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Adjustable gastric band

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898:, a Ukrainian surgeon who had emigrated to the United States in 1965, reported on the clinical use of the "adjustable silicone gastric band" (ASGB) via open surgery. Kuzmak, who from the early 1980s had been searching for a simple and safe restrictive procedure for severe obesity, modified his original silicone non-adjustable band, which he had been using since 1983, by adding an adjustable portion. His clinical results showed improved weight loss and reduced complication rates compared with his original non-adjustable band. Kuzmak's major contributions were the application of Mason's teachings about VBG to the development of the gastric band, the volume of the pouch, the need to overcome staple line disruption, the ratification of the use of silicone and the essential element of adjustability. 431:(DS)), gastric banding does not require cutting or removing any part of the digestive system. It is removable, requiring only a laparoscopic procedure to remove the band, after which the stomach usually returns to its normal pre-banded size so it is not unusual for a person to gain weight after having a band removed. However, it is not entirely reversible as adhesions and tissue scarring are inevitable. Unlike those who have procedures such as RNY, DS, or BPD, it is unusual for gastric band patients to experience any nutritional deficiencies or malabsorption of micro-nutrients. Calcium supplements and Vitamin B12 injections are not routinely required following gastric banding (as is often the case with RNY, for example). 843:
necessary to perform the procedure (surgeon's fee, surgical assistant fee, hospital/operating room fee, anesthesiologist fee and the device fee for the gastric band itself). Some practices also bundle a set duration of post-operative follow-up visits for filling and unfilling the gastric band as necessary (e.g., as many fills/unfills as necessary for anywhere from three to 13 months following surgery, depending on the practice), which as a standalone service costs between $ 15 and $ 300 per office visit. Most practices do not include within their quoted fees the cost of preoperative care and testing or any potential complications that may arise.
262:, depending on their design. When the band is inflated with saline solution, it places pressure around the outside of the stomach. This decreases the size of the passage between the pouch created from the upper part of the stomach and the lower stomach and further restricts the movement of food. Over the course of several visits to the doctor, the band is filled until the optimal restriction has been achieved – neither so loose that hunger is not controlled, nor so tight that food cannot move through the digestive system. The number of adjustments required is an individual experience and cannot be accurately predicted. 158: 740:
while most of the RNY patients drop the weight faster in the beginning, some studies have found that LAGB patients will have the same percentage of excess weight loss and comparable ability to keep it off after only a couple of years. The procedure tends to encourage better eating habits which, in turn, helps in producing long term weight stability. However, with greater experience and longer patient follow up, several studies have found suboptimal weight loss and high complication rates for the gastric band.
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use of X-ray control (fluoroscopy). In these cases, the doctor assesses the patient's weight loss and potential reflex symptoms described by the patient, such as heartburn, regurgitation, or chest pain. From this information, the doctor decides whether a band adjustment is necessary. Adjustments are often indicated if a patient has regained weight, if weight loss has leveled off, or if the patient has a distinct feeling that food is difficult to move through the stomach.
798:. When swallowed, the fluid is clearly shown on X–ray and is observed as it travels down the esophagus and through the restriction caused by the band. The radiologist is then able to see the level of restriction in the band and to assess if there are potential or developing issues of concern. These may include dilation of the esophagus, an enlarged pouch, prolapsed stomach (when part of the stomach moves into the band where it does not belong), erosion or migration. 226:. It gives the surgeon a good view of the key structures in the abdominal cavity. A few additional small incisions are made in the abdomen. The surgeon watches the video monitor and works through these small incisions using instruments with long handles to complete the procedure. The surgeon creates a small, circular tunnel behind the stomach, inserts the gastric band through the tunnel, and locks the band around the stomach. 271: 826:
there is little or no restriction in the band. Thus a proper post-op diet and a good after-care plan are essential to success. A recent study found that patients who did not change their eating habits were 2.2 times more likely to be unsuccessful than those who did, and that patients who had not increased their physical activity were 2.3 times more likely to be unsuccessful than those who did.
290:. Neither band has been approved by the FDA. The Midband was the first to market in 2000. In order to preserve the gastric wall in event of rubbing, the device contains no sharp edges or irregularities. It is also opaque to x-rays, making it easy to locate and adjust. The Heliogast band entered the market in 2003. The device features a streamlined band to ease insertion during the operation. 810:
these cases, a fluoroscope will generally be used. It is more common practice for the band not to be filled at surgery, although some surgeons choose to place a small amount in the band at the time of surgery. The stomach tends to swell following surgery and it is possible that too great a restriction would be achieved if filled at that time.
981:. Special articulating instruments and access ports make it unnecessary to place trocars externally for triangulation, thus allowing the creation of a small, solitary portal of entry into the abdomen. The SPL technique has been used to perform many types of surgery, including adjustable gastric banding and 490:(PBing). Productive Burping is not to be considered normal. The patient should consider eating less, eating more slowly and chewing food more thoroughly. Occasionally, the narrow passage into the larger, lower part of the stomach might also become blocked by a large portion of unchewed or unsuitable food. 809:
Clinical visits for regular fill adjustments generally take only about one to two minutes. However, for some patients, this type of fill is not possible because of issues such as partial rotation of the port or excess tissue above the port presenting difficulty in determining its precise location. In
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In 1992, Forsell, who fully owned the patent, was in contact with surgeons in Switzerland, Italy and Germany who began to implant the SAGB with the laparoscopic technique. In 1994, Dr. Forsell presented the SAGB at an international workshop for bariatric surgery in Sweden, and from then on, the SAGB
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Support groups exist for gastric-banding patients. Some mix RNY and gastric-bypass patients with gastric-banding patients. Some gastric-band patients have criticized this approach because, while many of the underlying issues related to obesity are the same, the needs and challenges of the two groups
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No accurate number of adjustments required can be given. The amount of saline/isotonic solution needed in the band varies from patient to patient. There are a small number of people who find that they do not need a fill at all and have sufficient restriction immediately following surgery. Others may
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In two reported cases, prompted by patients' reporting an absence of appetite suppression and of weight loss, investigation revealed that the band had not enclosed the stomach at all, instead enclosing only perigastric fat, with the effect that the passage of food was not restricted at all. In these
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According to the American Society for Metabolic Bariatric Surgery, bariatric surgery is not an easy option for obesity sufferers. It is a drastic step, and carries the usual pain and risks of any major gastrointestinal surgical operation. However, gastric banding is the least invasive surgery of its
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All of these early attempts at restriction using meshes, bands and clips showed a high failure rate because of difficulty achieving correct stomal diameter, stomach slippage, erosion, food intolerance, intractable vomiting and pouch dilatation. Despite these difficulties, silicone was identified as
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The early 1980s saw further developments, with Kolle (Norway), Molina & Oria (U.S.), Naslund (Sweden), Frydenberg (Australia) and Kuzmack (U.S.) implanting non-adjustable gastric bands made from a variety of materials, including marlex mesh, dacron vascular prosthesis, silicone covered mesh and
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Under some circumstances, fluid is removed from the band prior to further investigation and reevaluation. In other cases, further surgery may be required, such as removal of the band, should gastric erosion or a similar complication be detected. Some health practitioners adjust the band without the
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It is important to note that, in order to maintain their weight reduction, patients must carefully follow post-operative guidelines relating to diet, exercise, and band maintenance. Weight regain is possible with any weight loss procedure, including the more radical procedures that initially result
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The placement of the band creates a small pouch at the top of the stomach. This pouch holds approximately ½ cup of food, whereas the typical stomach holds about 6 cups of food. The pouch fills with food quickly, and the band slows the passage of food from the pouch to the lower part of the stomach.
