Gastric Band

The gastric band or laparoscopic adjustable gastric band (LAGB) is an effective treatment procedure for high-grade obesity consisting of gastric capacity limitation followed by sustained, long-term weight loss. Surgeons divide this organ into two parts (small on top, large on bottom) by placing a silicone ring (bandage) around the stomach. Then specialists connect it with a narrow channel. Thanks to the small capacity of the upper part, even a tiny amount of food will make you feel full for several hours.

This procedure paves the way for a long-term, permanent reduction in energy intake without the stress of hunger. The gastric band doesn’t limit a person in daily activities. The procedure is reversible. Specialists can remove the tape anytime without permanently affecting the stomach anatomy. The gastric band is suitable for obese patients who cannot lose and maintain weight without surgery. The aim is to prevent the development of obesity-related severe diseases such as diabetes, high blood pressure, diseases of the musculoskeletal system (especially joints), cardiovascular diseases, and many more. Therefore, it isn’t primarily a beautifying procedure but a therapeutic procedure intended in cases where the patient’s severe obesity already poses a serious threat to their health.

The advantage of this method is relatively fast and, at the same time, trouble-free and permanent weight loss. The results you get will, of course, differ in individual cases. But statistics show an average 2-3 kg weight loss per month. Experts recommend not exceeding 2.5 kg per month.

Weight loss is more pronounced in the first months. The effect can, of course, strengthen by following dietary recommendations and accompanying physical activities. The result can also be influenced in part by optimizing the density of the bandage wrap around the stomach, which the surgeon can do on an outpatient basis (without hospitalization) when injecting fluid into the bandage system (inpatient).

This procedure doesn’t restrict the patients’ daily activities; on the contrary, it provides convenience even in the more challenging movements recommended. Restrictions are related to the composition of the diet or should consume in a way that doesn’t block the narrowed area between the two parts of the stomach.

According to medical recommendations, the basis is to bite and chew thoroughly significantly harder bites and eliminate selected types of food. Restrictions in the field of diet are most pronounced in the first weeks after the procedure. Patients switch from a liquid diet to porridge and to regular portions they can consume from about the fifth week after the operation.

Although the gastric band is an essential and effective aid in weight loss, we must emphasize that patient collaboration is critical. Failure to follow medical advice can also lead to severe complications. Suppose the patient overeats even after the bandage is applied. In that case, the upper part of the stomach will stretch over time, the plaster will lose effectiveness, and the patient will face the risk of serious complications. After the initial consultation, the experts will evaluate the appropriateness of bandage application in each case.

What is a Gastric Band?

The gastric band procedure is a procedure that doesn’t require removing anything from the abdominal cavity and opening the digestive tract under general anesthesia in the operating room. The operation’s essence is strangling the upper part of the stomach with a so-called bandage. Previously, experts used a fixed application made of tough, woven fabric; after surgery, it was no longer adjustable. Currently, a flexible silicone ring is used, which contains a balloon and whose volume can be regulated postoperatively by inserting a special needle through the skin into a chamber in the subcutaneous tissue. The section is connected to the balloon using a plastic tube. The degree of gastric strangulation depends on the volume of the balloon bandage. In the era of minimally invasive surgery, specialists often make gastric band laparoscopically.

The gastric band treats obesity by suppressing the person’s hunger and reducing the desire to eat. The principle is to place a circular sleeve around the stomach and tighten it. Thus, the stomach divides into two cavities connected by a piece that narrows from the cuff.

Therefore, the stomach looks like an hourglass. The upper part of this section, where the esophagus opens, is smaller than the lower part, and this small upper part becomes the new stomach. It fills up quickly due to its small volume. For this reason, the person feels full after swallowing a few bites. A cuff insertion operation is performed laparoscopically under general anesthesia (sedation). Now, surgeons make small holes in the abdomen to insert the camera and study instruments. The operator watches the inside of the abdominal cavity on a monitor.

