Laparoscopic adjustable gastric banding (LAGB) is a surgical procedure that involves the placement of an adjustable belt around the upper portion of the stomach using a laparascope. The band is made of silicone and can be tightened by adding saline to fill the band (like blowing air into a doughnut-shaped balloon). The band is connected to a port that is placed under the skin of the abdomen. This port is used to introduce or remove saline into the band.
LAGB ultimately restricts the size of the stomach and the amount of food it can hold. It also slows the passage of food to the intestine. By doing so, signals to the brain from the gut allow for a sensation of fullness and satiety with the consumption of less food. This signal is sent from a small pouch created by the band in the upper stomach. When the pouch fills, the same signal is sent to the brain that occurred previously when the entire stomach filled.
Recovery varies with each individual. However, in general, LAGB offers a shorter hospitalization and quicker recovery . In general, most people can return to work 1 week after surgery (if their job is not too physically demanding). Normal activity can usually resume after 6 weeks.
A research team led by the London School of Hygiene and Tropical Medicine examined 3,882 records of patients who had undergone weight-loss surgery and a similar group of people who had not undergone the procedure and followed them for up to around 4 years.
They found that weight loss surgery patients underwent rapid weight loss for the first 4 months after surgery at a rate of almost 5 kilos a month. Weight continued to fall off, albeit at a slower rate, up to the end of year 4.
The researchers found that gastric bypass and sleeve gastrectomy were more successful procedures for achieving weight loss than other types of procedure. The estimated average 4 year weight loss was 83.8 lb (38 kg) for gastric bypass, 68.3 lb (31 kg) for sleeve gastrectomy and 44 lb (20 kg) for gastric banding.
Gastric bypass surgery is one of several weight-loss surgeries currently performed.The procedure in use today is called the Roux-en-Y gastric bypass.Diet recommendations after gastric bypass surgery vary depending on where the surgery is performed and your individual situation.Protein may be the most important of these foods early after surgery.Your body needs protein to build muscles and other body tissues, and to heal well after surgery.
Low-fat protein choices include:
- Skinless chicken
- Lean beef or pork
- Whole eggs or egg whites
- Dairy products
After gastric bypass surgery, your body will not absorb some important vitamins and minerals.You will need to take these vitamins and minerals for the rest of your life:Multivitamin with iron,Vitamin B12,Calcium
Gastric bypass surgery makes the stomach smaller and causes food to bypass part of the small intestine. You will feel full more quickly than when your stomach was its original size. This reduces the amount of food you can eat at one time. Bypassing part of the intestine reduces how much food and nutrients are absorbed. This leads to weight loss.
The Roux-en-Y gastric bypass procedure involves creating a stomach pouch out of a small portion of the stomach and attaching it directly to the small intestine, bypassing a large part of the stomach and duodenum. Not only is the stomach pouch too small to hold large amounts of food, but by skipping the duodenum, fat absorption is substantially reduced.Roux-en-Y Gastric Bypass remains an excellent and durable operation for long-term weight loss and treatment of obesity-related comorbid disease.Roux-en-Y Gastric Bypass, or RNY Gastric Bypass, has minor complications that can result because of a successful surgery.
One of the most warned side effects is dumping syndrome. After gastric bypass eating food will change, your physician will give you recommendations as to how much to eat and when. It’s important to remember that your stomach is the size of a walnut; daily food consumption will be spread out over six or more meals per day. When you eat more food than was prescribed by your physician, you may experience dumping syndrome or intense pain under your breastbone.Laparoscopic RYGB results in highly favorable outcomes with reduced incisional hernia rates. These 10-year data help to more clearly define long-term outcomes and demonstrate outstanding reduction in comorbid disease following RYGB.
Weight loss surgery has been shown to be the most effective and durable treatment for obesity.Patients may lose as much as 60 percent of excess weight six months after surgery, and 77 percent of excess weight as early as 12 months after surgery. And on average, five years after surgery, patients maintain more than 50 percent of their excess weight loss.In addition to its many health benefits, bariatric surgery can help to improve patient’s overall mood and psychological health.Obesity-related complications are generally related to weight therefore the surgically induced weight loss can be associated with improvement in these obesity-related complications.In fact, as little as three percent weight loss with lifestyle changes can be associated with a reduction in risk for metabolic and cardiovascular disease,compared with bariatric surgery weight loss figures well over 30 percent.weight loss surgery helps to improve many obesity related health conditions,including:
- High blood pressure
- High cholesterol
- Sleep apnea
Our objective is to provide world class healthcare to our patients.
At present, some centres in India have the capability to provide the same level of treatment delivered in developed countries at a lower cost. But as in many other countries there is no uniformity or standardisation in the provision of healthcare in India.
Our aim is to provide the same level of care, following the same international guidelines by doctors with multinational training and expertise. We hope to provide consultations without the hassle of going to a hospital, in the convenience and privacy of our clinic in a patient friendly environment. Our approach is to explain the rationale of our treatment so that the patients are equal partners in their care. We will treat our patients with dignity and honesty.