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applied for a patent for the SAGB within Scandinavian countries. In late March, Dr. Hallberg presented his idea of the "balloon band" at the Swedish Surgical Society and started to use the SAGB in a controlled series of 50 procedures. At the time, laparoscopic surgery was uncommon and Dr. Hallberg
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A long-term, post-gastric-band surgery diet should consist of normal healthy food that is solid in nature and requires ample chewing to achieve a paste consistency prior to swallowing. This texture will maximise the effect of the band, in contrast to easier wet foods, such as soups, casseroles and
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The patient may be prescribed a liquid-only diet, followed by mushy foods and then solids. This is prescribed for a varied length of time and each surgeon and manufacturer varies. Some may find that before their first fill, they are still able to eat fairly large portions, because before the fill,
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The average gastric banding patient loses 500 grams to a kilogram (1–2 pounds) per week consistently, but heavier patients often lose faster in the beginning. This comes to roughly 22 to 45 kilograms (49 to 99 pounds) the first year for most band patients. It is important to keep in mind that
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If the band does not surround the vertical (esophagus-to-duodenum) axis of the stomach but instead surrounds only a non-vertical (horizontal or diagonal) axis of the stomach, as by encircling only a side or portion of a side of the stomach, then the restriction on food passage will be less, weight
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Typically, patients who undergo adjustable gastric banding procedures lose less weight over the first 3.5 years than those who have RNY gastric bypass, BPD, or DS surgeries. Although other procedures appear to result in greater weight loss than adjustable gastric banding in the short term, results
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If considering pregnancy, ideally the patient should be in optimum nutritional condition prior to, or immediately following, conception; deflation of the band may be required prior to a planned conception. Deflation should also be considered should the patient experience morning sickness. The band
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concluded "LAGB has been shown to produce a significant loss of excess weight while maintaining low rates of short-term complications and reducing obesity-related comorbidities. LAGB may not result in the most weight loss but it may be an option for bariatric patients who prefer or who are better
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In the U.S. market, one adjustable gastric band is currently approved by the FDA: Lap-Band. The Lap-Band System obtained FDA approval in 2001. The Realize Band lost FDA approval in 2016. The device comes in five different sizes and has undergone modification over the years. The latest models, the
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It is highly advised to take extra precautions during intercourse after surgery, as rapid weight loss increases fertility. Effective birth control methods must be used at all times to avoid unwanted pregnancies. Two factors have been pointed out by experts that may help explain this increase in
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as an accredited outpatient bariatric center in the U.S. The first outpatient lap-band procedure in the U.S. was performed at the AIGB True Results Surgery Center of Richardson, Texas in 2003, and since that time, AIGB True Results has performed more than 30,000 outpatient lap-band procedures.
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solution into a small access port placed just under the skin. A specialized non-coring needle is used to avoid damage to the port membrane and prevent leakage. There are many port designs (such as high profile and low profile), and they may be placed in varying positions based on the surgeon's
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Adjustable gastric-band surgery costs about $ 15,000 in the United States, although state-specific averages range from about $ 10,500 (Colorado and Texas) to over $ 33,000 (Alaska). Services included in these costs vary by surgical clinic and hospital, but most practices include all services
149:(FDA) expanded approval of adjustable gastric bands to patients with a BMI between 30 and 40 and one weight-related medical condition, such as diabetes or high blood pressure. However, an adjustable gastric band may be used only after other methods such as diet and exercise have been tried. 524:
Problems with the port and/or the tube connecting port and band – The port can "flip over" so that the membrane can no longer be accessed with a needle from the outside (this often goes hand in hand with a tube kink, and may require repositioning as a minor surgical procedure under local
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respectively. This meta-analysis also found that median life-expectancy was 9.3 years longer for obese adults with diabetes who received bariatric surgery as compared to routine (non-surgical) care, whereas the life expectancy gain was 5.1 years longer for obese adults without diabetes.
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Erosion – The band may slowly migrate through the stomach wall. This will result in the band moving from the outside of the stomach to the inside. This may occur silently but can cause severe problems. Urgent treatment may be required if there is any internal leak of gastric contents or
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was the first to apply an adjustable band (the Kuzmak ASGB device) by the laparoscopic approach. Over the next few years, the Kuzmak ASGB was modified to make it suitable for laparoscopic implantation, eventually emerging as the modern lap band. This landmark innovation was driven by
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in rapid weight loss. The National Institutes of Health recommendation for weight loss is 1 to 2 pounds (½ to 1 kilogram) per week, and an average banded patient may lose this amount. This is variable based on the individual and their personal circumstances, motivation, and mobility.
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Body Mass Index above 40, or those who are 100 pounds (7 stone/45 kilograms) or more over their estimated ideal weight, according to the National Institutes of Health, or those with a BMI between 30 and 40 with co-morbidities that may improve with weight loss (type 2
233:(minimally invasive) bariatric surgery patients found that they felt better, spent more time doing recreational and physical activities, benefited from enhanced productivity and economic opportunities, and had more self-confidence than they did prior to surgery. 170:(PYY). It does not decrease gastric emptying time. The individual achieves sustained weight loss by choosing healthy food options, limiting food intake and volume, reducing appetite, and progress of food from the top portion of the stomach to the lower portion 165:
The inflatable band is placed around the upper part of the stomach to create a smaller stomach pouch. This slows and limits the amount of food that can be consumed at one time, thus giving the opportunity for the sense of satiety to be met with the release of
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is stapled or removed, and the patient's intestines are not re-routed, they can continue to absorb nutrients from food normally. Gastric bands are made entirely of biocompatible materials, so they are able to stay in the patient's body without causing harm.
