Adjustable Gastric Band
Surgery in India
in India
What is Gastric Band Surgery?
Adjustable Gastric Band surgery is a form of weight-loss surgery that is sometimes known as Bariatric surgery. A surgically implanted device called the adjustable gastric band helps in weight loss in obese patients. With just a few tiny incisions in the upper belly, it is performed as a laparoscopic procedure. To create a little stomach pouch, the surgeon wraps an adjustable band around your upper abdomen. As a result, you will feel satisfied with significantly less food.
It’s one of several forms of bariatric surgery that limits how much you can consume at once. While other operations divide your stomach permanently, the adjustable gastric band just temporarily shrinks it. Gastric Band surgery is recommended for individuals who have tried various techniques of weight loss without long-term results. Your physician could advise adjustable gastric band surgery if you are severely obese and have a BMI of 40 or above. If you have a BMI between 35 and 40 and a health issue such as high blood pressure, sleep apnea, heart disease, or type 2 diabetes, your doctor may also recommend it.
Renowned Gastric Banding Surgeons
at Wockhardt Hospitals
Signs and Symptoms of an Adjustable Gastric Band Surgery
According to doctor recommendations, anyone with a Body Mass Index (BMI) of 35 or more should consider getting a gastric band. If there were additional obesity-related conditions, including hypertension, diabetes, or sleep apnea, certain individuals with a BMI of 30 to 34.9 can undergo surgery.
A doctor may advise Gastric band surgery for certain patients with a BMI of 30 to 35 if:
- They have problems related to obesity.
- Non-surgical methods haven't shown any success.
Adjustable Gastric Band Surgery - Do's and Dont's
Dont's :
- Resuming your pre-surgery diet right away is not advised. Pay attention to your surgeon's advice on post-procedure food.
- It is necessary to abstain from alcohol for around 12 months.
- After a weight loss procedure, it is advised to completely give up smoking.
- After having weight loss surgery, it is not advised to become pregnant right away.
- Carbonated beverages should not be consumed.
Do's :
- To avoid stomach distress, eat small meals often.
- Do look for your emotional well-being.
- You'll need to take all the required vitamin and mineral supplements after the procedure.
- Drink 2 to 3 liters of water daily and limit your intake of sugary and caffeinated beverages.
- After surgery, you must be sure to eat 60 to 80 grams of protein each day.
What Tests are Done to Diagnose Adjustable Gastric Band Surgery?
The tests and procedures you need to do before the surgery are listed below:
- Blood Tests - Your overall health, vitamin, and mineral levels, cholesterol, glucose, and other aspects can only be determined by a blood test. To evaluate the function of the kidneys or liver, your doctor could also request tests.
- Psychological Test - A psychiatric assessment is required prior to surgery. This evaluation enables you to determine whether you have any mental health conditions that might hinder your efforts to lose weight.
- Ultrasound - To determine the size of your liver and the amount of fat around it, an abdominal ultrasound may be recommended. It may also reveal any gallstones or other formations that may be present.
- X- Rays - These can identify any issues that may need to be resolved before surgery with your lungs, intestines, and other organs. This might help in the process of examining the digestive tract for any obstructions.
- Endoscopy - This helps determine whether you have any abnormalities with your abdominal muscles or your ability to effectively digest food.
- Cardiac Tests - To ensure your heart is healthy, your doctor can also request an electrocardiogram (EKG). By doing so, any unusual coronary heart rhythms or clogged arteries that need to be treated before surgery will be detected.
- Lab Test - To check your health before surgery, your doctor could also request further lab tests. A complete blood count, a urinalysis, and assessments can also be included in these.
- Stress Test - Your body's ability to adapt to physical exercise is measured by a stress test. It helps in deciding if your physical makeup is suitable for bariatric surgery.
How is Gastric Band Surgery Performed?
Before surgery, your surgeon can advise you to reduce your weight. Your liver will shrink as a result, which will increase the safety of the procedure. The night before surgery, you shouldn’t consume any food or liquids.
During Surgery
You’ll receive general anesthesia, which will make you unconscious and sleepy throughout the procedure. During laparoscopic surgery, your abdomen is just incised once through a keyhole. A little pump will be inserted into this first keyhole by the surgeon to flood your abdomen with carbon dioxide gas. This makes it possible for the operation to be done and for your surgeon to see what they are doing. Your gastric band will be firmly wrapped around the top of your stomach by the surgeon, forming a pouch. A hollow channel in the gastric band has a fluid-filled opening. It’s adjustable because of this. Adding or removing fluid through this port will allow your healthcare professional to change the pressure of the gastric band.
The gastric band is connected to a tiny plastic tube that will enter a port and run just beneath your skin. Your healthcare provider will have access to the port following surgery, so they may administer or remove fluid as needed using a specialized, small needle. The surgeon will close the keyhole incisions after everything is in place and let the gas out of your abdomen. The process is finished in between 30 minutes to an hour.
Post Surgery
In a day or two following surgery, you’ll most likely return home. For the first week or two, you will only be eating liquids. The sort of foods you should eat each day over the coming weeks will be specified by your surgical team. You will need routine blood tests every few months for the first year following surgery. This is to ensure that you do not have low calcium or vitamin D levels, high blood glucose levels, or low blood iron (anemia) or any other nutritional deficiency.
How Long Does it Take Surgery to Heal?
Adjustable Gastric band surgery, like most other procedures, is conducted laparoscopically; the shorter recovery time might be ascribed to the fact that the Gastric Band surgery procedure does not involve any rerouting or cutting of the intestines or stomach. It takes approximately a month for your stomach to recover after surgery, and you can have your first adjustment around this time.
After the procedure, the patient can probably return home in a day or two. A lot of people can resume their regular activities a few days after returning home. The majority of people take a week off from work. For two to three weeks following surgery, patients are often restricted to liquids or mashed-up meals. Most people can resume eating ordinary foods six weeks following surgery.
Risk Factors for Gastric Band Surgery Procedure
An adjustable gastric band has some hazards:
- Some patients experience negative side effects from anesthesia, such as allergic reactions and breathing difficulties.
- Impact on the intestines, stomach, or other abdominal organs during surgery
- When compared to other forms of surgery, weight reduction could be slower.
- Intestinal scarring may cause bowel obstruction.
- Infection at the site of surgery, which may require surgery or antibiotics.
- The band may need to be removed if it slips, develops mechanical issues, or erodes into the stomach.
- The port may move, necessitating further surgery. According to reports, some people require further surgery.
- Lower nutrition as a result of dietary restrictions.
What Potential Drawbacks or Adverse Effects May Gastric Band Surgery Have?
- Nausea and Vomiting
- Stomach acid reflux
- Constipation
- Having trouble swallowing.
- Intolerance of bands
- Band deflation
- Pouch dilation or esophageal dilation
Who is the Right Candidate for the Surgery?
Gastric Band Surgery may be suggested by a doctor if the patient has:
- A BMI of 40 or more -An increased risk of obesity-related disorders is linked to scores of 40 or above
- BMI of 35 or higher and at least one condition associated with obesity -Class II obesity is defined as a BMI of 35 without an accompanying disease. It is clinically severe, or class III obesity, if it is accompanied by an additional medical condition.
