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Procedure Details of Adjustable Gastric Banding |
DETAILS OF ADJUSTABLE GASTRIC BANDING PROCEDURE OR LAP BAND SURGERYWhat type of anesthesia will be used?
The operation is performed under general anesthesia.
What happens during the surgery, and how is it performed?
During the procedure, surgeons usually use laparoscopic techniques (making tiny incisions rather than a large incision and inserting long-shafted instruments through “ports”), to wrap the gastric band system around the patient’s stomach. A narrow camera is passed through a port so the surgeon can view the operative site on a nearby video monitor. Like a wristwatch, the band is fastened around the upper stomach to create the new stomach pouch that limits and controls the amount of food you eat. The band is then locked securely in a ring around the stomach. The tube that comes off of the band leads to a port which is placed under the skin in the wall of the stomach. This port is later used to adjust the diameter of the band to control the flow of food from the small pouch to the rest of the digestive tract.
The gastric banding operation lasts between 30 minutes and 1 hour.
How long will I be in the hospital?
You are released from the hospital either the same day or within 24 hours of the surgery.
What are the risks/complications associated with this procedure?
This surgery involves the same risks that come with all major surgeries like bleeding and infection. The risks specific to this surgery are:
• Ulceration
• Gastritis (irritated stomach tissue)
• Gastroesophageal reflux (regurgitation)
• Heartburn or vomiting due to the slippage of the band
• Dehydration
• Leakage from the band, the reservoir or the tubing that connects them
• Enlargement of the stomach pouch
• Blockage of the stoma (stomach outlet)
• Thrombosis (blood clots)
• Rupture of the wound
• Perforation of the stomach or esophagus during surgery
Rapid weight loss may lead to symptoms of:
• Malnutrition
• Anemia
• Related complications
You must discuss the possible risks and complications with your surgeon prior to the surgery.
When can I expect to return to work and/or resume normal activities?
Although most gastric band patients feel quite well after two or three weeks, full recovery takes six weeks after which they can resume strenuous exercising. In the case of open surgery or if there are complications, recovery may take longer.
How can the band be adjusted?
Correct and sensitive adjustment of the band is imperative to weight loss and the long term success of the procedure. Adjustments are simple office visits that only take 10 or 15 minutes. They are performed without surgery using a thin needle to inject or withdraw saline from the band via the access port. This widens or narrows the band opening to control the rate of your weight loss. The most common reasons for adjustments are that you are not able to eat much of anything without feeling uncomfortable and vomiting (your band is too tight) or that you are not losing weight (your band is too loose).
Overview of Gastric Banding Life After Gastric Banding Cost and Availability of Gastric Banding
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