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Molina M, Oria HE. Gastric segmentation: a new, safe, effective, simple, readily revised and fully reversible surgical procedure for the correction of morbid obesity (abstract 15). In: 6th Bariatric Surgery Colloquium; Iowa City, IA: June 2–3,
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Separately, but in parallel with Kuzmak, Hallberg and Forsell in Stockholm, Sweden also developed an adjustable gastric band. After further work and modifications this eventually became known as the Swedish Adjustable Gastric Band (SAGB).
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complication rates. One caution with LAGB is the uncertainty about whether the low complication rate extends past three years, given a possibility of increased band-related complications (e.g., erosion, slippage) requiring re-operation".
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so that the radiologist can assess the placement of the band, the port, and the tubing that runs between the port and the band. The patient is given a small cup of liquid containing a clear or white radio-opaque fluid similar to
943:, Cadière, Favretti and O’Brien, and the Inamed Development Company engineered the device. The first human laparoscopic implantation of the newly developed lap band was performed by Belachew and le Grand on 1 September 1993 in 525:
anaesthesia); the port may get disconnected from the tube or the tube may be perforated in the course of a port access attempt (both would result in loss of fill fluid and restriction, and likewise require a minor operation).
871:, among others. In addition, Bashour developed the "gastro-clip", a 10.5 cm polypropylene clip with a 50cc pouch and a fixed 1.25 cm stoma, which was later abandoned because of its high rates of gastric erosion. 507:
Slippage – An unusual occurrence in which the lower part of the stomach may prolapse through the band causing an enlarged upper pouch. In severe instances this can cause an obstruction and require an urgent operation to
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Some studies reveal there is a decrease in adjustable gastric banding surgeries due to the increased risk of reoperation, compared to Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) bariatric procedures.
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says the procedure offers an effective, reversible, long-term solution for weight loss as long as patients get good follow-up care and are willing to carefully control the way they eat. This study was supported by
1735:"Association of metabolic-bariatric surgery with long-term survival in adults with and without diabetes: a one-stage meta-analysis of matched cohort and prospective controlled studies with 174 772 participants" 1468:
Courcoulas, Anita; Coley, R. Yates; Clark, Jeanne M.; McBride, Corrigan L.; Cirelli, Elizabeth; McTigue, Kathleen; Arterburn, David; Coleman, Karen J.; Wellman, Robert; Anau, Jane; Toh, Sengwee (2020-03-01).
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from the study by Maggard suggest that this difference decreases significantly over time. Gastric banding patients lose an average of 47.5% of their excess weight, according to a meta analysis by Buchwald.
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Early research on the concept of band “adjustability” can be traced back to the early work of G. Szinicz (Austria) who experimented with an adjustable band, connected to a subcutaneous port, in animals.
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is that the entire stomach is full, and this sensation helps the person to be hungry less often, feel full more quickly and for a longer period of time, eat smaller portions, and lose weight over time.
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However, not all patients are suitable for laparoscopy. Patients who are extremely obese, who have had previous abdominal surgery, or have complicating medical problems may require the open approach.
959:. In 1993, Broadbent in Australia and Catona in Italy implanted non-adjustable (Molina-type) gastric bands by laparoscopy. In 1994, the first international laparoscopic-band workshop was held in 1733:
Syn, Nicholas L.; Cummings, David E.; Wang, Louis Z.; Lin, Daryl J.; Zhao, Joseph J.; Loh, Marie; Koh, Zong Jie; Chew, Claire Alexandra; Loo, Ying Ern; Tai, Bee Choo; Kim, Guowei (2021-05-15).
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to create a work space for the surgeon. Then a small laparoscopic camera is placed through the incision into the abdomen. The camera sends a picture of the stomach and abdominal cavity to a
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are very different, as are their early rates of weight loss. Some gastric-band recipients feel that the procedure is a failure when they see that RNY patients generally lose weight faster.
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Nguyen NT, Hinojosa MW, Smith BR, Reavis KM (2008). "Single laparoscopic incision transabdominal (SLIT) surgery-adjustable gastric banding: a novel minimally invasive surgical approach".
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the best-tolerated material, with far fewer adhesions and tissue reactions occurring than with other materials. Nevertheless, adjustability became a primary goal of these early pioneers.
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Correct and sensitive adjustment of the band is imperative for weight loss and the long-term success of the procedure. Adjustments (also called "fills") may be performed using an X-ray
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In 2003, the American Institute of Gastric Banding (AIGB) True Results opened the first outpatient surgery center using advanced laparoscopic technology to be recognized by the
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At the end of the 1970s, Wilkinson developed several surgical approaches with a common aim to limit food intake without disrupting the continuity of the gastrointestinal tract.
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may remain deflated during pregnancy and once breast feeding is completed, or if bottle feeding, the band may be gradually re-inflated to aid postpartum weight loss as needed.
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Many health practitioners make the first adjustment between four and six weeks post-operatively to allow the stomach time to heal. After that, fills are performed as needed.
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Szinicz G, Müller L, Erhart W, Roth FX, Pointner R, Glaser K (1989). ""Reversible gastric banding" in surgical treatment of morbid obesity—results of animal experiments".
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Comprehension of the risks and benefits of the procedure and willingness to comply with the substantial lifelong dietary restrictions required for long-term success.
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As patients lose weight, their bands will need adjustments, or "fills", to ensure comfort and effectiveness. The gastric band is adjusted by introducing a
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Variation of outcome in weight loss with band volume adjustments under clinical and radiological control following laparoscopic adjustable gastric banding
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As with many developments in approaches to weight loss, some public figures have affected public opinion and increased awareness of gastric banding:
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and usually results in a shorter hospital stay, faster recovery, smaller scars, and less pain than open surgical procedures. Because no part of the
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has transformed the field of bariatric surgery and made the gastric band a more appealing option for the surgical management of obesity. In 1992,
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Lap-Band AP-L and Lap-Band AP-S, feature a standardized injection port sutured into the skin and fill volumes of 14 mL and 10 mL respectively.
