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The band is placed laparoscopicaly “key hole surgery”.The band can be adjusted by injecting fluid into it as an outpatient.Reversible Hospital stay 2-3 days In this procedure a band made of silastic material is placed around the stomach near its upper end creating a small pouch and narrow passage into the larger remainder of the stomach.
The surgery involves forming a small pouch in the upper part of the stomach that effectively becomes a new baby stomach. The sialistic band is wrapped around the upper portion of stomach all around to form a "baby stomach." The narrow opening or stoma is formed by the bands two ends joining together. This band has a balloon on it which can be inflated or deflated in later stages so as to increase or decrease the size of stoma. This step makes the SAGB a stoma adjustable operation. This can be done anytime after the operation with the help of port kept under the skin at the time of operation, Now the food still goes down the normal way and is digested in the bowel normally. The big difference is that the pouch will only allow a very small amount to be fitted in at one time and when this happens satisfaction is achieved and hunger will subside until the pouch eventually empties into the duodenum. So you feel full after eating a small amount of solid food and your intake of food can be kept to two or three tiny meals a day with no desire to eat between meals.
There are several weight loss surgeries available today but adjustable Gastric Band is superior to many of them. It has several features that make it the safest method of weight control.
You may be eligible for the lap band surgery if :
This is not predictable; most of the patients will never be skinny people. But the majority can and do achieve a normal, healthy weight for their height and bone structure. Success after bariatric surgery is defined as losing 50 percentage of excess body weight. After a Laparoscopic Adjustable Gastric Banding - LAP Band, one loses an average 60 percentage of excess body weight at 18 months. What are the main differences between the Adjustable Gastric Band and the gastric bypass?
| Lap-Band | Gastric Bypass | |
| Complexity | Simple | Moderate |
| Reversibility | Easier in general | Reversible but moderately difficult |
| Laparoscopic | Yes | Yes |
| Relative Early Risk | Lower | Moderate |
| Expected hospital stay | 2-3 nights | 3-4 nights |
| Mortality | 0.1% | 0.4% |
| Statistical Average Weight Loss (2 years) | 50-60% of Excess weight | 70 -75% of Excess weight |
| Possible Late-Term Risks | Band slippage, port complications, erosions, Lap-Band infection, esophageal dilatation | Ulcers, anemia, stricture, vitamin/ calcium / iron deficiencies, intestinal obstruction |
| Risk of Malnutrition | Minimal | Low |
No. Patients who follow the guidelines to eating after weight control surgery will become people who eat food for quality and flavor, not for volume. They enjoy food more after surgery than they did before surgery. They pay more attention to what they are eating, are often pickier eaters, and don't feel guilty about eating food.
You will be on a liquid diet at first progressing to a soft diet then to solids for the six-week healing phase. When properly adjusted, there are some foods that no longer are as easy to eat but most of bandsters can eat anything, just very small amounts. One can have trouble with soft mushy breads, tough or dry meats, skins of certain fruits or vegetables such as grapes, potatoes and tomatoes or very fibrous foods like asparagus or pineapple.
A. Protein and produce, if it isn't one of those two items then it is something that should not be part of your daily diet. Chicken and vegetables, Beef and vegetables, Fish and vegetables, some fruit thrown in there and a little dairy and you are good to go!.
Alcohol is not a good idea because it is a stomach irritant and is high in calories. It is always better to consume solid food with daily 1200 calories rather than drink them. However, one can have a drink occasionally. Beer, soda pop or any carbonated beverage is not recommended because of the potential to stretch your pouch. You may find the carbonation very uncomfortable after you are properly adjusted. However an occasional (once a week) drink may be consumed in moderation.
Order only a small amount of food, such as an appetizer. Eat slowly. Finish at the same time as your table companions.
No, most of the patients plateau with weight loss when they get close to a normal weight and stop losing. If you continue to lose beyond your ideal weight, some of the fluid may be removed from your band to stabilize your weight. Most banded people regain most if not all of their excess weight if the band is removed.
Many patients have become pregnant after both gastric bypass and the Lap-Band procedure. In fact, several studies have demonstrated that significant weight loss can improve fertility and one recent, excellent study from Australia showed that weight loss after the Lap-Band improves fertility in morbidly obese women. There is also a syndrome called Polycystic Ovary Syndrome (PCOS), which can lead to infertility. This syndrome involves excessive hair growth and hormonal changes that generally resolve with dramatic weight loss after bariatric surgery. As far as getting enough appropriate nutrition to have a safe pregnancy, this has not been a demonstrated problem with either the Lap-Band or the gastric bypass. However, you are recommended to consult with your bariatric program nutritionist to be safe if you do get pregnant.
First week post-op: you will typically be on a full liquid diet. Second week post-op: you will typically eat puree/soft foods diet. High calorie liquids should be avoided after the liquid stage. Other than that, it depends on individual tolerances.
