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A laparoscopic adjustable gastric band, commonly called a lap-band, A band, or LAGB, is an inflatable silicone device placed around the top portion of the stomach to treat obesity, intended to decrease food consumption.
A 2016 review estimated bariatric surgery could reduce all-cause mortality by 30-50% in obese people. [1] ... Gastric banding is the least invasive, ...
He published results of the stoma adjustable silicone gastric banding by laparotomy in 1991 and 1992, on 121 and 156 patients, respectively. [8] [9] His invention was eventually improved and adapted to be placed laparoscopically (Lap-Band), by the then-named BioEnterics Company in Carpinteria, California. In the early 1990s, Kuzmak trained ...
The first laparoscopic implantation of the LAP-BAND was performed by Belachew and Favretti in September 1993 [7] [8] and since then, approximately 400,000 implants have been performed worldwide. Until now, the laparoscopic technique required 5 incisions (4 × 5 mm and 1 × 5 mm), with visible scars.
The Roux-en-Y laparoscopic gastric bypass, first performed and reported on in case studies between 1993 and 1994, [3] is regarded as one of the most difficult procedures to perform by limited access techniques.
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When enough full-thickness bites have been taken for a suture row, a cinch is passed through the scope over the suture. Typically, sutures are placed starting at the border of the antrum and gastric body at the incisura, then placed proximally up to the border of the gastric body and fundus. Each row of sutures can be a straight line or one of ...
Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery (RGB) is the most common. In this technique, staples are used to form a pouch that is connected to the small intestine , bypassing the lower stomach, the duodenum , and the first portion of the jejunum .
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