Gastric b 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)


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


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 counselling
    • Arrange work leave, help at home and driving, and post operative care
    • Fasting after midnight before surgery
    • Medical tourists should select hotel near 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 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 doctor