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Mechanical malfunctions – port leakage, cracking of the kink-resistant tubing or disruption of the tubing connection from the port to the band
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One commonly reported occurrence for banded patients is regurgitation of non-acidic swallowed food from the upper pouch, commonly known as
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The development of the modern adjustable gastric band is a tribute both to the vision and persistence of the early pioneers, particularly
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Bashour SB, Hill RW (1985). "The gastro-clip gastroplasty: an alternative surgical procedure for the treatment of morbid obesity".
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preference, but are always attached (through sutures, staples, or another method) to the muscle wall in and around the diaphragm.
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Predictive Factors of Outcome After Gastric Banding: A Nationwide Survey on the Role of Center Activity and Patients' Behavior
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Belachew M, Legrand M, Vincent V, Lismonde M, Le Docte N, Deschamps V (1998). "Laparoscopic adjustable gastric banding".
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A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates
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Buchwald H, Avidor Y, Braunwald E, et al. (2004). "Bariatric surgery: a systematic review and meta-analysis".
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Cadiere GB, Favretti F, Bruyns J, et al. Gastroplastie par celiovideoscopie:technique. J Celio Chir 1994;10:27-31.
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Age between 18 and 55 years (although there are doctors who will work outside these ages, some as young as 12).
1680:"CADTH: Laparoscopic Adjustable Gastric Banding for Weight Loss in Obese Adults: Clinical and Economic Review" 1005:
into lapband safety, prompted by recent patient deaths after lapband surgeries at clinics affiliated with the
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Näslund E, Granström L, Stockeld D, Backman L (1994). "Marlex Mesh Gastric Banding: A 7-12 Year Follow-up".
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Catona A, Gossenberg M, La Manna A, Mussini G (1993). "Laparoscopic Gastric Banding: preliminary series".
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In 1978 Wilkinson and Peloso were the first to place, by open procedure, a non-adjustable band (2 cm
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reaction to materials contained in the band or who have exhibited a pain intolerance to implanted devices
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Metabolic Surgery Expected to Play Bigger Role in Treating Type 2 Diabetes And Other Metabolic Diseases
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procedure in which the surgeon operates almost exclusively through a single entry point, typically the
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Cadière GB, Bruyns J, Himpens J, Favretti F (1994). "Laparoscopic gastroplasty for morbid obesity".
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would be implanted laparoscopically. During this time, the SAGB was manufactured by Swedish company
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was associated with 59% and 30% reduction in all-cause mortality among obese adults with or without
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Kuzmak LI (1986). "Silicone gastric banding: a simple and effective operation for morbid obesity".
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speaking at an event in October 2015, Christie underwent lap-band stomach surgery in February 2013.
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Broadbent R, Tracey M, Harrington P (1993). "Laparoscopic Gastric Banding: a preliminary report".
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smoothies, which pass through the band quickly and easily resulting in greater caloric intake.
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and a sustained collaborative effort on the part of bio-engineers, surgeons and scientists.
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Pregnancy after Lap-Band Surgery: Management of the Band to Achieve Healthy Weight Outcomes
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In general, gastric banding is indicated for people for whom all of the following apply:
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Wilkinson LH, Peloso OA (1981). "Gastric (reservoir) reduction for morbid obesity".
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The following are the adverse effects of gastric banding as documented by the FDA.
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Gastric banding is usually not recommended for people with any of the following:
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Frydenberg HB (1991). "Modification of Gastric Banding, Using a Fundal Suture".
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In 2012 there was a request for a congressional investigation by members of the
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The surgical insertion of an adjustable gastric band is often referred to as a
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Kolle K. Gastric banding (abstract). OMGI 7th Congress, Stockholm,1982;145:37
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or other conditions which may make them poor surgical candidates in general.
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need significant adjustments to the maximum that the band is able to hold.
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Two other adjustable gastric bands are in use outside of the United States—
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Fewer life-threatening complications (see complications table for details)
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If the surgery or treatment represents an unreasonable risk to the patient
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FDA Approval: LAP-BAND Adjustable Gastric Banding (LAGB) System - P000008
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issues also do not occur since intestines are not removed or re-routed.
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As the upper part of the stomach registers as full, the message to the
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Benefits of gastric banding when compared to other bariatric surgeries
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Failure of medically supervised dietary therapy (for about 6 months).
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loss will be reduced, and a painful kink in the stomach may result.
3224: 978: 956: 952: 748:
suited to undergo less invasive and reversible surgery with lower
723: 655: 645: 612: 269: 243: 156: 1362:"Lap Band Surgery Helps Bremerton Girl Be 'The Kid I Want To Be'" 218:(a gas that occurs naturally in the body) is introduced into the 1872:
Wilkinson LH (1980). "Reduction of gastric reservoir capacity".
665: 131: 2618: 519:
cases, the patients experienced no additional adverse symptoms.
511:
Malposition of the band (rare with experienced practitioners):
210:(typically less than 1.25 cm or 0.5 in.) is made near the 2529:"House members call for probe into Lap-Band safety, marketing" 1409:. Obesity Surgery. 2001 Feb;11(1):59-65. Retrieved 2010-08-26. 944: 914:, started performing the open technique to implant the SAGB. 2004:
Frydenberg HB (1985). "The surgical management of obesity".
1807:. Annals of Surgery. 2007;6:1034–1039. Retrieved 2010-10-01. 470:
No malabsorption issues (because no intestines are bypassed)
344:
Inflammatory diseases of the gastrointestinal tract such as
1268:
Laparoscopic Adjustable Gastric Banding: Surgical Technique
1107: 1105: 2609: 1607:. Obesity Surgery. 2006;16: 829-835. Retrieved 2010-09-16. 1310:
Laparoscopic Adjustable Gastric Banding Using the Midband
1290: 452:
Lower mortality rate: only 1 in 1000 versus 1 in 250 for
383:
People with severe learning or cognitive disabilities or
1638:"Christie reveals secret stomach surgery to lose weight" 1794:. Obesity Surgery. 2010;20:13–18. Retrieved 2010-10-01. 1213:
Surgical Procedures & Innovations: Gastric Bandings
756:
Researcher Paul O’Brien, MD, of Melbourne, Australia's
1328:
Dr. Jacob Haiavy and Dr. John Olsofka (25 May 2021).
