Different types of surgery for treating
Obesity or Surgical Operations for Morbid Obesity
Laproscopic Adjustable Gastric Banding
The band is placed laparoscopicaly
"key hole surgery”. The band can be adjusted
by injecting fluid into it as an outpatient. Reversible
Hospital stay 2-3 days
In this procedure a band made of
silastic material is placed around the stomach near
its upper end creating a small pouch and narrow passage
into the larger remainder of the stomach.
The surgery involves forming a small
pouch in the upper part of the stomach that effectively
becomes a new baby stomach. The sialistic band is
wrapped around the upper portion of stomach all around
to form a "baby stomach." The narrow opening
or stoma is formed by the bands two ends joining together.
This band has a balloon on it which can be inflated
or deflated in later stages so as to increase or decrease
the size of stoma. This step makes the SAGB a stoma
adjustable operation. This can be done anytime after
the operation with the help of port kept under the
skin at the time of operation, Now the food still
goes down the normal way and is digested in the bowel
normally. The big difference is that the pouch will
only allow a very small amount to be fitted in at
one time and when this happens satisfaction is achieved
and hunger will subside until the pouch eventually
empties into the duodenum. So you feel full after
eating a small amount of solid food and your intake
of food can be kept to two or three tiny meals a day
with no desire to eat between meals.
Advantages of The Laproscopic Adjustable
There are several weight loss surgeries
available today but adjustable Gastric Band is superior
to many of them. It has several features that make
it the safest method of weight control.
- Simplicity : The procedure is
simple to perform with a short operating time.
- It can be placed laparoscopically without a large
- It does not require any opening in the gastrointestinal
tract that reduces the risk of infection.
- Safety : There is no staple
line to burst.
- It is adjustable and can be customized to individual
- It is fully reversible. The band can be emptied,
for example, during pregnancy or prolonged illness
allowing your stomach to return to former configuration
or it can be removed (although removal is not indicated)
- It is tolerated well by most persons of all ages
and physical conditions.
- This operation may be particularly suited to
persons who are from 80 to 200 pounds overweight.
- Short hospital stay (around 72 hours)
- Lowest complication rate.
- There is no mal-absorption or "dumping syndrome."
The person can fully digest vitamins and minerals
Frequently Asked Questions for Laproscopic
Adjustable Gastric Banding
Who is a Good Candidate for Adjustable
You may be eligible for
the lap band system surgery if :
- Your BMI is =40, or you weigh twice your ideal
weight or are at least 100 pounds (45Kgs.) more
than your ideal weight.
- You have been overweight for more than 5 years
- Your serious weight loss attempts have had only
- You are not suffering from any other diseases
that may have caused your obesity.
How much weight will I lose?
This is not predictable; most of
the patients will never be skinny people. But the
majority can and do achieve a normal, healthy weight
for their height and bone structure. Success after
bariatric surgery is defined as losing 50 percentage
of excess body weight. After a Laparoscopic Adjustable
Gastric Banding, one loses an average 60 percentage
of excess body weight at 18 months.
What are the main differences between
the Adjustable Gastric Band and the gastric bypass?
For the Dental Procedures stay in
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Note: - Treatment
can also be custom made as per patient requirement
& clinical condition
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||Easier in general
||Reversible but moderately difficult
|Relative Early Risk
|Expected hospital stay
|Statistical Average Weight
Loss (2 years)
||50-60% of Excess weight
||70-75% of Excess weight
|Possible Late-Term Risks
||Band slippage, port complications,
erosions, Lap-Band infection, esophageal dilatation
||Ulcers, anemia, stricture,
vitamin/ calcium / iron deficiencies, intestinal
|Risk of Malnutrition
Is it true that I'll never be able
to enjoy eating again if I have weight control surgery?
No. Patients who follow the guidelines
to eating after weight control surgery will become
people who eat food for quality and flavor, not for
volume. They enjoy food more after surgery than they
did before surgery. They pay more attention to what
they are eating, are often pickier eaters, and don't
feel guilty about eating food.
Are there foods I can no longer eat?
You will be on a liquid diet at
first progressing to a soft diet then to solids for
the six-week healing phase. When properly adjusted,
there are some foods that no longer are as easy to
eat but most of bandsters can eat anything, just very
small amounts. One can have trouble with soft mushy
breads, tough or dry meats, skins of certain fruits
or vegetables such as grapes, potatoes and tomatoes
or very fibrous foods like asparagus or pineapple.
What should I be eating?
A. Protein and produce, if it isn't
one of those two items then it is something that should
not be part of your daily diet. Chicken and vegetables,
Beef and vegetables, Fish and vegetables, some fruit
thrown in there and a little dairy and you are good
Can I drink alcohol or soda pop?
Alcohol is not a good idea because
it is a stomach irritant and is high in calories.
It is always better to consume solid food with daily
1200 calories rather than drink them. However, one
can have a drink occasionally. Beer, soda pop or any
carbonated beverage is not recommended because of
the potential to stretch your pouch. You may find
the carbonation very uncomfortable after you are properly
adjusted. However an occasional (once a week) drink
may be consumed in moderation.
What if I go out to eat?
Order only a small amount of food,
such as an appetizer. Eat slowly. Finish at the same
time as your table companions.
When I reach my goal weight do I need
to remove my band?
No, most of the patients plateau
with weight loss when they get close to a normal weight
and stop losing. If you continue to lose beyond your
ideal weight, some of the fluid may be removed from
your band to stabilize your weight. Most banded people
regain most if not all of their excess weight if the
band is removed.
If I get pregnant will I be able to
get enough nutrition for my baby?
Many patients have become pregnant
after both gastric bypass and the Lap-Band procedure.
In fact, several studies have demonstrated that significant
weight loss can improve fertility and one recent,
excellent study from Australia showed that weight
loss after the Lap-Band improves fertility in morbidly
obese women. There is also a syndrome called Polycystic
Ovary Syndrome (PCOS), which can lead to infertility.
This syndrome involves excessive hair growth and hormonal
changes that generally resolve with dramatic weight
loss after bariatric surgery. As far as getting enough
appropriate nutrition to have a safe pregnancy, this
has not been a demonstrated problem with either the
Lap-Band or the gastric bypass. However, you are recommended
to consult with your bariatric program nutritionist
to be safe if you do get pregnant.
What are the short term and long term
dietary restrictions after banding?
First week post-op: you will typically
be on a full liquid diet. Second week post-op: you
will typically eat puree/soft foods diet. High calorie
liquids should be avoided after the liquid stage.
Other than that, it depends on individual tolerances.