Gastric Band Surgery

Gastric Band Surgery

Definition:

  • This surgery is commonly performed as a treatment for obesity. In this, an adjustable silicon band is placed around the upper part of the patient’s stomach, via a laparascope. This reduces the stomach’s volume which limits the food amount which can be consumed at one sitting. It also makes the patient feel full quickly.
  • The two FDA approved bands are
  • Lap-Band
  • Realize Band

Why it is needed:

  • This bariatric surgery gastric band is meant for obese patients who are unable to lose their weight through exercise and diet. The ideal candidate for this surgery are:
  •  Those who have BMI (body mass index) equal to 40 or higher
  • Those whose BMI is 35 but suffer from medical conditions such as diabetes, sleep apnea, osteoarthritis, heart disease and so on, and would benefit from weight loss
  • Aged between 18 -55 years and willing to followed prescribed diet (and restrictions)
Gastric Band
Gastric Band

Facts and Figures:

  • The non-adjustable band surgery was done by surgeons Peloso and Wilkinson by open surgery in 1978
  • The adjustable band was developed by pioneers such as Dr. Lubomyr Kuzmak and other bio-engineers, scientists and surgeons
  • In 1992, the surgeon Cadiere first inserted an adjustable band through a laparoscope
  • Celebrities who have undergone the procedure for obesity are:
  • Khaliah Ali, Muhammad Ali’s daughter
  • Fern Britton
  • Anne Diamond
  • Brian Dennehy
  • Golfer John Daly

Advantages and Disadvantages

Advantages:

  • Large incision not required which reduces infection chance
  • Band can be adjusted according to patient
  • Reversible surgery
  • Good tolerance rate
  • Least hospital stay

Disadvantages:

  • Weight loss insufficient
  • Vomiting after food
  • Malnutrition may develop
  • Risks and Complications

Reaction to medication or anesthesia

  • Blood clots
  • Pulmonary embolism
  • Infection
  • Abdominal organs’ injury
  • Gastric band slippage
  • Gastritis or stomach ulcer
  • Bowel obstruction
Dr Prem Gastric Band

Pre-operative and Post-operative Care

Pre-Operative Preparation:

  • Physical examination
  • Urinalysis and Blood test
  • Ultrasound-abdomen, X-ray- chest
  • Get list of medicines to be taken pre and post-surgery
  • Inform surgeon about alcohol or smoking habits
  • Nutritional counseling
  • Arrange work leave, help at home and driving, and post-operative care
  • Fasting after midnight before surgery
  • Medical tourists should select a hotel near the hospital

Post-operative Care :

  • Constipation after surgery which subsides after some days
  • Patients must walk slowly after they reach home
  • Do’s, Don’ts, and Precautions:
  • Take surgeon prescribed medicines
  • Keep incision site dry and clean
  • Avoid being pregnant for a minimum 18 months post-surgery
  • Avoid using straws
  • Avoid drinking carbonated beverages
  • Maintain food intake diary and record weight loss post-surgery
  • Do strictly follow the diet regime prescribed
  • No driving until permitted by a doctor