Week 3 LOM Assignment
Gastric Bypass vs. Lap-band
The difference between the gastric bypass and the Lap-band are that they both restrict the amount of food intake but the gastric bypass reroutes where the stomach and part of the intestines connect causing temporary malabsorption. The lap-band only restricts the amount of food intake. With any surgery or alteration to the body system there introduces the possibilities of complications and all surgeries come with risk. Complications of from a gastric bypass includes ulcers are holes or breaks in the protective lining of the upper part of the small intestine or the stomach causing pain in discomfort. Ulcers can usually be treated successfully by medications. A stricture is when the new connection between the stomach and small intestine heals, but as it heals, it can forms scar tissue that can make the opening of the connection smaller. This variety of gastric bypass side effects may even progress to the patient not tolerating any solid food or liquids. Lap band risks include band slip, the term “band slip” is kind of deceiving because the band itself does not move and cause the problem. A “slip” occurs when the stomach that is below the band “slips” up or prolapses through the band. This causes the opening between the pouch and the lower stomach to become even more narrowed or completely blocked. Obstructions after placement of the band brought on by overfilling the band can cause esophageal outlet obstruction. Port and Tubing complications: These complications represent a significant source of problems after lap band. Failure of the port and tubing may be related to mechanical forces associated with change in abdominal wall anatomy after weight loss, as well as physical changes in the silicone tubing.
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