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stomach banding (gastric segmentation) procedures have been performed
than any other surgical option for the morbidly obese ("Gastric
banding for Morbid Obesity, European Journal of Gastroenterology
& Hepatology, 1999).
The reasons are multifold:
1) Simplicity of the procedure
2) Lack of stomach invasiveness
3) Complete reversibility
4) Lower risk of infection
In gastric segmentation, a band made of synthetic material is
placed around the stomach near the upper end, creating a small
upper pouch and a narrow passage to the larger lower portion of
the stomach. This technique leaves the digestive tract in normal
sequence for digestion and absorption.
The intended effect is a reduction in capacity for a meal. However,
long-term success involves patient compliance - such as avoiding
snacking and consuming high-calorie liquids. Dr. Oria will provide
more details as part of your pre-surgery consultations.
Dr. Molina's gastric segmentation differs significantly from
other forms of banding, contends Dr. Oria, not only in surgical
technique, but also in peri-operative management. This management
includes a streamlined, cost-effective evaluation tailored to
the individual patient's age, weight and co-morbidities.
Patients are admitted the day of surgery and discharged after
an average of 1.2 days of total hospital stay. A mean operative
time of less than 40 minutes, including cholecystectomy, and minimal
post-operative orders contribute further to reduced hospital costs.
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