Tuesday, August 19, 2008

Could You Be Suitable For Gastric Lap Banding?

By Donald Saunders


There are several different types of weight loss surgery available to patients now including the relatively new procedure of gastric lap banding which is rising in popularity and is fast becoming the favored choice for a significant number of severely overweight or morbidly obese individuals. But would you be a suitable candidate for gastric lap banding surgery?

In providing an answer to this question we will start by presuming that you are suitable for weight loss surgery in general and that your only concern therefore is whether or not you should consider lap banding. In simple terms this means that you are over 18, are morbidly obese with a body mass index (BMI) in excess of 40 (or over 35 with at least one co-morbid condition|one or more co-morbid conditions) and that you have previously tried traditional weight loss methods (possibly including drug treatment) without any success.

It is often believed that individuals facing weight loss surgery are merely overweight and it is all too easy to forget that individuals who are extremely overweight are frequently suffering from several other conditions, many of which result from the fact that they are overweight. It is the existence of these other conditions which often constitutes a hurdle when it comes to choosing between different forms of surgery.

As gastric lap band surgery is a form of restrictive surgery where the stomach is physically restricted in size to limit the amount of food which can be passed through the stomach and digestive system, it follows that this form of surgery is probably not going to be suitable if your esophagus, stomach or intestine are in any way abnormal. Such abnormality could be either congenital or acquired and a typical problem seen is a narrowing at one or more points along the digestive tract.

Problems with the esophagus or stomach which might lead to bleeding (like esophageal or gastric varices " a dilated vein) would also make gastric lap band surgery impractical, as would difficulties at the location at which the band would be placed around the stomach, like an injury, gastric perforation or scarring.

Problems may also arise if you are suffering from any type of inflammation or inflammatory condition within the gastrointestinal tract such as ulcers, esophagitis or Crohn's disease.

Finally, gastric lap band surgery is not considered suitable for pregnant women or for women who are considering pregnancy. Should pregnancy occur after gastric lap band surgery the band can be deflated to compensate for the raised nutritional requirement but, where deflating the band does not do the trick|is not in itself enough, the band could need to be removed.

One advantage of the gastric lap banding system is that the procedure is reversible and, if it becomes necessary, the band can be removed and the stomach returned to its original state. But, this can also be a disadvantage of the system. Motivation is the key to any form of weight loss surgery but becomes a particularly important issue when it comes to gastric lap banding. Should you have any doubt about your determination to succeed then this form of surgery might not be a suitable choice for you.

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