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The purely restrictive type

  • The adjustable gastric band, still actual

  • anneau article

    This technic, also known as gastroplasty, consists in placing an adjustable ring around the upper part of the stomach. It has had its heyday between 1995 and 2002.

    Then, after on, the other procedures, bypass and sleeve, have outreached it. However, gastric banding remains a used, efficient and well-known procedure. The ring is easy to place and has few complication risks.

    However, it is not as performing as the other surgeries in terms of weight-loss. The average is about 50 % of the over-weight between two and ten years after the operation. It will be lasting and optimized with a narrow follow-up by the surgeon. Complications are few and mostly benign if sometimes more serious (intra-gastric migration). There tend to occur more at a distance of the surgery: problems related to the port such as disconnection between tube and port, band slippage, damage to the stomach caused by the band, etc. A new operation may be necessary to remove the band or to perform another obesity surgery technique.


  • The sleeve gastrectomy

  • sleeve article

    The expected weight loss is around 45 to 65 % of the excess weight after two years. The operating time is about two hours under general anaesthesia. It is achieved by coelioscopy. The estimated mortality rate is of 0,2%. The main complication risks are early post-operative bleeding, ulcers, possible nutritional deficiencies, gastro-oesophageal reflux and inflammation of the oesophagus.

    This surgery has two main assets: it does not imply lifelong oral vitamin supplementation and it has lesser complications than the bypass. In case of inefficiency, a new surgery for a bypass can always be done.

     

    To find out more, we recommand you this vidéo

    vidéo d'Arte sur le détail de l'opération


More in this category: « The gastric bypass