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Regularly scheduled visits to the surgeon for adjustments or "fills" is essential
to success. - Weight loss is slower and more gradual with banding
vs bypass. However, more recent studies show over a five year period, the amount of weight loss approaches 50%
of excessive body weight which is close to that achieved by bypass.
- Clearly, operative complications are
less frequent with banding vs bypass.
- The band is easier to remove vs the near irreversability of bypass.
- The
band is adjustable if for a reason the patient needs to stop dieting ie pregnancy.
- In addition, since
there is no malabsorption component there is less nutrient deficiency worries with banding.
- Some
disadvantages of banding vs bypass exist.
- Patients may never tolerate certain foods vs bypass patients
who eventually can tolerate most all foods.
- The need for more frequent office visits with banding vs bypass may not
be possible for some patients.
- Patients who want rapid results need to realize the weight loss with
banding is usually much slower and could become frustrated.
- Finally, some patients simply fail
to loose much weight with banding and even convert to bypass over time.
- Nevertheless, banding is become
increasingly more popular. there are two major types of band in the USA:
- >THE LAP-BAND made
by ALLERGAN which is the most commonly used product and the one used at Beaumont Hospital
- >THE RELIANT BAND,
made by JOHNSON & JOHNSON.
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