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Complications of
the gastric band
Like any operation, insertion of the gastric band does
have risks associated with it, although every care is
taken to reduce these to a minimum. Most problems are
cause by pre-existing diseases such as heart disease
or high blood pressure although wound and chest infections,
clots in the legs and lungs, as well as other complications,
can occur.
Complication specifically related to the gastric band
also occur. These include slippage of the band, migration
into the stomach, increase in the size of the stomach
and gullet, rupture of the balloon and misplacement
or infection of the port. These may lead to the need
for the band or port to be removed, repositioned or
replaced. One in 10 patients will need further surgery
for these or other complications
Gastric bypass surgery
The gastric bypass operation is a combination of a restrictive
and malabsorbtive procedure. The operation can normally
be completed laparoscopically through 6
or so small cuts in the abdomen the largest of which
is about 15mm in size. The
upper end of the stomach is divided across to produce
a gastric pouch, which is about the size of a mouthful
of food. The small bowel
is then divided 50 cm from its upper end and the
far end of the bowel brought up and joined to the gastric
pouch. The upper end of
the small bowel is then joined back to the lower
small bowel 100 cm below where it is joins the gastric
pouch. This ensures that digestive juices from the stomach,
duodenum and pancreases as well as bile from the liver
are able to mix with and digest the meal.
Complications of the gastric bypass
Like any operation, gastric bypass does have risks associated
with it although every care is taken to reduce these
to a minimum. Most problems are cause by pre-existing
diseases such as heart disease or high blood pressure
although wound and chest infections, clots in the legs
and lungs, as well as other complications, can occur.
These include leakage from one of the joins in the bowel,
narrowing of one of the joins or ulceration of the gastric
pouch.
The postoperative fluid and diet regime and golden rules
for achieving and maintaining weight loss apply as for
the gastric band operation (see above).
The golden rules of
achieving and maintaining weight loss after surgery
1.
Eat only three small meals per day
2.
Eat slowly
3.
Thoroughly chew all food
4.
Do not drink while eating
5.
Stop eating as soon as you feel full
6.
Avoid snacking
7.
Avoid sweets and ice-cream which go down easily and
are high in calories
8.
Drink only low calorie drinks, or better still NO calorie
drinks.
9.
Exercise regularly
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