Gastric Banding for Weight Loss

If your obese and are looking to lose weight and have tried diet and excerise then Restrictive surgery could be the answer. In a restrictive surgery e.g. gastric banding, the surgeon uses one of a variety of techniques to reduce the size of the stomach. After restrictive surgery, a person feels full faster, eats less, and hence will lose weight.

The full names for the two types of restrictive surgery for weight loss are:

Laparoscopic adjustable gastric banding which id the most common form of restrictive surgery, and Vertical banded gastroplasty Laparoscopic Adjustable Gastric Banding

Laparoscopic gastric banding is often called gastric banding or lap banding and is the second most common weight loss surgery, after gastric bypass.

Gastric Lap band surgery will involves the following:

Using laparoscopic tools, the procedure will place an adjustable silicone band around the upper part of the stomach. Squeezed by this silicone gastric band, the stomach becomes a pouch with about an inch-wide outlet. After banding, the stomach can only hold about an ounce of food, so you will feel full alot faster. A plastic tube runs from the silicone gastric band to a circluar device just under the skin. Saline (sterile salt water) can be injected or removed through the skin, flowing into or out of the silicone band. By adding the saline the band can be tightened or loosened as needed.

Laparoscopic adjustable gastric banding can help to reduce your weight by about 40%  on average. So someone who is 200 pounds overweight could expect to lose an average of 80 pounds after gastric banding. However, these results vary widely depending on the person.

Gastric banding is considered the least invasive form of weight loss surgery and is also the safest too. The procedure can be reversed if necessary and the stomach generally returns to its normal size.

Gastric Lap banding surgery has a low complication rate. The most common problems after lap banding surgery include:

Nausea and vomiting. Can by reduced by adjustment of the banding. Minor surgical complications occur less than 10% of the time. These include problems with the adjustment device, wound infections, or minor bleeding. The risk of death due to lap banding surgery is about 1 in 2,000.

Unlike gastric bypass surgery, gastric banding does not interfere with food absorption but just the quanitiy of food thats taken.So vitamin deficenceny for people who had Gastric banding is rare.

Vertical Banded Gastroplasty (VBG)

Vertical banded gastroplasty also involves a similar plastic band placed around the stomach. In addition to the band the surgeon will staple the stomach above the band into a small pouch.

Vertical banded gastroplasty results in less weight loss, compared with other surgeries and also has a higher complication rate. Therefore due to this vertical banded gastroplasty is less common today as approx. only 5% of bariatric surgeons still perform this surgery.

Mixed Surgeries (Restrictive and Malabsorptive)

Restrictive surgery is an important part of nearly all weight loss surgeries. In the most common weight loss surgery, gastric bypass surgery, restrictive surgery is first done on the stomach. This “stomach stapling” creates a small stomach pouch.

The new stomach pouch is reconnected to a part of the small intestine further down. This leads to less food eaten (restrictive) and less food absorbed (malabsorptive).

If your considering Gastric Banding Surgery in the UK click here.

For your Complete guide to Gastric Banding and Gastric Banding for Weight Loss

Gastric Band Surgery-get it in India

World has come closer because of Globalization. Medical Tourism we mean enjoying the tourist places while under Cost-effective world-class quality medical care for the patients of foreign origin. Why India? = India’s Medical reputation is one of the highest to provide world-class quality at almost 1/3 the cost. Qualified professional still Aesthetic Approach with modern high-tech equipped hospitals is like Re-insurance. Tourism in India has always been a Rejuvenating experience for many in the past

Reasons why more and more people from overseas are considering India for health treatments such as The Growth of Obesity Surgery in India which shows that now medical tourism is behind the growth of cosmetic surgery in India. Medical tourism is where residents of one country in order to reduce the costs of their medical treatment at home, goes for a cheaper alternative treatments abroad (and take a free holiday with the savings) and one of such countries offering these alternative is India. India combines world-class healthcare with prices costing a fraction of those in the US or Europe.The Indian education system at present is training an estimated 20,000 to 30,000 doctors and nurses each year to meet the demand for increased medical services.

What is Gastric Band Surgery?

Gastric Band surgery is designed for long-term weight loss for obese patients. Not as invasive as some weight loss surgery, the surgeon places a band around the stomach via laparoscopic surgery. The band placement means that the patient feels replete after eating only a small portion of food and as such should continuously lose weight.

The gastric band restricts the size of the stomach thus allowing the patient to lose weight with the consumption of 3 small meals per day and feeling satisfied between meals. The band can be adjusted allowing the meal size to be easily controlled. This is a proven surgery and is relatively safe in comparison with some other forms of weight loss surgery. This type of surgery has 1/10th or less the risk of complications as compared to gastric bypass and is completely reversible.

Who is an ideal candidate for Gastric Banding surgery?

If a person have obesity-related health problems that significantly interfere with employment, physical mobility or family function, if Body Mass Index (BMI) is above 40 or above 35 and patient suffer from diabetes, or any other serious obesity-related condition such as heart disease or severe sleep apnea and if patient have a mind-set to make long term, positive lifestyle and behavioral changes to patients diet and exercise routine and are also committed to life long medical follow up, then patient is an ideal candidate for Gastric Banding

What is the pre-operative preparation like for Gastric Banding surgery?