Before the actual operation, the patient usually examines by several different specialists. Together, the experts should conclude that the surgery is necessary and feasible for the individual and that the patient is mentally able to comply with the post-operative nutritional rules. We should add to the gastric band principle that more modern cuffs equip with a tube that ends in a small chamber (subcutaneous port). This chamber is located just under the skin of the abdomen. A liquid can inject through the skin into the room with a syringe that flows through the tube into the cuff, thereby increasing its tightness. This procedure performs if the stretching is insufficient and the patient feels hungry.

Who Should Have Gastric Band Procedure?

The gastric band is a method that allows you to lose weight without hunger pangs. However, it is a method that falls only at doctors’ discretion. This way is the most radical and, at the same time, the most powerful solution to obesity. However, it is a fact that it is highly effective.

This isn’t a cosmetic procedure that will save you from a few unaesthetic folds. This is something that could save a life.

People between 18 and 60 with a BMI greater than 40 can apply for it. However, the exception is people who have the index mentioned above in the range of 35-40 and also have diabetes, high blood pressure, heart disease, and similar diseases that are closely related to obesity.

In general, the Body Mass Index of the candidates suitable for this position is 40-45 kg above their ideal body weight. Surgeons may recommend this procedure if people with a Body Mass Index of 35-40 kg/m2 have weight-related severe health problems such as high blood pressure and diabetes. Most surgeons and programs want to record a history of unsuccessful weight loss using traditional methods.

This procedure is indicated for adults only and should not perform on persons under 18. All patients must demonstrate an understanding of the procedure and be willing to comply with the lifestyle changes required for the procedure to be successful. It is generally contraindicated if the potential patient has difficulty understanding the procedure, is emotionally unstable, or is addicted to drugs or alcohol.

Another important criterion is whether the person has tried all other methods to reduce excess weight. This is, for example, a long-term adjustment to diet, exercise, or psychotherapy and still failing to lose weight.

Patients resort to this method of combating obesity only when all other procedures have failed. However, it isn’t true that the surgical procedure will solve everything and simply lose the extra pounds. All post-surgery patients should take strict dietary precautions and generally change all eating and exercise habits. In addition to all this, doctors must also take prescription drugs. It is indeed true that it is the last possible recovery.

What are the Risks of the Gastric Band Process?

The severity and degree of complications from gastric band surgery depend on any existing medical problems. In this procedure, specialists may open the abdomen with a larger incision. The surgeon will make this decision only if there is no other option. Complications (approximately 5%) shortly after surgery include:

• Wound infection
• Bleeding
• Abscess
• Stomach damage
• Lung inflammation
• Thrombosis
• Heart problems

Check out the gastric band risks that may occur long after surgery:

• Inadequate weight loss
• Leakage from the tire, the injection nozzle, or the pipe between them
• Movement of the belt
• Gallstones
• Vomiting
• Intolerance of complex or challenging foods
• Transition issues

Surgeons may require a second operation to correct any problems that arise. Weight loss after two years is approximately 15% of total body weight. This varies from person to person and depends on the degree of change in your diet and lifestyle. By reducing excess weight, this treatment can improve existing problems such as sleep apnea, high blood pressure, high cholesterol, and diabetes. Among other things, the risk of developing heart disease reduce.

What Will You Encounter During a Gastric Band Consultation?

During the initial consultation, you discuss all treatment-related issues with your surgeon. It would be best to consult your surgeon about what bothers you most about your body and what you want to change about it. The methods and surgical techniques will also be explained to you by the specialist, and the specialist will research which is most suitable for you. You should always seek honest advice; the specialist should inform you clearly about the treatment and the following period.

During the initial consultation, the consultant will also evaluate whether you are a suitable candidate for the gastric band procedure you have chosen. The specialist will ask questions about your health, medical history, and medications you take. If you are taking blood thinners, you should stop at least one week before the treatment.

After this first meeting, you can make the right choice. You may have many different questions in your mind. Therefore, if you still want to contact your surgeon and ask questions after this talk, don’t hesitate!

How Should You Prepare for Gastric Band Procedure?

