:

  1. Diabetes
  2. Hypertension
  3. Cardiac Disease
  4. Sleep Apnea
  5. Diseased joints
  6. Raised cholesterol

 

 


 

 

 

 

 

TECHNIQUE FOR THE LAPAROSCOPIC ADJUSTABLE GASTRIC BAND (LAGB)

 

DiagramThe Lap-Band System, developed by Inamed (which was acquired by Allergan in April), received FDA approval in June 2001 and is the only gastric band used in the United States. Its name comes from "laparoscopic banding," which means the device is designed to be implanted with instruments passed through small cuts in the abdomen rather than through a full incision. (Palm Beach News Post)

The principle is a band around the upper stomach, giving you a small pouch, which when full, causes saiety. You then are not hungry, stop eating and lose weight. From the outset you will be well warned to learn to listen to your body. Two to three tablespoons of food will be enough to cause a feeling of fullness or saiety. You must then stop eating, as you are then not hungry, and only eat again when you are hungry  i.e. the pouch above the band needs to have emptied.

One needs to avoid:

The other potential side effect of over-zealous food ingestion is that the band can "pop open". It is, after all, a circular device which can open if too much pressure is applied within the pouch we create. I have had only 7 cases to date. This would then necessitate a second operation for band closure.

 

Proverbs 25:16 If you find honey, eat just enough - too much of it, and you will vomit.

 

PortsThe port (picture left) is placed just under the soft tissue and skin of the abdominal wall. The port is connected, via a thin tube, to the Gastric Band . This port is accessed by a Huber (needle):  more fluid is "injected" into the band in order to tighten the collar, or should it be required, fluid is removed in order to loosen the band.

 

Final placementIn the photograph left Dr Brombacher places the port just below the skin and abdominal wall. This becomes totally "invisible" to other people.  Band adjustments are a necessary part of the procedure.  These entail locating the port and then inserting a huber (small needle) and either adding liquid or taking some out.

 

 


ADVANTAGES

 

RISKS

 

 

 


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