Like all major surgeries, pre-operative preparation for Gastric Banding consists of screening studies like gastroscopy, routine blood examination, and a thorough consultation with physical examination by physician. Make sure that patient inform surgeon about his other health condition, all the prescription and non-prescription medications including vitamin, mineral and herbal supplements that patient take. Patient will be instructed to stop smoking at least 2 weeks before his Gastric Banding surgery and not smoke until the stitches are completely healed. Patient should try to reduce calorie intake and lose as much weight as possible before the Gastric Banding surgery. Patient will be instructed not to eat or drink any thing for at least 12 hours before the Gastric Banding operation. Patient may be required to get hospitalized day before or morning of Gastric Banding surgery.

What are the variants of Gastric Banding surgery?

The type of Gastric Banding procedure can be performed either by using a band, a ring, staples or a combination of all.

1.Open Gastric Banding – The band is placed around the upper part of the stomach, forming a small gastric pouch to limit food intake and slow the food passing from the stomach into the intestines.

2.Laparoscopic Gastric Banding – This procedure is popularly known as Lap. Band or Adjustable Gastric Banding. Laparoscopic Gastric Banding is performed with the help of a Laparoscope. In this surgery a small pouch is created by placing a band around a portion of the stomach, thus reducing it’s size considerably. The band can be adjusted to accomodate the increased need for food e.g. during pregnancy.

3.Vertical Banded Gastroplasty (VBG) – This procedure of Gastric Banding uses a combination of staples and band. In this procedure, staples are used to create a small pouch, which limits the amount of food that can be eaten at one time. The band then prevents the food from leaving the pouch too quickly thus giving patient a full feeling that lasts longer.

4.Silastic Ring Gastroplasty (SRG) – In this procedure, a silastic ring is placed at the stoma to control its size and prevent it from over stretching.

The Surgical Procedure:

If gastric band surgery is done laparoscopically, surgeon will make several small incisions (each about an inch long) in various places on abdomen. Tubes will be put into these small incisions to provide a passage into abdomen.

One tube will have a very tiny camera through which surgeon can see inside patient’s abdomen on a video monitor. Others will allow the surgeon to place the gastric band around the stomach. If any difficulties arise, surgeon may use an open procedure. In this case, he or she will make a vertical incision about eight inches long in the abdomen to expose stomach.

During the gastric band surgery, surgeon will place the band around stomach to create a narrow opening between the upper and lower parts of the stomach. Another tube with an inflatable balloon will be passed into patient’s mouth, esophagus and stomach to allow the surgeon to make the upper pouch the correct size. When it is, the surgeon attaches the band and secures it in place by sewing parts of the two sections of stomach over the band. Then the tube and balloon are removed from esophagus and stomach. The surgeon will implant the reservoir port just below the rib cage.

The advantages of Gastric Banding surgery:

·Minimal trauma – No cutting or stapling of the stomach, no intestinal rerouting, the least invasive of the weight loss procedures, a short hospital stay, quick recovery period, minimal scarring and pain.

·Low risk with few side effects, low mortality risk, no nutritional deficiencies

·Adjustable – personalized degree of restriction for successful weight loss, no additional surgery, easily reproducible

·Reversible – removable at any time with the stomach returning to its normal anatomy

·Effective long-term weight loss

After Gastric Band Surgery:

Patients are usually able to leave the hospital the day after gastric band surgery, but this depends on surgeon’s recommendation about patient’s specific case. Patient should return to surgeon for routine postoperative care about a week after patient leaves the hospital. Also at that time patient should enroll in the Weight Management Program.

When patient get home, patient should walk as much as is comfortable for patient. Light housework, driving and other daily activities can usually begin five days after surgery. Patient should avoid heavy exercise and limit lifting to 20 pounds or less. Although some patients are able to go back to sedentary jobs within a week after surgery, it is more usual to wait two to three weeks.

Obesity Surgery in India:

Obesity surgeries in India have seen a phenomenal Growth during recent past. Most patients from countries like USA and UK travel to developing countries such as India for treatment, few main reasons while choosing India at first choice India offers wide range of cheapest pricing options of treatment. While planning a treatment in India, one does not require to wait in patient queues or register for a waiting list. Moreover the doctors and the medical facilities are comparable to anyone in the world. Another main reason for choosing India is comfort of Language; one does not pose a problem as most people speak English. Above all India always offers a good holiday, which can help in fast recoveries.

India’s low-cost, world-class healthcare facilities attract and receive patients from over 40 countries for the personalized medical care in cost effective manner. This unique blend of top class medical expertise at attractive and affordable prices is the most important factor in a constant annual growth rate of 30% in Medical tourism to India. There are many reasons contributing towards this huge cost differential. India being a developing economy so has the very favorable currency exchange rates. India, ranking very high in the list of developing countries has a vast pool of the best qualified and experienced medical/ technical/ Para-medical professionals, healthcare technologies and world class institutions but the costs towards services and products have stayed at a extremely low-levels.

To know more about affordable Gastric Band Surgery in India-please visit the Website

=>http://www.indianmedguru.com

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Dr Dheeraj is a “Medical Tourism Consultant” to international patients who want to come to India

for medical treatment and surgery.He consults,co-ordinates and makes customised medical packages

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