951:, followed on 8 September by Cadière and Favretti in 768:
A meta-analysis of 174,772 participants published in
258:
Adjustable gastric bands hold between 4 and 12 cc of
1706:"Lap-Band Shown Effective for Long-Term Weight Loss" 1248:
American Society for Metabolic and Bariatric Surgery
1115:. University of California San Diego. Archived from 419:
Unlike more open forms of weight loss surgery (e.g.
3518: 3486: 3454: 3411: 3402: 3360: 3285: 3223: 3214: 3178: 3084: 3046: 3018: 2980: 2920: 2911: 2872: 2737: 2680: 2671: 2662: 46: 38: 21: 102:Adjustable gastric band surgery is an example of 178:kind and is completely reversible, with another 2431:Saber AA, Elgamal MH, Itawi EA, Rao AJ (2008). 1528:Bariatric Surgery Complications and Emergencies 2581:Sharon Osbourne candid about colorectal cancer 1582:Brief History and Summary of Bariatric Surgery 3270:Transjugular intrahepatic portosystemic shunt 2630: 2123:Oria, Horacio E.; Doherty, Cornelius (2007). 2072: 2070: 1786: 1784: 1619:"Another patient dies after Lap-Band surgery" 1599: 1597: 1577: 1575: 963:and the first involving the SAGB was held in 8: 1636:Palmeri, Tara; DeFalco, Beth (May 7, 2013). 1436:Meta-analysis: surgical treatment of obesity 1226: 1224: 1156: 1154: 1130: 1128: 1126: 863:mesh) around the upper part of the stomach. 91:device placed around the top portion of the 1233:, fda.gov 2001-06-05. Retrieved 2010-01-21. 765:Inc., which markets a gastric band system. 709:An inability to maintain proper restriction 3408: 3220: 2917: 2677: 2668: 2637: 2623: 2615: 2610:American Society for Lap-Band Patient Info 1874:The American Journal of Clinical Nutrition 1851:Average Cost of Lap Band Surgery By Region 1554:Maggard M, Shugarman L, Suttorp M, et al. 1434:Maggard M, Shugarman L, Suttorp M, et al. 847:History and development of gastric banding 556:Erosion of the band into the gastric lumen 161:Illustration of adjustable gastric banding 27: 2140: 1502: 1442:. 2005;142:547-559. Retrieved 2010-09-16. 415:Comparison with other bariatric surgeries 99:, intended to decrease food consumption. 3076:Transanal hemorrhoidal dearterialization 3233:Artificial extracorporeal liver support 2587:, 2003-11-14. Retrieved on May 30, 2007 2125:"Farewell to a Pioneer: Lubomyr Kuzmak" 1058: 2512:: CS1 maint: archived copy as title ( 2505: 1803:Chevallier J, Paita M, Rodde-Dunet M. 1790:Cherian P, Tentzeris V, Sigurdsson A. 1617:Pfeifer, Stuart (September 23, 2011). 568:Infection of the fluid within the band 18: 1728: 1726: 1148:. 2009;08-4006. Retrieved 2010-07-30. 467:Adjustable without additional surgery 458:No cutting or stapling of the stomach 338:Untreated endocrine diseases such as 182:. Gastric banding is performed using 33:Diagram of an adjustable gastric band 7: 2788:Vertical banded gastroplasty surgery 2600:NIH statistics on weight and obesity 1921:10.1001/archsurg.1981.01380170082014 1825:. bariatricguide.org. Archived from 1135:Bariatric Surgery for Severe Obesity 571:Bulging of the port through the skin 500:Gastritis (irritated stomach tissue) 394:Special considerations for pregnancy 145:In February 2011, the United States 73:laparoscopic adjustable gastric band 2837:Percutaneous endoscopic gastrostomy 2645:Tests and procedures involving the 2555:"Britton admits to stomach surgery" 2527:Pfeifer, Stuart (20 January 2012). 1823:Bariatric Surgery Information Guide 1667:Surgical procedures and innovations 1603:Suter M, Calmes J, Paroz A, et al. 1458:2005;05-5213. Retrieved 2010-09-16. 1419:Can weight loss increase fertility? 1007:1-800-GET-THIN advertising campaign 324:History of obesity (up to 5 years). 106:designed for obese patients with a 57: 3275:Distal splenorenal shunt procedure 2605:Medical Journal of Australia study 2542:"She floats like a butterfly, too" 1704:Boyles, Salynn (18 January 2013). 1526:Herron, Daniel M. (8 March 2016). 411:, which is produced by fat cells. 206:or band placement. First, a small 198:Placement via laparoscopic surgery 136:hypertension (high blood pressure) 14: 2166:Research in Experimental Medicine 553:Esophageal dilatation/dysmotility 407:) and reduction in the excess of 1291:MĂ©dical Innovation DĂ©veloppement 1280:MĂ©dical Innovation DĂ©veloppement 1092:"Most Popular E-mail Newsletter" 785:Band adjustments and weight loss 454:Roux-en-Y gastric bypass surgery 421:Roux-en-Y gastric bypass surgery 3066:Lateral internal sphincterotomy 114:that are known to improve with 2773:Endoscopic sleeve gastroplasty 2724:Functional Lumen Imaging Probe 2209:The British Journal of Surgery 1: 3155:Lower gastrointestinal series 2899:Upper gastrointestinal series 1751:10.1016/S0140-6736(21)00591-2 1456:National Institutes of Health 1405:Dixon J, Dixon M, O’Brien P. 1201:National Institutes of Health 1146:National Institutes of Health 