Why Vertical Banded Gastroplasty Is Being Replaced
Vertical banded gastroplasty is a method of stomach stapling which is used to try to force grossly overweight people not to eat so much. There is no doubt that the method can be effective but there are sound reasons why you should think at least twice before having this operation carried out. Firstly, you may not yet have exhausted the possibilities of natural weight loss through diet and exercise, and secondly, this is regarded by the American Medical Association as a severely dangerous operation and it has largely been superseded.
The first point to note about this method of stomach surgery is that it is not a joke or a cure all. You cannot just eat with abandon and become as obese as you like, knowing that surgery can remove the excess. Neither can you commit to this surgery without doing everything possible to lose weight naturally first. All surgery involves risk, and this procedure is one of the more risky and is classified as being highly dangerous. Many people will want to resort to this type of surgery having been driven to frustration by repeated attempts to lose weight through dieting, but often this dieting will have been done in the wrong way.
Despite the huge amount of information available on weight loss and dietary topics there are still many thousands of people who do not even understand the basic principles. Any attempt to lose weight as quickly as possible through severe calorie restriction is doomed to failure, as the body adjusts its metabolism to cope with this. When the body takes in food properly again at the end of the crash diet, it will put the lost weight back on again, along with more. The key to successful dieting is to eat healthy nutritious food and cut out empty calories from junk food and sugary drinks, not to starve the body.
Of course, there are genuine cases where sound dieting has been tried and found wanting, often because of a deep psychological reason or a medical condition which affects the metabolism of the body. Vertical banded gastroplasty or other surgery is rarely the only answer, but it is one possibility. The gastroplasty operation involves both banding and stapling the stomach in an attempt to bypass it and reduce calorific intake from food. The adjustable gastric band can do the same thing, but without the need for stapling or for cutting into the stomach.
There is even one system which is safer than the adjustable gastric band, although there are still relatively few surgeons which are trained to use it. That system is laparoscopic surgery, and the use of small incisions to get at the stomach. This far less invasive procedure is infinitely less likely to result in hernia or damage to internal organs, and it will place far less strain on the body. There are many people who need stomach surgery who will not qualify for gastroplasty due to the severe strain it puts on the body, but they can have laparoscopic stomach surgery.
It appears very much as though the days of vertical banded gastroplasty are coming to an end, as there is already a safer way of achieving the same result. The use of the adjustable gastric band eliminates the need for stapling and also the need for cutting into the stomach. Even this safer technique is being superseded by the new non-invasive laparoscopic technology, which will be seen in increasing numbers throughout all medical operations. It is the wave of the future, and although its use in stomach surgery is one of the most challenging it will surely replace vertical banded gastroplasty.
Elizabeth Rowley
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