This is a newer type of bariatric surgery, and there are no recent statistics on its average weight-loss percentage. Patients are not automatically approved for stomach stapling surgery because they are required to lose weight with other methods such as a low-calorie meal plan, additional exercise, and appetite-suppressant medications.
When patients are unable to lose weight with other methods, they are examined to determine if they qualify for stomach stapling surgery. Some of the reasons that patients are approved for surgery include:. After stomach stapling , a patient will need to recover from the process and consume a liquid diet that gradually changes to harder foods. Patients must eat nutrient-rich foods.
In addition, small amounts of vegetables are permitted. Patients may experience intense cravings and many find it difficult to change their diet. This is why surgeons require patients to adjust their diet before the surgery with a specialized plan that includes several small meals a day with no snacking. Patients will meet with a therapist and surgeon several times before a stomach stapling surgery to determine if they are mentally and physically prepared.
Also, inform the surgical team about any allergic reactions to latex or anesthetics before beginning a procedure. Women who are pregnant are not approved for weight-loss surgery, and they should avoid pregnancy throughout the recovery process.
A surgeon will explain the surgery to a patient, and a patient might need to watch a video to see what occurs during the procedure and what to expect. Before the surgery, a patient is not permitted to eat for eight hours.
A patient is under anesthesia throughout the procedure and will receive pain medications after waking. The exact steps that you need to take in order to prepare for this procedure will be provided to you by your doctor and will be tailored to your situation.
It is very important to follow these steps carefully, especially where medications, diet plans, and physical activity are involved. These guidelines can help you to achieve the best possible results and to also have a safer recovery. To learn more about stomach stapling or any other type of weight loss surgery, contact our office today for a consultation and to learn more about what could make you a good candidate for the procedure.
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The testimonials are voluntary provided and are not paid, nor were they provided with free products, services, or any benefits in exchange for said statements. These newer types of bariatric surgery work better and have fewer complications. Stomach stapling is sometimes called vertical banded gastroplasty VBG.
A gastroplasty is a surgical procedure that reduces the size of your stomach. During stomach stapling surgery, the surgeon creates a small stomach pouch and separates it from the rest of your stomach using surgical staples.
An opening about the size of a dime is left between the two stomach areas so food can move out of the pouch into the larger stomach area.
In the original stomach stapling procedure, only staples were used to create the pouch. VBG was developed a little later. With VBG, a band is used to separate the stomach pouch from the rest of your stomach, in addition to staples. This makes the separation stronger and a little more permanent. Because your new stomach pouch can only hold 1 to 2 ounces of food, you get full quickly and eat less than you normally would.
As a result, you take in fewer calories. This in turn leads to weight loss. Since your pouch is created using only staples without removing any of your stomach, stomach stapling can be reversed by taking the staples out.
With stomach stapling, the average weight loss one year after the procedure is about 50 percent of your excess body weight. In comparison, the weight loss from newer bariatric procedures can be closer to 80 percent of your excess body weight.
This is one reason why stomach stapling has been replaced by newer, more effective bariatric surgeries. Two of the most commonly performed bariatric procedures today are gastric sleeve and gastric bypass surgery. Like stomach stapling, gastric sleeve surgery is a restrictive bariatric procedure. This means it works by restricting how much you can eat at one time.
By taking in fewer calories, you lose weight. During gastric sleeve surgery, the surgeon removes most of your stomach and creates a gastric pouch by sewing the edges of the remaining stomach together. For the second step, your digestive tract is diverted so it bypasses part of your small intestine where absorption of calories and nutrients occurs.
As a result, when food travels through your digestive tract, fewer calories are absorbed. This also leads to weight loss and is known as weight loss through malabsorption. Because weight loss occurs in two ways, people who have gastric bypass surgery usually lose more weight compared to gastric sleeve or stomach stapling surgery. The weight loss also tends to occur faster. Most bariatric surgeries today are minimally invasive procedures that are performed laparoscopically.
Risks specific to vertical gastric banding include breakdown of the line of staples and erosion of the band. Rarely, stomach juices may leak into the abdomen and emergency surgery may be needed. The most common complication that may develop with adjustable gastric band surgery is that the stomach pouch enlarges. Band slippage and saline leaks are also risks specific to adjustable gastric band surgery. Risk is reduced with a laparoscopic banding procedure because there is no incision in the stomach wall.
There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor prior to the procedure. Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure. You will be asked to sign a consent form that gives your doctor permission to perform the procedure.
Read the form carefully and ask questions if something is not clear. In addition to a complete medical history, your health care provider may perform a complete physical examination to ensure you are in good health before undergoing the procedure. You may undergo blood tests or other diagnostic tests. You will be asked to fast for eight hours before the procedure, generally after midnight.
Notify your doctor if you are sensitive to or are allergic to any medications, latex, iodine, tape, or anesthetic agents local and general. Notify your health care provider of all medications prescription and over-the-counter and herbal supplements that you are taking. Notify your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant blood-thinning medications, aspirin, ibuprofen, naprosyn, or other medications that affect blood clotting.
It may be necessary for you to stop some of these medications prior to the procedure. If you are a woman of childbearing age, you may receive birth control counseling so that you do not become pregnant in your first year after surgery due to the risk to the fetus from rapid weight loss. Restrictive gastric banding surgery requires a stay in the hospital. Procedures may vary depending on the type of procedure performed and your doctor's practices.
The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. For an open procedure, the doctor will make a single large incision in the abdominal area. For a laparoscopic procedure, a series of small incisions will be made.
Carbon dioxide gas will be introduced into the abdomen to inflate the abdominal cavity so that the stomach and other structures can easily be visualized. For an adjustable gastric band procedure, a band with small reservoirs or balloons on the inside will be placed around the top end of the stomach to create the small pouch that will serve as the new stomach.
A narrow passage will connect to the rest of the stomach. The band will be inflated with a salt solution. For a vertical banded gastroplasty procedure, the pouch will be created with a line of staples. After the procedure, you will be taken to the recovery room for observation. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room. Weight loss surgery usually requires an in-hospital stay of several days.
You may receive pain medication as needed, either by a nurse or by administering it yourself through a device connected to your intravenous line. You will be encouraged to move around as tolerated while you are in bed, and then to get out of bed and walk around as your strength improves.
It is important for you to move around soon after y our surgery to prevent the formation of blood clots. At first you will receive fluids through an IV. After a day or two you will be given liquids, such as broth or clear juice, to drink. As you are able to tolerate liquids, you will be given thicker liquids, such as pudding, milk, or cream soup, followed by foods that you do not have to chew, such as hot cereal or pureed foods. Your doctor will instruct you about how long to eat pureed foods after surgery.
By one month after your procedure, you may be eating solid foods. You will be instructed about taking nutritional supplements to replace the nutrients lost due to the reconstruction of the digestive tract. Before you are discharged from the hospital, arrangements will be made for a follow-up visit with your doctor.
Once you are home, it will be important to keep the surgical area clean and dry. Your doctor will give you specific bathing instructions. The stitches or surgical staples will be removed during a follow-up visit. The incision and abdominal muscles may ache, especially with deep breathing, coughing, and exertion. Take a pain reliever for soreness as recommended by your doctor.
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