493:Other complications include: 403:fertility: reversal of PCOS ( 3421:Diagnostic peritoneal lavage 3140:Double-contrast barium enema 2967:Partial ileal bypass surgery 2844:Esophagogastric dissociation 1819:"Lap Band vs Gastric Bypass" 1197:Laparoscopic gastric banding 990:American College of Surgeons 550:Band slippage/pouch dilation 147:Food and Drug Administration 3238:Bioartificial liver devices 3165:Transrectal ultrasonography 2006:Australian Family Physician 1440:Annals of Internal Medicine 1364:. July 2007. Archived from 821:Post-surgical diet and care 715:Losing weight after surgery 3595: 3160:Small-bowel follow-through 3028:Abdominoperineal resection 2887:Esophagogastroduodenoscopy 2359:10.1381/096089293765559610 2316:10.1381/096089293765559791 2045:10.1381/096089291765561088 1975:10.1381/096089294765558494 1854:, Bariatric Surgery Source 1487:10.1001/jamasurg.2019.5470 1423:Discovery Fit & Health 1315:February 23, 2011, at the 1067:"Online ICD9/ICD9CM codes" 536:Documented adverse effects 16:Inflatable silicone device 3520:Clinical prediction rules 3426:Intraperitoneal injection 3130:Abdominal ultrasonography 3038:Total mesorectal excision 2957:Intestine transplantation 2747:Sengstaken–Blakemore tube 2729:High resolution manometry 2719:Esophageal motility study 2653: 2544:, thinforlife.med.nyu.edu 2449:10.1007/s11695-008-9646-0 2402:10.1007/s11695-008-9705-6 2142:10.1007/s11695-007-9036-z 1587:November 3, 2010, at the 1270:, thinforlife.med.nyu.edu 1025:Khaliah Ali (daughter of 936:Prof. Guy-Bernard Cadière 425:Biliopancreatic diversion 405:polycystic ovary syndrome 266:Types of adjustable bands 58: 26: 3375:Pancreas transplantation 3033:Lower anterior resection 2714:Esophageal pH monitoring 2656:Digestive system surgery 2252:World Journal of Surgery 1567:University of California 1556:LAP BAND Diet Guidelines 1452:Aim for a Healthy Weight 1347:August 27, 2010, at the 1175:10.1001/jama.292.14.1724 433:Gastric dumping syndrome 361:cardiopulmonary diseases 3469:Inguinal hernia surgery 3385:Pancreaticoduodenectomy 2768:Adjustable gastric band 2709:Impedance–pH monitoring 1425:. Retrieved 2013-12-06. 1300:. Retrieved 2010-01-21. 1203:. Retrieved 2010-07-08. 1113:"Gastric Band/Lap Band" 971:Single-port laparoscopy 930:The advent of surgical 910:and his assistant, Dr. 838:Cost of gastric banding 591:Gastroesophageal reflux 545:Band- and port-specific 478:Potential complications 22:Adjustable gastric band 3499:Exploratory laparotomy 3314:Hepatoportoenterostomy 2778:Gastric bypass surgery 2647:human digestive system 2221:10.1002/bjs.1800811042 2012:(10): 1017–8, 1020–2. 1042:gastric bypass surgery 1038:Professor Chris Oliver 973:(SPL) is an advanced, 736: 275: 162: 3474:Femoral hernia repair 3260:Liver transplantation 2854:Nissen fundoplication 2531:– via LA Times. 2264:10.1007/s002689900499 1886:10.1093/ajcn/33.2.515 727: 273: 160: 3071:Rubber band ligation 3010:Hartmann's operation 2079:Contemporary Surgery 1745:(10287): 1830–1841. 926:The laparoscopic era 852:Non-adjustable bands 673:Incisional infection 385:emotionally unstable 294:Surgical indications 274:Realize and Lap-Band 229:Clinical studies of 184:laparoscopic surgery 75:, commonly called a 3579:Implants (medicine) 3446:Peritoneal dialysis 3265:Portal hypertension 3170:Virtual colonoscopy 3145:Endoanal ultrasound 3061:Anorectal manometry 3056:Anal sphincterotomy 3000:Colonic polypectomy 2795:Collis gastroplasty 1909:Archives of Surgery 1532:Springer Publishing 1216:Columbia University 1011:Southern California 905:In early 1985, Dr. 772:in 2021 found that 461:Short hospital stay 180:"keyhole" operation 87:, is an inflatable 2940:Jejunoileal bypass 2783:Sleeve gastrectomy 2178:10.1007/BF01856030 1880:(2 Suppl): 515–7. 1561:2011-04-27 at the 1296:2016-01-17 at the 1285:2015-11-01 at the 1140:2015-03-30 at the 983:sleeve gastrectomy 975:minimally invasive 737: 488:Productive Burping 276: 204:lap band procedure 163: 140:metabolic syndrome 3574:Bariatric surgery 3561: 3560: 3506:Rapid urease test 3482: 3481: 3398: 3397: 3390:Puestow procedure 3352:Cholescintigraphy 3210: 3209: 3206: 3205: 3198:Stool guaiac test 3108:Capsule endoscopy 2930:Bariatric surgery 2907: 2906: 2822:Gastroenterostomy 2763:Bariatric surgery 1623:Los Angeles Times 1195:Lee C, Zieve, D. 774:bariatric surgery 758:Monash University 745:systematic review 565:Port displacement 528:Internal bleeding 153:Working principle 104:bariatric surgery 69: 68: 3586: 3543:Child–Pugh score 3510:Urea breath test 3409: 3370:Frey's procedure 3347:Cholecystography 3221: 2918: 2753:Nasogastric tube 2678: 2669: 2639: 2632: 2625: 2616: 2588: 2578: 2572: 2571: 2569: 2568: 2551: 2545: 2539: 2533: 2532: 2524: 2518: 2517: 2511: 2503: 2501: 2500: 2494: 2488:. Archived from 2487: 2479: 2473: 2472: 