Which of the following is an advantage of the laparoscopic band when compared to o Roux-en-Y gastric bypass (RYGB)?
|A||Frequent visits for adjustment of port|
|B||Better weight loss|
|C||Better control of gastroesophageal reflux|
|D||Lower leak rate|
a. Advantages: Laparoscopic adjustable gastric banding is a relatively simple procedure that takes less operative time than the more complex procedure such as lap. RYGB or laparoscopic biliopancreatic diversion.
b. The mortality is low (0.06%), as are conversion rates (0-4%). No staple lines or anastomoses are required.
c. The adjustable nature of lap. Band allows the degree of restriction to be optimized for the patients weight loss.
d. Increasing band diameter may relieve postoperative vomiting.
e. Disadvantages – Potential port site complication and the need for frequent postoperative visits for band adjustments
i. Band slipping or gastric prolapse
ii. Band erosion, GERD