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laparoscopic surgery is equally effective and as safe as open surgery; patients should undergo comprehensive preoperative evaluation and have multi-disciplinary support for optimum outcome; In recent comparisons with sleeve gastrectomy, gastric bypass has shown slightly better outcomes in diabetes remission and weight maintenance.
It may be performed laparoscopically, and the average recovery time is approximately two weeks. [8] The weight loss success rate after Roux-en-Y gastric bypass revision surgery is generally excellent. [9] There are some associated risks of vitamin deficiency and stomach ulcer formation requiring prevention with multivitamins and proton pump ...
Most patients do remain obese (BMI 25-35) following surgery despite significant weight loss, and patients with BMI over 40 tended to lose more weight than those with BMI under 40. [29] [30] Concerning metabolic syndrome, bariatric surgery patients were able to achieve remission 2.4 times as often as those who underwent nonsurgical treatment.
SILS has been used for several common surgical procedures including hernia repair, [1] cholecystectomy [2] and nephrectomy. [3] The SILS technique has also been used in weight-loss surgery for both sleeve gastrectomy [4] and – more recently – for laparoscopic adjustable gastric banding (LAGB). [5]
Sleeve gastrectomy or vertical sleeve gastrectomy, is a surgical weight-loss procedure, typically performed laparoscopically, in which approximately 75 - 85% of the stomach is removed, [1] [2] along the greater curvature, [3] which leaves a cylindrical, or "sleeve"-shaped stomach the size of a banana.
In 1985, he constructed the pelvi-trainer = laparo-trainer, a practical surgical model whereby colleagues could practice laparoscopic techniques. Semm published over 1000 papers in various journals. He also produced over 30 endoscopic films and more than 20,000 colored slides to teach and inform interested colleagues about his technique.
Advantages of the ESG over LSG include lack of incisions, shorter length of stay (same-day-discharge vs 3 days in hospital); [29] less gastroesophageal reflux (0-2% vs 15-31%); [36] [45] and lower morbidity and overall adverse event rate (1.9% vs 14.5%), [45] [46] though some studies have presented similar rates of adverse events between ESG ...
Adjustable gastric band surgery is an example of bariatric surgery designed for obese patients with a body mass index (BMI) of 40 or greater—or between 35 and 40 in cases of patients with certain comorbidities that are known to improve with weight loss, such as sleep apnea, diabetes, osteoarthritis, GERD, hypertension (high blood pressure ...
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