Adjustable Gastric Banding Information

Adjustable Gastric Banding Information



Adjustable gastric banding surgery is​ now one of​ the most popular methods of​ restrictive weight loss surgery in​ the UK and Europe. gastricv banding or​ bariatric surgery is​ a​ surgical procedure specifically designed to​ assist in​ wieght loss for obese or​ morbidly obese patients who generally have a​ body mass index (BMI) of​ between 35 to​ 40 or​ sometimes a​ little higher.

The Gastric banding appliance itself is​ an​ inflatable prosthetic medical device which is​ placed around the opening and top section of​ the patients stomach . a​ tube is​ connected to​ this banding devices via a​ tiny keyhole laparoscopic surgical procedure. Once the gastric banding device is​ in​ situ around the top of​ the stomach the gastric banding device is​ then filled, or​ inflated with fluid which then creates a​ small area at​ the upper end of​ the stomach. The gastric banding device is​ usually inflated and adjusted through a​ small access port which is​ normally located just under the surface of​ the skin in​ the abdominal area of​ the patient. a​ solution of​ saline or​ other non toxic solution is​ introduced into the banded area via this port to​ fill the pouch. a​ specialized surgical needle is​ used to​ avoid any damage to​ the portal membrane and any adjustments must subsequently be undertaken by a​ qualified gastric banding Surgeon or​ one of​ His assistants who have been specially trained in​ this procedure. There are several port designs in​ common use today, which may be placed in​ varying positions, according to​ the surgeons own personal preference and experiences in​ managing these types of​ procedures. The port is​ generally stitched into place to​ maintain the stability of​ the portal access point, and also to​ avoid any accidental damage by the Patient in​ their normal every day life.

This pouch normally 'fills' with food quickly as​ the patient eats and thereby restricts further passage of​ food from the top to​ the bottom area of​ the patients stomach. Once the gastric Banding is​ applied to​ the patients stomach, that part of​ the stomach sends a​ subconscious message to​ the brain receptors that the stomach is​ full. This sensation is​ interpreted by the brain as​ a​ message that the stomach is​ now full. This in​ turn helps the patient to​ eat smaller portions of​ food and fluids, with the resultant effect of​ providing the required weight loss over time.


When fluid is​ introduced into the band, the band itself inflated further, and as​ it​ expands it​ places additional pressure around the outside of​ the banded stomach area. This then decreases the size of​ the passage between the two areas of​ the stomach thereby restricting the movement of​ food into the lower part of​ the stomach. Over a​ period of​ time this restriction is​ often increased until the patient feels that they have reached a​ point where optimal weight loss can be reached for them, with the minimum amount of​ fluid required. This is​ an​ individual preference, and several visits and consultations are generally required to​ fine tune the tightening of​ the band and the amount of​ fluid content required for each individual patients overall comfort and weight loss targets

The Main benefits provided by Gastric Banding Surgery is​ that it​ does not require any major surgery cuts, nor is​ it​ necessary to​ remove any part of​ the digestive system of​ the patients. Furthermore Subsequent Removal of​ the Band is​ possible, but this does require a​ further keyhole surgery procedure to​ be performed to​ remove the device. Once the Gastric Banding has been removed from the patient the stomach usually returns to​ its normal pre-banded state over time without any known problems to​ date.

COMMON GASTRIC BANDING PROBLEMS

It is​ unusual for gastric banding patients to​ experience any nutritional deficiencies following gastric band surgery. "Gastric dumping syndrome" issues also do not normally occur with gastric banding surgery, since no parts of​ the intestines or​ indeed of​ the stomach need to​ be removed or​ re-routed.

However weight regain is​ possible as​ with ANY weight loss procedures including gastric banding. Some of​ the more radical procedures can initially result in​ rapid weight loss but this is​ normally controlled and managed well in​ Gastric Banding situations. World Health Organization recommend that monthly weight loss of​ ½ to​ 1 kilograms per week should be a​ general target weight loss for the average Gastric banding patient generally, and then the (Patient) should have no problems to​ lose this amount of​ weight, however this can be very variable, and in​ accordance with the individual patient, their personal life circumstances, their personal attitude and mobility.

A commonly reported occurrence for gastric banding patients is​ regurgitation of​ non-acidic food from the upper pouched area. This is​ commonly known as​ Productive Burping. if​ the gastric banding Patient experiences this regularly, then they should consider eating less, eating much slower, and chewing their food much more thoroughly. if​ this does not eventually solve the problem then further medical advice must be obtained from your Practitioner or​ gastric banding surgeon.

Occasionally, the narrow passage at​ the Banded are of​ the stomach can become blocked by a​ larger portions of​ un chewed or​ unsuitable food. if​ this occurs on a​ regular basis then further adjustments to​ your diet should be considered, and once again you are strongly advised to​ consult your gastric banding Reactionary or​ dietician.

I some cases Ulceration or​ Gastritis Erosion can occur as​ the band can wear and aggravate a​ small area on the outside of​ the stomach wall which can then, in​ very rare and extreme cases, lead to​ a​ migration of​ the band itself into the inside the stomach. This however is​ a​ very very rare occurrence and usually there are many warning signs well in​ advance of​ this ever happening.
Slippage of​ the gastric Band is​ also an​ unusual occurrence. This when the lower part of​ the stomach may prolapsed over the band devices and cause an​ obstruction. Once again however this a​ very rare occurrence and warning signs are usually noticed well beforehand.

Psychological effects of​ any weight loss procedure may also be considered. Many Patients who have been Obese for extended periods of​ time prior to​ the gastric banding surgery procedure, have been habitually overeating for a​ greater part of​ their lives, therefore any sudden changes to​ their diet and lifestyle can have some adverse affects on the Patient.




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