kidney

GET FREE NO OBLIGATION ADVICE FROM INDIA'S BEST DOCTORS

Browse

Adjustable Gastric Band Surgery

Laparoscopic adjustable gastric banding (LAGB) or Laparascopic Gastric banding is one of the least invasive weight loss treatments available for obesity. It's done with a few tiny abdominal cuts, instead of with one large cut. The surgeon puts instruments through the cuts. One of those instruments is a laparoscope, a tool with a tiny camera. Using this, a silastic band is placed around the stomach just below the junction of esophagus (food pipe). This forms a small pouch thus creating an hour-glass effect. The silicon ring passes around the stomach, thus giving a small outlet, that allows only as much food as the size of an eraser, to enter the distal stomach. The reservoir is placed under the skin in the midline just below the chest such that it can easily be felt while lying down. A needle can be injected through the skin into the reservoir and to add or remove fluid to adjust the size of the stomach outlet.

The hour glass configuration only constricts the upper stomach thus acting as a pure restrictive operation. Since the outlet is small, food stays in the pouch longer and one also feels satiated for a longer time. The small pouch ensures that the patient feels full after eating only small amounts of food. This causes weight loss. As its name suggests, this is an adjustable gastric band Scheduled follow-up visits will be at 6 weeks, monthly for the first six months and yearly thereafter or as and when medically required.

Indications
  • Presence of serious sequelae of morbid obesity
  • 30 kg overweight or BMI > 32 with co-morbidities
  • BMI> 35 with or without co-morbidities
  • Large volume eaters
Merits
  • Faster recovery < 48 hours
  • Reversible procedure and does not cause disturbance in normal anatomy
  • Band is inflatable and can be adjusted over time
  • 40 - 50% excess weight loss in 1 year
  • Improvement in associated co-morbidities & quality of life