A gastric band, also known as a laparoscopic adjustable gastric band (LAGB), is a weight loss surgery that involves placing an elastic band around the upper part of the stomach. This creates a small sac that holds food and slows the emptying rate into the rest of the stomach, helping to control appetite and promote weight loss. If you are considering gastric band surgery, you must be fully informed about the procedure and understand the potential risks and benefits. Check out some of the things you can do to prepare for surgery:

• Discuss the procedure with your doctor. Before deciding on a banding procedure, you must thoroughly talk with your doctor about the process and whether it is the right choice. Your doctor can provide more information about the course, the potential risks and benefits, and the healing process.
• Your doctor will likely recommend a physical exam to ensure you are healthy enough for surgery. This may include blood tests, a heart evaluation, and other tests to check your overall health. Your doctor will record your medical and medication history, especially any medical conditions related to obesity.
• The specialist also offers nutritional advice. You should have blood tests and a complete physical exam.
• You have to make lifestyle changes. Losing weight before surgery can increase your chances of success and reduce the risk of complications. Your doctor may suggest changing your diet and exercise habits to help you lose weight before the procedure.
• If you smoke, you must quit before surgery. Your doctor can help you make a plan to quit smoking.
• You may need to make changes in your home to accommodate your recovery after the procedure. This may include rearranging furniture to make it easier to move around, stocking up on food and other supplies, and making necessary arrangements for childcare or assistance with daily chores.
• Your doctor will give you specific instructions on what to do before surgery, such as fasting for a certain period and avoiding certain medications. It is essential to follow these instructions carefully for a problem-free and successful surgery. It would be best if you take diet and exercise precautions after surgery. Diet is vital.

How is Gastric Band Procedure Performed?

This procedure is minimally invasive. Specialists perform this procedure, typically using laparoscopic surgery. This means the surgeon will make several small incisions in the abdomen and insert a laparoscope (a thin, flexible tube containing a light and camera) to view and perform the inside of the stomach. Check out the gastric band procedure steps in general:

• Anesthesia

Before the operation, the specialist will give you general anesthesia so that you can sleep during the procedure. So you won’t remember anything.

• Process

The surgeon will make several small incisions in the abdomen, typically around the belly button. The specialist will then insert the laparoscope through one of the incisions and use it to view the inside of your waist. After this stage, the surgeon will create a small pouch by placing the gastric band on the upper part of the stomach. The tape is attached to a small tube that leads to a port under the skin. Finally, the doctor will close the incisions with stitches or staples. After the surgery, you will need to wake up from the anesthesia.

It is important to note that the gastric banding procedure isn’t a permanent solution to weight loss. It requires regular follow-up visits with your doctor to adjust the band and ensure it works correctly. Additionally, you will need to make lifestyle changes, such as following a healthy diet and exercising regularly, to achieve and maintain weight loss.

What to Consider After Gastric Band Procedure?

It would be naive to think this procedure will solve the overweight problem. The gastric band will help to reduce excess weight. But if you don’t make a permanent change in diet, your results will never be 100%. It would be best if you made changes in eating habits gradually and preferably before surgery.

If you’re serious, you should consider your diet before surgery. We recommend starting a moderate reduction diet before surgery and reducing daily energy intake by approximately 20%. Check out the things to consider after the gastric band procedure:

• You will need to follow a liquid diet for the first few weeks after surgery, gradually progressing to a low-fat, high-protein diet. It’s important to eat slowly and stop when you feel full because the band will restrict the amount of food you can eat at one time.
• Exercise can help you recover faster and improve your overall health. The doctor will provide instructions on when you can start exercising after surgery. However, it generally recommends starting slowly and gradually increasing your activity level.
• After surgery, the specialist may prescribe medications to help with pain, nausea, and other symptoms. You must take these medications as directed by your doctor.
• It is essential to attend all follow-up appointments with your doctor after surgery to monitor your progress and make any necessary adjustments to the gastric band.
• Adjusting to life after band surgery can be difficult, and addressing any mental health issues that may arise is essential. This may include getting support from a therapist or joining a support group.
• Following your doctor’s recommendations and making healthy lifestyle choices can optimize your recovery and achieve the best possible results after gastric band surgery.

