The
idea
behind
the
operation
is
to
create
a
small
pouch
in
the
upper
part
of
the
stomach
with
a
controlled
and
adjustable
stoma,
without
stapling,
thus
limiting
food
intake.
A
gastric
lap
band
surgery
abroad
device
is
introduced
through
tiny
(1cm)
incisions
in
the
abdomen
and
is
placed
around
the
upper
part
of
the
stomach.
The
resulting
pouch
(or
the
"new
stomach")
dramatically
reduces
the
functional
capacity
of
the
stomach.
The
lap
band
surgery
abroad
has
a
balloon
from
the
inside
that
is
adjustable
and
can
reduce
stoma
size,
thus
prolonging
the
period
of
fullness.
Advantages:
•
Lowest
mortality
rate
•
Least
invasive
surgical
approach
•
No
stomach
stapling
or
cutting,
or
intestinal
re-routing
•
Adjustable
•
Reversible
•
Lowest
operative
complication
rate
•
Low
malnutrition
risk
Disadvantages
•
Slower
initial
weight
loss
•
Regular
follow-up
critical
for
optimal
results
•
Requires
an
implanted
medical
device
•
In
some
cases,
effectiveness
can
be
reduced
due
to
band
slippage
•
In
some
cases,
the
access
port
may
leak
and
require
minor
revisional
surgery