2467:. Archived from 2428: 2422: 2421: 2385: 2379: 2378: 2342: 2336: 2335: 2299: 2293: 2290: 2284: 2283: 2247: 2241: 2240: 2204: 2198: 2197: 2161: 2155: 2154: 2144: 2120: 2114: 2113: 2093: 2087: 2086: 2074: 2065: 2064: 2028: 2022: 2021: 2001: 1995: 1994: 1958: 1952: 1948: 1942: 1939: 1933: 1932: 1904: 1898: 1897: 1869: 1863: 1862: 1861: 1859: 1845: 1839: 1838: 1836: 1834: 1814: 1808: 1801: 1795: 1788: 1779: 1778: 1730: 1721: 1720: 1718: 1716: 1701: 1695: 1694: 1692: 1691: 1682:. Archived from 1676: 1670: 1664: 1658: 1657: 1655: 1653: 1644:. Archived from 1633: 1627: 1626: 1614: 1608: 1601: 1592: 1579: 1570: 1552: 1546: 1545: 1523: 1517: 1516: 1506: 1465: 1459: 1449: 1443: 1432: 1426: 1416: 1410: 1403: 1397: 1396: 1394: 1393: 1383: 1377: 1376: 1374: 1373: 1358: 1352: 1339: 1333: 1330:Lap band surgery 1326: 1320: 1307: 1301: 1277: 1271: 1265: 1259: 1258: 1256: 1255: 1240: 1234: 1228: 1219: 1210: 1204: 1193: 1187: 1186: 1158: 1149: 1132: 1121: 1120: 1109: 1100: 1099: 1088: 1082: 1081: 1079: 1078: 1069:. Archived from 1063: 879:Adjustable bands 706:Band intolerance 698:Abnormal healing 142:, among others. 62:edit on Wikidata 31: 19: 3594: 3593: 3589: 3588: 3587: 3585: 3584: 3583: 3564: 3563: 3562: 3557: 3548:Ranson criteria 3514: 3478: 3450: 3394: 3356: 3325:Cholangiography 3321:Medical imaging 3304:Cholecystostomy 3299:Cholecystectomy 3281: 3202: 3174: 3086:Medical imaging 3080: 3042: 3014: 2976: 2972:Strictureplasty 2947:Bowel resection 2935:Duodenal switch 2903: 2874:Medical imaging 2868: 2733: 2664:Digestive tract 2658: 2649: 2643: 2596: 2591: 2579: 2575: 2566: 2564: 2553: 2552: 2548: 2540: 2536: 2526: 2525: 2521: 2504: 2498: 2496: 2492: 2485: 2483:"Archived copy" 2481: 2480: 2476: 2443:(10): 1338–42. 2437:Obesity Surgery 2430: 2429: 2425: 2396:(12): 1628–31. 2390:Obesity Surgery 2387: 2386: 2382: 2347:Obesity Surgery 2344: 2343: 2339: 2304:Obesity Surgery 2301: 2300: 2296: 2291: 2287: 2249: 2248: 2244: 2206: 2205: 2201: 2163: 2162: 2158: 2129:Obesity Surgery 2122: 2121: 2117: 2095: 2094: 2090: 2076: 2075: 2068: 2033:Obesity Surgery 2030: 2029: 2025: 2003: 2002: 1998: 1963:Obesity Surgery 1960: 1959: 1955: 1949: 1945: 1940: 1936: 1906: 1905: 1901: 1871: 1870: 1866: 1857: 1855: 1847: 1846: 1842: 1832: 1830: 1816: 1815: 1811: 1802: 1798: 1789: 1782: 1732: 1731: 1724: 1714: 1712: 1703: 1702: 1698: 1689: 1687: 1678: 1677: 1673: 1665: 1661: 1651: 1649: 1635: 1634: 1630: 1616: 1615: 1611: 1602: 1595: 1589:Wayback Machine 1580: 1573: 1563:Wayback Machine 1553: 1549: 1542: 1534:. p. 119. 1525: 1524: 1520: 1467: 1466: 1462: 1450: 1446: 1433: 1429: 1417: 1413: 1404: 1400: 1391: 1389: 1385: 1384: 1380: 1371: 1369: 1360: 1359: 1355: 1349:Wayback Machine 1340: 1336: 1327: 1323: 1317:Wayback Machine 1308: 1304: 1298:Wayback Machine 1287:Wayback Machine 1278: 1274: 1266: 1262: 1253: 1251: 1242: 1241: 1237: 1229: 1222: 1211: 1207: 1194: 1190: 1169:(14): 1724–37. 1160: 1159: 1152: 1142:Wayback Machine 1133: 1124: 1111: 1110: 1103: 1090: 1089: 1085: 1076: 1074: 1065: 1064: 1060: 1056: 1048:Sharon Osbourne 1019: 999: 928: 881: 854: 849: 840: 823: 787: 778:type 2 diabetes 722: 717: 712: 695: 631: 629:Body as a whole 578: 547: 538: 480: 449: 429:Duodenal Switch 417: 396: 354:Crohn's disease 296: 268: 260:saline solution 239: 200: 155: 108:body mass index 65: 34: 17: 12: 11: 5: 3592: 3590: 3582: 3581: 3576: 3566: 3565: 3559: 3558: 3556: 3555: 3553:Milan criteria 3550: 3545: 3540: 3535: 3530: 3524: 3522: 3516: 3515: 3513: 3512: 3503: 3502: 3501: 3490: 3488: 3484: 3483: 3480: 3479: 3477: 3476: 3471: 3466: 3460: 3458: 3452: 3451: 3449: 3448: 3443: 3438: 3433: 3428: 3423: 3417: 3415: 3406: 3404:Abdominopelvic 3400: 3399: 3396: 3395: 3393: 3392: 3387: 3382: 3380:Pancreatectomy 3377: 3372: 3366: 3364: 3358: 3357: 3355: 3354: 3349: 3344: 3343: 3342: 3337: 3332: 3317: 3316: 3311: 3306: 3301: 3295: 3293: 3283: 3282: 3280: 3279: 3278: 3277: 3272: 3262: 3257: 3252: 3247: 3246: 3245: 3243:Liver dialysis 3240: 3229: 3227: 3218: 3212: 3211: 3208: 3207: 3204: 3203: 3201: 3200: 3195: 3190: 3188:Fecal fat test 3184: 3182: 3176: 3175: 3173: 3172: 3167: 3162: 3157: 3152: 3147: 3142: 3137: 3132: 3126: 3125: 3120: 3115: 3110: 3105: 3100: 3090: 3088: 3082: 3081: 3079: 3078: 3073: 3068: 3063: 3058: 3052: 3050: 3044: 3043: 3041: 3040: 3035: 3030: 3024: 3022: 3016: 3015: 3013: 3012: 3007: 3002: 2997: 2992: 2986: 2984: 2978: 2977: 2975: 2974: 2969: 2964: 2959: 2954: 2949: 2944: 2943: 2942: 2937: 2926: 2924: 2915: 2913:Lower GI tract 2909: 2908: 2905: 2904: 2902: 2901: 2896: 2894:Barium swallow 2891: 2890: 2889: 2878: 2876: 2870: 2869: 2867: 2866: 2864:Schilling test 2861: 2856: 2851: 2846: 2841: 2840: 2839: 2829: 2824: 2819: 2818: 2817: 2812: 2807: 2797: 2792: 2791: 2790: 2785: 2780: 2775: 2770: 2760: 2758:Gastric lavage 2755: 2750: 2743: 2741: 2735: 2734: 2732: 2731: 2726: 2721: 2716: 2711: 2706: 2701: 2699:Heller myotomy 2696: 2690: 2688: 2675: 2673:Upper GI tract 2666: 2660: 2659: 2654: 2651: 2650: 2644: 2642: 2641: 2634: 2627: 2619: 2613: 2612: 2607: 2602: 2595: 2594:External links 2592: 2590: 2589: 2573: 2546: 2534: 2519: 2474: 2471:on 2012-07-13. 