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Rapport d'évaluation sur les bandes à allongement long

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The VBG procedure involves using a band and staples to create a small stomach pouch. In the bottom of the pouch is an approximate one-centimeter hole through which the pouch contents can flow into the remainder of the stomach and hence onto the remainder of the gastrointestinal tract.

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Stomach stapling is a restrictive technique for managing obesity. The pouch limits the amount of food a patient can eat at one time and slows passage of the food. Stomach stapling is more effective when combined with a malabsorptive techniquein which part of the digestive tract is bypassed, reducing the absorption of calories and nutrients.

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Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery RGB is the most common. In this technique, staples are used to form a pouch that is connected to the small intestinebypassing the lower stomach, the duodenumand the first portion of the jejunum.

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This type of weight loss surgery is losing favor as more doctors begin using the adjustable gastric band.

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