What is more effective: gastric banding or balloon?
The question of the effectiveness of bariatric surgery is one of the main issues for patients suffering from morbid obesity. Deciding on the procedure for limiting the volume of the stomach, you should know what advantages and disadvantages have different restrictive methods. For example, what is more effective: gastric banding or balloon?
The advantages of both methods are that they are reversible: the gastric band can be removed and the intragastric balloon blown out and extracted.
Laparoscopic gastric banding, performed under general anesthesia, refers to minimally invasive methods. And the installation of a balloon in the stomach cavity is a non-invasive and, in fact, non-surgical procedure, since a soft silicone balloon, after mild sedation, is injected through the pharynx and esophagus with an endoscope, and inflated already in the stomach.
Both procedures can help to reduce weight by one third of the original, but, as experts emphasize, the effectiveness of the bandage can decrease if the bandage moves from the place of its installation (and this occurs in about 10% of patients). And in such cases complications can arise. The introduction of a balloon, as a rule, does not give complications.
In addition, the intragastric balloon is placed for a shorter time (6 to 12 months), and its purpose is not only to create a feeling of satiety with less food, but also to gradually modify the eating behavior itself, contributing to the development of a persistent habit of controlling and limiting the amount of food absorbed. From this point of view, for patients with a BMI of 30-35, a balloon is considered more effective than a bandage. But with BMI 35-40 and serious health problems, it is the bandage that is more suitable.
Reviews and results after the operation of gastric banding
According to one data, after laparoscopic gastric banding, patients with an initial BMI of 40-50 per year lose an average of 30% of their excess weight, and a year after the procedure - 35%.
There are other average statistical results after the gastric banding operation: in three months - 20% (overweight); after half a year - 35%; in a year - 40%, in two years - 50%, and for four years you can get rid of 65% of extra pounds. (and not of all body weight!). Nevertheless, almost every fourth patient for five years failed to lose half of his excess weight.
Reviews 46% of patients from foreign clinics after gastric banding are positive. Almost 19% of patients were dissatisfied. In addition, half of those who were unhappy because of discomfort after the operation had to remove the bandage.