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Lap Band Over Gastric Sleeve. Although Gastric Sleeve is a great procedure, some patients may experience inadequate weight loss. This can be, in part, due to the gastric sleeve stretching out over time, thus allowing patients to eat larger quantities of food. The procedure is performed laparoscopically using a few tiny skin incisions, takes 45 minutes, and is a same day procedure. A Lap-BandÂ® / Realize-BandÂ® can be placed over the gastric sleeve, to give patients the added restriction that they may have lost.
A sleeve is placed into the kidney, bridging the distance from the skin. The doctor performs the surgery by guiding endoscopic instruments through the sleeve into the kidney. Under X-ray control, the cyst is opened, and a large portion of the wall is removed.