Gastric banding, performed laparoscopically, is one of the least invasive approaches because neither the stomach nor the intestine is cut. Laparoscopically placed around the upper part of the stomach, the band divides the stomach into a small upper pouch above the band and a larger pouch below the band. This small pouch limits the amount of food that a patient can eat at any one time, and will result in a feeling of fullness after eating a small amount of food. Because the band is adjustable and does not permanently alter the anatomy, it provides an option for patients who may not otherwise consider surgery for treatment of their obesity. This is an outpatient procedure.
A sleeve gastrectomy is a restrictive surgical weight loss procedure that reduces the size of your stomach and is performed laparoscopically. During this procedure, a thin vertical sleeve of stomach is created using a stapling device, and the rest of the stomach is removed. The sleeve is about the size of a banana. This procedure limits the amount of food you can eat and helps you feel full sooner. Because food does not bypass any of the intestines, there is no malabsorption. Since this procedure removes most of your stomach, the “appetite hormone” created by the stomach is reduced and hunger is reduced.
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