Laparoscopic gastric banding is surgery to help with weight loss. The surgeon places a band around the upper part of your stomach to create a little pouch to hold food. The band limits the amount of food you can eat by making you feel full after consuming small amounts of food.
After surgery, your doctor can adjust the band to make food pass more gradually or quickly through your stomach.
Gastric bypass surgery is an associated subject.
Laparoscopic gastric banding also known as Lap-Band; LAGB; Laparoscopic adjustable gastric banding; Bariatric surgery – laparoscopic gastric banding; Obesity – gastric banding; Weight loss – gastric banding.
Laparoscopic Adjustable Gastric Banding Procedure
You will get basic anesthesia before this surgery. You will be sleeping and not able to feel pain.
The surgery is done using a tiny cam that is put in your belly. This kind of surgery is called laparoscopy. The electronic camera is called a laparoscope. It allows your surgeon to see inside your belly. In this surgery:
- Your surgeon will make 1 to 5 little surgical cuts in your abdomen. Through these little cuts, the surgeon will position an electronic camera and the instruments needed to perform the surgery.
- Your surgeon will put a band around the upper part of your stomach to separate it from the lower part. This creates a small pouch that has a narrow opening that enters into the larger, lower part of your stomach.
- The surgery does not involve any cutting or stapling inside your belly.
- Your surgery might take just 30 to 60 minutes if your surgeon has done a lot of these treatments.
When you eat after having this surgery, the small pouch will fill quickly. You will feel complete after consuming just a percentage of food. The food in the little upper pouch will gradually empty into the primary part of your stomach.
Why LAGB is Performed
Weight-loss surgery might be a choice if you are significantly overweight and have not been able to slim down through diet and exercise.
Laparoscopic gastric banding is not a “fast fix” for weight problems. It will considerably alter your lifestyle. You should diet and exercise after this surgery. If you DO NOT, you might have complications or bad weight loss.
People who have this surgery ought to be psychologically stable and not depend on alcohol or controlled substances.
Physicians frequently use the following body mass index (BMI) determines to determine people who may be probably to benefit from weight-loss surgery. A normal BMI is in between 18.5 and 25. This procedure may be advised for you if you have:
- A BMI of 40 or more. This most often suggests that men are 100 pounds (45 kg) obese and women are 80 pounds (36 kg) over their perfect weight.
- A BMI of 35 or more and a serious medical condition that may enhance with weight loss. A few of these conditions are sleep apnea, type 2 diabetes, hypertension, and heart disease.
Risks
Dangers for anesthesia and any surgery consists of:
- Allergies to medications
- Breathing issues
- Blood clots in the legs that might take a trip to your lungs
- Blood loss
- Infection, consisting of in the surgery site, lungs (pneumonia), or bladder or kidney
- Cardiac arrest or stroke during or after surgery
Dangers for gastric banding are:
- Gastric band erodes through the stomach (if this happens, it must be gotten rid of).
- Stomach may mistake through the band. (If this takes place, you may require immediate surgery.)
- Gastritis (inflamed stomach lining), heartburn, or stomach ulcers.
- Infection in the port, which might require antibiotics or surgery.
- Injury to your stomach, intestinal tracts, or other organs during surgery.
- Poor nutrition.
- Scarring inside your belly, which might lead to a clog in your bowel.
- Your surgeon might not have the ability to reach the access port to tighten or loosen up the band (you would need small surgery to fix this issue).
- The gain access to port might flip upside down, making it impossible to access. (You would require minor surgery to repair this problem.)
- The tubing near the gain access to port can be unintentionally punctured during a needle gain access to. If this happens the band can not be tightened (you would need small surgery to repair this problem.).
- Vomiting from consuming more than your stomach pouch can hold.
Prior to the Procedure
Your surgeon will ask you to have tests and sees with your other health care suppliers before you have this surgery. Some of these are:
- Blood tests and other tests to make sure you are healthy sufficient to have surgery.
- Classes to help you learn what takes place during the surgery, what you need to anticipate later, and what threats or problems might happen.
- Total physical exam.
- Nutritional counseling.
- See with a mental health service provider to make sure you are emotionally ready for significant surgery. You must be able to make major modifications in your lifestyle after surgery.
- Gos to with your provider to make sure other medical issues you may have, such as diabetes, high blood pressure, and heart or lung issues, are under control.
If you are a smoker, you must stop smoking before surgery and not begin smoking again after surgery. Smoking slows recovery and increases the risk of problems. Tell your supplier if you need aid quitting.
Constantly inform your service provider:
- If you are or may be pregnant.
- What drugs, vitamins, herbs, and other supplements you are taking, even ones you purchased without a prescription.
During the week before your surgery:
- You might be asked to stop taking aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), and other drugs that make it difficult for your blood to clot.
- Ask which drugs to handle the day of your surgery.
On the day of your surgery:
- DO NOT eat or drink anything for 6 hours prior to your surgery.
- Take the drugs your provider told you to take with a small sip of water.
Your service provider will tell you when to come to the health center.
After Laparoscopic Gastric Banding Procedure
You will probably go home the day of surgery. Many people are able to start their normal activities 1 or 2 days after going home. Most people take 1 week off from work.
You will remain on liquids or mashed-up foods for 2 or 3 weeks after surgery. You will gradually include soft foods, then routine foods, to your diet. By 6 weeks after surgery, you will probably be able to eat routine foods.
The band is made from an unique rubber (silastic rubber). The inside of the band has an inflatable balloon. This permits the band to be adjusted. You and your doctor can decide to loosen or tighten it in the future so you can eat more or less food.
The band is linked to an access port that is under the skin on your belly. The band can be tightened up by positioning a needle into the port and filling the balloon (band) with water.
Your surgeon can make the band tighter or looser whenever after you have this surgery. It may be tightened or loosened up if you are:
- Having problems consuming.
- Not losing adequate weight.
- Vomiting after you eat.
Outlook (Prognosis)
The last weight loss with gastric banding is not as big as with other weight loss surgery. The average weight loss is about one-third to half of the extra weight you are bring. This may be enough for many individuals. Talk with your provider about which procedure is best for you.
In most cases, the weight will come off more gradually than with other weight loss surgery. You should keep slimming down for up to 3 years.
Losing sufficient weight after surgery can improve many medical conditions you might also have, such as:
- Asthma.
- Gastroesophageal reflux disease (GERD).
- Hypertension.
- High cholesterol.
- Sleep apnea.
- Type 2 diabetes.
Weighing less ought to likewise make it much easier for you to move and do your daily activities.
This surgery alone is not a service to reducing weight. It can train you to eat less, but you still have to do much of the work. To lose weight and prevent complications from the procedure, you will have to follow the exercise and eating standards that your provider and dietitian offered you.
