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Gastric band placement, unlike malabsorptive weight loss surgery (e.g. Roux-en-Y gastric bypass surgery (RNY), biliopancreatic diversion (BPD) and Duodenal Switch (DS)), does not cut or remove any part of the digestive system. If indicated, it is usually easy to remove the band and reverse the surgery, requiring only a laparoscopic procedure, after which the stomach usually returns to its normal pre-banded state. Unlike those who have procedures such as RNY, DS, or BPD, it is unusual for gastric band patients to experience any nutritional deficiencies or malabsorption of micro-nutrients: Calcium supplements and Vitamin B12 injections are not generally required following gastric banding (as they are with RNY, for example). Gastric dumping syndrome issues also do not occur since no component parts of the intestines are removed or re-routed. The techniques of stomach stapling and sleeve gastrectomy (where approximately half of the stomach is either "sidelined" or removed) are making a comeback in some centres after having falling out of use during the last decade due to a high complication rate; their impact on food passage is comparable to gastric banding. Current proponents of this surgical approach claim weight loss and complication outcomes similar to gastric banding. Gastric banding is practically always performed as a laparoscopic technique (resulting in shorter hospital stay), whereas this is less often the case for RNY, BPD and DS._________
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