What is the Recovery Process After Gastric Band?

Recovery time after the gastric band is approximately 3 to 4 weeks. It’s good to get enough exercise after surgery. After surgery, specialists allow only liquid or ground food for the first time. Preferably this is a low-calorie food such as soup or cooked pureed vegetables. While guidelines for the duration of this liquid diet vary slightly in each hospital, it is approximately 10 to 14 days.

The dietitian will also give nutritional and lifestyle advice. It usually takes a few months to get used to this new eating method. Adhering to this diet is essential for the band procedure to function optimally. Check out the recovery process after gastric band:

• You must consume fluids for the first two weeks after the surgery. After this period, you can carefully switch to solid food. Know that you aren’t allowed to participate in traffic independently for the first week after the procedure unless otherwise stated by the doctor. Don’t touch dangerous machinery in the first week.
• Smoking constricts blood vessels and can interfere with wound healing or overall healing. Therefore, it would be wise to quit smoking four weeks before and four weeks after the procedure.
• The body has been treated and needs to heal at its own pace. It varies from person to person, but it always takes time.
• You will make an appointment with your surgeon for the first 2 weeks and 6 weeks after the operation. If necessary, the specialist tightens the tape according to the result and your feeling of satiety.
• After 3, 6, 9, and 1 year, you will have your check-ups at your surgeon again. You should have a check-up twice a year for five years from the first year after the surgery.
• Everybody is unique. This means that everyone will lose weight at their own pace. Therefore, no one can guarantee how much weight you will lose in 6 months. Of course, you will eat much less than before. We also recommend that you do enough exercise in the post-procedure period. This is important for your health and helps you reach your goal faster.
• Provide small meals, about six meals a day. Never skip meals, and chew your food carefully. Take a multivitamin pill every day. Stop eating when you start to feel complete.

How Long After Gastric Band Will You See the Final Result?

Studies show that gastric band final results are pretty successful. Patients experience an average of 50% to 60% weight loss within 2 years. The popularity of the gastric band or gastric ring has fallen sharply due to less optimal results in weight loss and a more significant (negative) impact on quality of life (difficulties in the passage of solid food).

This robust process allows you to eat much less. However, you still enjoy your meal and feel complete. The weight you lose after surgery will depend on several factors, including your pre-operative weight, diet, and exercise habits. It’s important to note, however, that weight loss after the procedure is typically slower than other types of bariatric surgery, such as gastric bypass or gastric sleeve. This is because the gastric band is less invasive and allows food to pass through the stomach more slowly.

Because the body takes time to adjust to the changes caused by surgery, we usually recommend waiting at least six months to a year after surgery to see the final results. Some people lose weight for up to two years after surgery, while others may reach a plateau and stop losing weight. To achieve the best possible results after gastric band surgery, you must work closely with your healthcare team and follow dietary and exercise recommendations.

How Much Does Gastric Band Cost?

Gastric band cost can vary widely depending on several factors, including where you live, the specific type of bandage the surgeon uses, and the surgeon’s experience.

It is essential to carefully consider the price of the gastric band and the possible financial risks before deciding to have surgery. It’s a good idea to discuss your finances with your doctor and explore all your options before making a decision.

In Which Countries is the Cheapest Gastric Band Procedure Performed?

The cost of a gastric band can vary greatly depending on several factors, such as the specific type of gastric band and the hospital or clinic where the procedure performs.

It’s essential to remember that the procedure’s cost is just one of the factors you should consider when deciding where to have band surgery. Other factors to consider include the qualifications and reputation of the surgeon and the hospital or operating center, the quality of medical care, and the potential risks and complications of having surgery in another country.

Suppose you are considering band surgery in another country. In that case, it is crucial that you do your research and carefully think about all potential risks and benefits before making a decision. Here are the gastric band costs by country:

Attention: For Information Purposes Only

Please note that the content of this website is not a substitute for professional medical advice. You should always consult a specialist surgeon for personal guidance.

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