2423: 2380: 2337: 2294: 2285: 2242: 2199: 2156: 2115: 2098:Texas Medicine 2088: 2066: 2023: 1996: 1953: 1943: 1934: 1899: 1864: 1840: 1809: 1796: 1780: 1722: 1696: 1671: 1659: 1648:on May 8, 2013 1628: 1609: 1593: 1571: 1547: 1540: 1518: 1481:(3): 194–204. 1460: 1444: 1427: 1411: 1398: 1378: 1353: 1334: 1321: 1302: 1272: 1260: 1235: 1220: 1205: 1188: 1150: 1122: 1119:on 2010-08-13. 1101: 1083: 1057: 1055: 1052: 1051: 1050: 1045: 1035: 1030: 1018: 1015: 998: 995: 927: 924: 896:Lubomyr Kuzmak 885:Lubomyr Kuzmak 880: 877: 853: 850: 848: 845: 839: 836: 822: 819: 786: 783: 733:Chris Christie 721: 718: 716: 713: 711: 710: 707: 704: 699: 694: 691: 690: 689: 686: 683: 680: 677: 674: 671: 668: 663: 658: 653: 648: 643: 638: 630: 627: 626: 625: 623:Diverticulosis 620: 615: 609: 604: 599: 593: 588: 577: 574: 573: 572: 569: 566: 563: 562:Port site pain 560: 557: 554: 551: 546: 543: 542: 537: 534: 533: 532: 529: 526: 522: 521: 520: 516: 509: 505: 501: 498: 479: 476: 475: 474: 471: 468: 465: 464:Quick recovery 462: 459: 456: 448: 445: 416: 413: 395: 392: 389: 388: 381: 373:Dependency on 371: 364: 357: 342: 340:hypothyroidism 336: 329: 328: 325: 322: 319: 316: 295: 292: 267: 264: 238: 235: 216:Carbon dioxide 199: 196: 154: 151: 128:osteoarthritis 67: 66: 59: 56: 55: 50: 44: 43: 40: 36: 35: 32: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 3591: 3580: 3577: 3575: 3572: 3571: 3569: 3554: 3551: 3549: 3546: 3544: 3541: 3539: 3536: 3534: 3531: 3529: 3526: 3525: 3523: 3521: 3517: 3511: 3507: 3504: 3500: 3497: 3496: 3495: 3492: 3491: 3489: 3485: 3475: 3472: 3470: 3467: 3465: 3464:Hernia repair 3462: 3461: 3459: 3457: 3453: 3447: 3444: 3442: 3439: 3437: 3434: 3432: 3429: 3427: 3424: 3422: 3419: 3418: 3416: 3414: 3410: 3407: 3405: 3401: 3391: 3388: 3386: 3383: 3381: 3378: 3376: 3373: 3371: 3368: 3367: 3365: 3363: 3359: 3353: 3350: 3348: 3345: 3341: 3338: 3336: 3333: 3331: 3328: 3327: 3326: 3322: 3319: 3318: 3315: 3312: 3310: 3307: 3305: 3302: 3300: 3297: 3296: 3294: 3292: 3288: 3284: 3276: 3273: 3271: 3268: 3267: 3266: 3263: 3261: 3258: 3256: 3253: 3251: 3248: 3244: 3241: 3239: 3236: 3235: 3234: 3231: 3230: 3228: 3226: 3222: 3219: 3217: 3213: 3199: 3196: 3194: 3193:Fecal pH test 3191: 3189: 3186: 3185: 3183: 3181: 3177: 3171: 3168: 3166: 3163: 3161: 3158: 3156: 3153: 3151: 3148: 3146: 3143: 3141: 3138: 3136: 3133: 3131: 3128: 3127: 3124: 3123:Sigmoidoscopy 3121: 3119: 3116: 3114: 3111: 3109: 3106: 3104: 3101: 3099: 3095: 3092: 3091: 3089: 3087: 3083: 3077: 3074: 3072: 3069: 3067: 3064: 3062: 3059: 3057: 3054: 3053: 3051: 3049: 3045: 3039: 3036: 3034: 3031: 3029: 3026: 3025: 3023: 3021: 3017: 3011: 3008: 3006: 3003: 3001: 2998: 2996: 2993: 2991: 2988: 2987: 2985: 2983: 2979: 2973: 2970: 2968: 2965: 2963: 2960: 2958: 2955: 2953: 2950: 2948: 2945: 2941: 2938: 2936: 2933: 2932: 2931: 2928: 2927: 2925: 2923: 2919: 2916: 2914: 2910: 2900: 2897: 2895: 2892: 2888: 2885: 2884: 2883: 2880: 2879: 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canal 2827:Gastropexy 2805:Billroth I 2567:2008-06-01 2560:BBC Online 2499:2012-02-17 1858:30 October 1715:16 January 1690:2007-09-24 1392:2021-05-29 1372:2007-07-18 1254:2021-01-04 1077:2012-08-06 1054:References 770:The Lancet 729:New Jersey 670:Chest pain 497:Ulceration 427:(BPD) and 168:peptide YY 118:, such as 3291:bile duct 3216:Accessory 3094:Endoscopy 3005:Colostomy 2995:Colectomy 2952:Ileostomy 2882:Endoscopy 2815:Roux-en-Y 2686:Esophagus 2585:USA Today 1775:234345414 1759:1474-547X 1495:2168-6254 1096:USA Today 1017:Awareness 894:In 1986, 731:Governor 682:Hair loss 651:Infection 635:Abdominal 611:Abnormal 602:Dysphagia 576:Digestive 531:Infection 504:bleeding. 284:Heliogast 237:Mechanics 172:digestion 95:to treat 3362:Pancreas 3103:Anoscopy 2508:cite web 2465:38896014 2457:18688685 2418:35445891 2410:18830779 2375:24296890 2367:10757923 2332:30354540 2324:10757907 2237:45837033 2194:27797621 2151:72483689 2061:21093576 2053:10775933 1983:10742785 1767:33965067 1585:Archived 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Index


ICD-9-CM
44.95
edit on Wikidata
silicone
stomach
obesity
bariatric surgery
body mass index
comorbidities
weight loss
sleep apnea
diabetes
osteoarthritis
GERD
hypertension (high blood pressure)
metabolic syndrome
Food and Drug Administration

peptide YY
digestion
"keyhole" operation
laparoscopic surgery
stomach
incision
belly button
Carbon dioxide
abdomen
video monitor
laparoscopic

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