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gastric bypass vs. lapband

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gastric bypass vs. lapband
LOM WEEK 3

The most common procedures done on the digestive system today are for weight loss the gastric bypass or bariatric surgery and the lap band procedure. Of these two, the lap band is considered the less invasive. Gastric bypass is done to reduce the size of the stomach to the size of a small pouch, able to hold only ounces of food or drink. The stomach is joined to the jujenum diverting food so it has a shorter distance to travel through the intestines.
Two dangers of the gastric bypass are infection and malabsorption syndrome. Infection is a major problem because most patient’s having this surgery have multiple other issues such as diabetes, heart disease, and high blood pressure. These underlying problems contribute to slow wound healing.
Malabsorption syndrome is common because part of the stomach is bypassed therefore the nutrients pass through the body quicker and are not absorbed into the system. The two most common nutrients not absorbed are iron and calcium. This in turn causes anemia and osteoporosis.
Chronic anemia can lead to having to receive blood products and taking iron pills for a long period of time. With osteoporosis, falls may cause broken bones, so patients may be on calcium supplements for life.
The lap band procedure is considered the least invasive of the two procedures, but does not come without risk. The lap band uses an adjustable band at the top of the stomach to reduce the size limiting the amount it can hold.
Band slippage occurs when the lowest part of the stomach may prolapse through the band causing an enlarged upper pouch. This in turn could cause an obstruction which would need a second surgery.
Secondly, band erosion can occur when the band slowly slips through the stomach. This will result in the band moving from the outside to the inside and the gastric acid damaging the band and a leakage of gastric acid into the body.
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