The sleeve gastrectomy procedure, colloquially referred to as the tube stomach or stomach reduction is one of the most commonly used procedures in bariatric surgery. As this procedure is associated with the lowest complication risk and highest lifelong comfort compared to gastric bands or gastric bypass, most surgeons expert in bariatric surgery have preferred sleeve gastrectomy years ago and mainly perform this procedure worldwide.
The balloon system consists of a soft, expandable balloon, a placement tube and a filling system. Intragastric balloon is too big to pass into the gut and leads to a relatively long-term feeling of fullness with smaller food portions. In general, intragastric balloon placement significantly reduces portion sizes and helps you to achieve your long-term weight loss goals.
Gastric bypass is one of the most common types of bariatric surgery combining restrictive and malabsorptive procedures. Technically, during this procedure a small pouch is created to shrink the stomach and a certain segment of the small intestine is brought up and connected to this small pouch. Unlike sleeve gastrectomy, the remnant of the stomach is not removed. However food does not enter into the remnant section of the stomach while the gastric juice and enzymes are still produced in this section to contribute to the digestion and absorption of the food.
Gastric botulinum toxin injections have been widely used in recent years and botulinum toxin is injected into the gastric fundus using an endoscopy needle. Botulinum toxin affects striated muscles of the stomach, inhibits their contractions; in this way it slows the digestion of food in the stomach. It takes longer the stomach to digest the food and accordingly, the sensation of fullness persists for a longer period of time.
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