Gastric banding – laparoscopic surgery

Description gastric banding

Бандажирование желудка выполняется для лечения ожирения. The abdomen is performed several small incisions. Stomach using laparoscopy (special tool with a camera on the end) adjustable band fits, which divides it into two parts – small and large stomach. Operation cause weight loss by reducing the amount of food, that can pass into the stomach.

Causes Gastric Banding

The operation is used for severe obesity. Doctors use indicator, called the body mass index (BMI), to determine the degree of obesity. Normal BMI – 18.5-25.

Gastric banding – the ability to reduce weight for people with the following indicators:

• BMI greater than 40;
• BMI 35-39.9 and life-threatening diseases, such as heart disease or diabetes;
• BMI 35-39.9 and with severe disabilities, which impact on employment, mobility, family life.

Успех бандажирования желудка зависит от дальнейшего образа жизни. With the right approach would be a significant improvement in health:

• Long-term weight reduction;
• Disappear many obesity-related diseases (eg, glucose intolerance, diabetes, sleep apnea, high blood pressure, Lower Cholesterol);
• There will improve mobility and increase strength;
• Improve mood, self-esteem, quality of life;
• It will reduced risk of death from cardiovascular disease (eg, from heart attack, stroke) and other reasons.

Possible complications of gastric banding

If you plan to gastric banding, you need to know about possible complications, which may include:

• Vitamin deficiencies – You will need to take a daily multivitamin;
• Bleeding;
• Infection;
• Blood clots;
• Vomiting;
• Slippage or wear the bandage;
• Erosion banding the stomach (It may require open surgery);
• Damage to other organs;
• Irritation of the throat due to acid reflux;
• Complications of general anesthesia;
• Death (less than 0,5% patients).

Factors, that may increase the risk of complications:

• Smoking;
• Recent or chronic illness (eg, kidney disease);
• Diabetes;
• Old age;
• Heart or lung disease;
• Bleeding or clotting disorders.

It should be borne in mind, Obesity is a risk factor for many diseases.

How is gastric banding?

Preparation for the procedure

Each bariatric surgery has specific requirements. Before the operation is performed:

• A thorough medical examination and review of medical history;
• Evaluation of Mental Health;
• Consultation with a dietitian;
• A program to reduce weight through diet and exercise;
• We need to stop smoking.

In the run-up procedure:

• Consult your doctor about the drugs taken. A week before surgery you may be asked to stop taking some medicines:
  • Aspirin or other anti-inflammatory drugs;
  • Blood thinners, such as warfarin;
  • Clopidogrel;
• Do not start the admission of new medicines or nutritional supplements without consulting your doctor;
• We need to organize a trip for the operation of the hospital and back;
• As a physician you need to take antibiotics;
• In the evening before the operation can be only a light meal. Do not eat or drink anything the night, unless permitted by a doctor. You may be given laxatives and / or an enema, to cleanse the bowel;
• We need to take a shower or bath in the morning before surgery.

Anesthesia

At step used general anesthesia. During the operation, the patient is asleep.

Gastric Banding Procedure

To prepare you for surgery, Nurse venous catheter put into your hand. During the procedure, you'll get through it fluids and medications. The doctor enters the tube to breathe through the mouth into the throat. This will help you breathe during surgery. Also, the bladder catheter, to divert urine.

The doctor will make several small (the size of the keyhole) incisions in the abdominal cavity. Through one of the incisions will be pumped carbon dioxide, to facilitate visibility inside the peritoneum. The sections will be inserted the laparoscope and other surgical instruments. Laparoscope – special medical tool with a tiny camera and a light source at the end of. It transmits images of the abdominal cavity on a monitor in the operating room. The doctor performs, controlling surgical instruments guided by the image on the monitor.

Adjustable band is placed around the upper part of the stomach and secured. This divides the stomach into two parts, and enables you to experience a feeling of fullness after consuming a small amount of food, as receptors saturation, which signal us, that the stomach is full, They are in the upper part of the stomach. The end of the band is expelled through the abdominal wall. The diameter of the ring can be further adjusted by a special syringe and saline. The incisions will be closed with staples or stitches.

Immediately after the procedure, gastric banding

The breathing tube will be removed. You will be directed to the chamber to restore, until the anesthesia wears off.

How long will the gastric banding?

30-60 minutes.

Gastric banding – Will it hurt?

Anesthesia will prevent pain during surgery. You may have pain and soreness after surgery, at the site of incision. The doctor will give you pain medicine, to reduce discomfort.

The average hospital stay

Usually the duration of stay of 1-2 day. If complications arise, length of stay in the hospital can be extended.

Care after gastric banding

Care in a hospital

During recovery in the hospital:

• As required it will be given pain medication;
• The next day after the operation is carried out X-ray, To make sure, that the band is in the right place. If all goes well, you start eating liquid food, and then go to a meal in the form of mashed potatoes;
• You may be asked to do the following:
  • Use an incentive spirometer to perform deep breaths each hour. Spirometry is used to prevent breathing problems;
  • It is necessary to wear elastic surgical stockings or socks, which should contribute to blood flow in the legs;
• We must get out of bed and start walking.

Home Care

Be sure to follow your doctor's instructions. You will need to practice a healthy diet and exercise. After operation:

• Recovery takes 2-4 of the week. It is advisable at this time to stop working;
• Do not drive, or lift anything heavy, until the doctor says it's safe. This period may take two weeks or more;
• Walk and do light exercises every day;
• It should meet regularly with the doctor for inspection;
• We need to ask the doctor, when it is safe to shower, bathe or expose the surgical site to water;
• After surgery possible mood swings.

The new stomach is the size of a small egg, that makes it easier to reach satiety:

• Eat in very small quantities and very slowly. We need to start with 4-6 small meals a day. Eat at once 50-80 grams of food;
• First 4-6 weeks after the operation, all the products must be in the form of puree. When you move to solid foods, it must be well-chewed. Check, that you are getting enough protein;
• Too fast speed of a meal or a large amount of food at one time can cause vomiting or intense pain under the rib cage. You need to assess, how much food you can eat at one time;
• This procedure does not cause nausea and diarrhea when eating sugary or fatty foods. Sometimes, some people gain weight again, because they continue to eat high-calorie foods. To promote weight loss, you should eat healthy foods;
• Follow your doctor's instructions.

Maybe, you have to take medication, prescribed by a doctor, which may include:

• Antacids;
• Mild painkillers (eg, paracetamol);
• Vitamin and mineral supplements.

Ask your doctor, Can I take medication in pill form. Maybe, you have to switch to liquid forms of drugs.

Contact your doctor after gastric banding

After returning home, you need to see a doctor, If the following symptoms:

• Signs of infection, including fever and chills;
• Redness, edema, increased pain, bleeding or discharge from the incision;
• Pain, which does not pass after administration of designated anesthetics;
• Blood in the stool;
• Constipation for more than two days;
• Pain, burning, frequent urination or persistent blood in the urine;
• Constant nausea and / or vomiting;
• Pain and / or swelling of the legs, calves and feet;
• Coughing;
• Other worrisome symptoms.

Call an ambulance, If there:

• Breathlessness;
• Chest pain.