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General Information

Gastric Banding is a surgical procedure that can be performed by miniinvasive (Video) surgery. LAGB is a surgical procedure that limits the speed of food intake by creating a bottleneck barrier in the upper part of the stomach. The food stays in the upper pouch before it gradually passes through to the larger part of the stomach. As the upper stomach pouch is filled, the patient has a feeling of satiety after eating only a small amount of food.

The soft silicone band is placed around the top portion of the stomach. The gastric band restricts stomach capacity and reduces the quantity of food that can be eaten per meal. This means that you feel full after eating a smaller portion of food than normal and consequently you will stop eating and loose weight. The gastric band is fully adjustable without further surgery: it can be loosened if weight loss occurs too fast, or tightened if weight loss is too slow. Contrary to other irreversible surgeries applied in cases of serious obesity, the gastric band may be removed at any time, leaving no traces on the stomach.

Typical Laparoscopic Gastric Banding patient

• Patient with BMI till 45kg/m2
• Well motivated (accepting nutritionist and psychological criteria)
• No sweet eaters
• No binge (volume) eaters
• No stress eaters
• Accepting after care programe
• Accepting the idea of having an implant inside the body
• No heartburn
• No poorly stabilized diabetes type II

Technical description

Laparoscopic adjustable Gastric Banding is reduces the size of the stomach by causing a narrow pass between upper and lower stomach. Nowadays gastric banding is placed on the stomach by the pars flacida technique. We use the method without stomach fundus placation using a special band. The stomach volume after such operation is between 15 and 20 ml.

Operation Time

The LAGB procedure takes between 30 minutes and 1 hour.

Hospitalisation Time

The procedure requires a 1 night stay in the hospital after the operation.

After Surgery

After surgery, the patient must follow special diets and vitamin intake to lose weight in a controlled manner.

After Implantation

After surgery, the patient must follow special diets and vitamin intake to lose weight in a controlled manner.

Sport and physical activity

Three weeks after operation 3 hours of physical activity per week *but under sport medical supervision and medical advice.

Laparoscopic Gastric Band (LAGB) – Facts

Duration of surgery:
• Approx. 40 min.
Post treatment:
• No sports
• No manual labour
• Duration: approx. 3 weeks
Anaesthesia:
• General anaesthesia
Hospitalisation:
• 2-3 days

Advantages

• Minimally invasive surgery
• No intestinal re-routing
• No cuts or staples to the stomach or the intestine
• Small incisions and minimal scarring
• Less pain; short hospital stay (1 day) and recovery period
• Significantly lower mortality risk compared to other bariatric surgery
• No risk of nutritional insufficiency
• No “dumping syndrome” caused by sugar intake
• Allows for individual adjustment for ideal long-term weight loss
• Adjustments done without surgery
• Can be used in pregnancy by expanding the diameter of the band to adjust to the increased nutritional requirements of the expectant mother
• Can be removed at any time

Disadvantages

• Patient needs to stay away from soft food, high caloric drinks and alcohol
• Requires serious commitment from the patient
• Some people do not tolerate the presence of an implant on the stomach

How much weight will I lose?

You can lose between 15 and 25 kg. Essentially, weight loss depends on your discipline and the extent to which you adhere to the diet.

Supplementation after LABG:

• Multivit+minerals 1 tab. per Day
• Biotin, Selenium, Vitamin B9 (B11), Zink In case of hair problems