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Procedures (cont...)
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• LAP-BAND (LAPAROSCOPIC ADJUSTABLE BANDING) |
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Approved
by the FDA in 2003, this procedure is rapidly gaining
in popularity in the US. It has been a widely accepted
surgery in Europe & Australia for more than 10 years,
this procedure is gaining acceptance here due to the
highly promoted safety of this procedure. This is
a purely restrictive surgery, combined safety and
reversibility with all the benefits of a minimally
invasive approach. The advantage of this procedure
is the possibility to modify the degree of the restriction
according to the needs of each patient. This accomplished
by inflating or deflating the band pressure, depending
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on the patient’s weight loss and tolerance. The weight
loss is not as much as that of the lap RNY. The weight loss
is slow and requires multiple adjustments. Close follow-up
and a good patient compliance are necessary to obtain good
results. This operation is still in evaluation in the US
and does not have the track record of the lap RNY, but it
is anticipated that it will have similar results to restrictive
procedures of the past, like VBG. The operation takes less
than 1 hour and requires an over night stay in the hospital
and a recovery time of 1 week. It is a good surgical option
for high risk patients, low BMI, and patients who place
safety above all else.
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