Adjustable Gastric Banding (LAGB)
Introduction
Adjustable gastric banding is one of the types of surgical obesity treatment. This procedure is characterized by being adjustable and reversible. A silicone band is placed around the stomach with the aim of reducing the stomach capacity and thus eating smaller amounts of food.
Overview
Adjustable gastric banding (LAGB) is one of the surgical procedures to treat obesity. It’s done as a laparoscopic surgery, so small incisions are made in the upper part of the abdomen.
The surgeon puts an adjustable band around the top part of the stomach. This creates a very small stomach pouch, so that you feel full after eating a small amount of food and thus helps you lose excess weight.
The band can be adjusted. This is done by adding or removing fluid in a balloon around the band. This is done through a port placed under the skin of your abdomen.There is a tube that connects this port to the band surrounding your stomach.
Benefits of adjustable gastric banding
There are many benefits of adjustable gastric banding surgery, here are some of them :
• Return home immediately after surgery:
After having an adjustable gastric banding, patients can go home on the day of surgery.
• No division of the stomach or intestines:
Unlike gastric bypass, in this surgery there is no need to divide the stomach or intestines.
• Easy to remove the band:
The band can be removed if needed.
• Lowest risk for vitamin and mineral deficiencies:
This procedure has the lowest risk of vitamin and mineral deficiency in the body.
prepare for adjustable gastric banding surgery
If you decide to have an adjustable gastric banding, you must first make sure that this option is suitable for you. Surgical treatment of obesity is not recommended for people who abuse medications and alcohol, or who are unable to adhere to a specific diet and exercise for life.
Before this procedure, you will need blood tests and may undergo imaging studies of your stomach or have an upper endoscopy.
If you smoke, you should stop smoking several months before the surgery. The surgeon may ask you to lose weight before surgery, as this will help your liver become smaller, making the surgery safer.
steps of adjustable gastric banding surgery
An adjustable gastric banding procedure includes the following steps:
Step 1- Anesthesia:
General anesthesia is applied during the surgery.
Step 2- Making several small incisions in the upper abdomen:
After anesthesia, the doctor will make several small incisions in the upper abdomen.
Step 3- Inserting the laparoscope:
The surgeon will then insert a laparoscope and put small surgery tools into these incisions.
Step 4- Making a small stomach pouch:
The surgeon will put an adjustable gastric band around your upper stomach and then tighten it to make a small stomach pouch.
Step 5- Putting a small port under the skin of the abdomen:
The surgeon will put a small port under the skin of your abdomen. A tube is connected between the port and the band.
Step 6- Closing the incisions in the abdomen:
The surgeon then closes the incisions using stitches.
recovery after adjustable gastric banding surgery
After the adjustable gastric banding procedure, you may go home the day after surgery. You must follow a liquid diet during the first two weeks after surgery.
You must transition your diet to solid foods gradually, moving from liquids to mashed foods, then to soft foods, and finally you can eat regular foods.
After your stomach heals, you will need to change your eating habits. You’ll need to eat small meals for your small stomach.
You’ll need to have life-long medical visits to check for problems with the band, and have band adjustments as needed.
risks and complications of adjustable gastric banding
The risks and complications of adjustable gastric banding procedure are as follow:
• Bleeding and blood clots:
Bleeding and blood clots in your legs are possible side effects that may occur after having an adjustable gastric banding.
• Slipping of the band:
The band around the stomach can slip.
• Anemia:
You may have food intolerance after adjustable gastric band surgery. For example, you may not be able to eat red meat, a major source of dietary iron. This would put you at a higher risk for anemia.
• It is not possible to perform any other operation in the upper part of the stomach:
Over time, a fibrous capsule to form around the stomach and band. This can make it hard to do any other surgery on the upper stomach.
• You may not lose as much weight as you would like:
If you are not physically active, you may not lose a lot of weight with the band.
What is an adjustable gastric banding?
Adjustable gastric banding is a surgical weight loss procedure designed to help individuals manage obesity. It involves placing a band around the upper part of the stomach, creating a small pouch. This pouch limits the amount of food a person can consume, promoting a feeling of fullness with smaller portions.
How do you adjust to gastric banding?
Adjusting to gastric banding involves several key steps for success. Firstly, individuals need to follow a structured diet plan provided by their healthcare team to ensure proper nutrition while accommodating the new band. Gradual changes in food consistency are essential; starting with liquids and progressing to soft foods before incorporating solid foods.
Is the stomach or intestines divided during the adjustable gastric banding procedure?
During the adjustable gastric banding procedure, the stomach is divided, but the intestines are not. The surgeon places an adjustable band around the upper part of the stomach, creating a small pouch. This pouch limits food intake and promotes weight loss. The intestines remain intact and function normally, allowing food to pass through them as usual.
How is a gastric pouch created in an adjustable gastric banding?
In adjustable gastric banding, a gastric pouch is created by placing a silicone band around the upper part of the stomach. This band is designed to be adjustable, allowing healthcare providers to modify the tightness as needed. When the band is tightened, it reduces the size of the stomach, creating a small pouch that holds less food.
Why do people get anemia after adjustable gastric banding?
Adjustable gastric banding is a weight-loss surgery that can lead to anemia for several reasons. Firstly, the surgery limits food intake, which can result in insufficient consumption of essential nutrients such as iron, vitamin B12, and folate. Secondly, the alteration of the digestive process may hinder nutrient absorption. Additionally, the rapid weight loss following the procedure can also contribute to a decrease in red blood cell production.
Results
Adjustable gastric banding is a weight loss surgery performed by bariatric surgeons using an endoscope. In which reduces the ability to eat large amounts of food. This procedure has the advantage of being reversible and adjustable.
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