Laparoscopic Adjustable Gastric Banding

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Understanding

What It Means?

Laparoscopic adjustable gastric banding in Ahmedabad is a reversible weight loss surgery where a silicone band is placed around the stomach to create a smaller upper pouch. This restricts food intake, leading to a weight loss of 45-50%. The procedure also helps improve conditions like type 2 diabetes, high blood pressure, and sleep apnea. Though popular in the past, the surgery has fallen out of favour due to inconsistent long-term results. Consulting a skilled surgeon in Ahmedabad is essential for the best outcome.

About

Are You a Candidate for Surgery?

Eligibility for Surgery

For Candidates with a BMI ≥ 35 Kg/m²:

This procedure is a viable option for Asian patients with a BMI ≥ 35 Kg/m2 who do not have any other serious medical conditions.

For Patients with a BMI ≥ 30 Kg/m2 and Type 2 Diabetes/Metabolic Syndrome:

If lifestyle changes and medication have been ineffective, laparoscopic adjustable gastric banding can be an effective treatment option for managing type 2 diabetes or metabolic syndrome.

For Patients with a BMI ≥ 27.5 Kg/m²:

Adjustable gastric banding can be considered a non-primary option for patients struggling with poorly controlled type 2 diabetes or metabolic syndrome.

Consultation with a Specialist:

A consultation with a qualified gastric surgeon and a comprehensive assessment is needed to determine whether you are eligible for this procedure.

Surgical Preparation

Required preparations before surgery

High-Protein Diet
You will be required to follow a high-protein liquid diet for 5 to 7 days before the surgery. This helps shrink the liver, making the surgery safer and more manageable.

Consultation with Specialists
Depending on your health profile, you may be required to complete a range of tests. You may also need consultations with specialists such as a diabetologist, endocrinologist, nephrologist, or chest physician to assess your readiness for surgery.

Detailed Medical History
A thorough review of your medical history, including dietary habits, physical condition, and psychological health, will be conducted.

Fasting
You must fast for 6 to 8 hours before the surgery.

Your Surgery: What to Expect

The Surgical Procedure

Pre-Surgery Process:

Admission to Hospital: Once all tests are completed and you are deemed fit for surgery, you will be admitted to the hospital the evening before the procedure.

Surgery Duration and Anesthesia: The laparoscopic adjustable gastric banding surgery typically takes 45 minutes to an hour and is performed under general anesthesia.

Post-Surgery Recovery:

Immediate Post-Op Care: You will be encouraged to drink fluids within 6 to 8 hours after the surgery. Walking around is also recommended on the same day.

Discharge: If there are no complications, you will be discharged the next day after the procedure.

Typical Results and What They Mean for You

Expected Weight Loss after Surgery

Adjustable gastric banding surgery can help patients shed 40 to 50% of their excess weight. Weight loss is influenced by factors such as the patient’s baseline weight, age, gender, associated co-morbidities, and adherence to behavioural changes. Regular band adjustments are critical for weight loss following laparoscopic adjustable gastric banding.

Not Sure What You Need?

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Your Frequently Asked Questions

Insights from the Best Surgical Gastroenterologist in Gujarat

What should I expect after laparoscopic adjustable gastric banding?

Laparoscopic adjustable gastric banding is a day-care procedure, meaning most patients can be discharged the morning after surgery, depending on their clinical status. Initially, the band is not filled and will be left as is during the surgery.

All necessary medications, including those for venous thromboembolism prevention, will be discussed with you prior to discharge.

What kind of diet will I follow after laparoscopic adjustable gastric banding surgery?

You will follow a liquid diet for approximately 15 days after surgery. After that, you will transition to a soft and mashed food diet for another 15 days. One month after surgery, you will be allowed to eat normal home-cooked food, but the portion size will be limited.

When will the first band adjustment take place?

The first band adjustment is usually performed 6 weeks after the surgery. Further adjustments will be made based on your weight loss progress.