Gastric band surgery, also known as gastric banding or lap banding, is known as restrictive weight loss surgery as it limits the amount of food you can eat at one time. After the surgery, you will feel fuller sooner and stay satisfied for longer, which in turn decreases your food and calorie intake.
It is a weight loss surgery option that helps overweight and obese people to change their eating habits and lose weight and improve overall health.
A gastric band is a soft and adjustable silicone band that is placed around the top of the stomach making an egg timer shape. This causes food passage restriction.
A gastric band is considered to be the safest weight loss surgery. It's a relatively simple low risk, minimally invasive procedure with few complications.
Gastric band surgery usually results in a shorter hospital stay (just one night), a faster recovery time (approximately one week), smaller scars and less pain than other gastric surgery procedures.
A gastric band involves no permanent alternation to your body such as removing part of your stomach or re-routing and stapling your body. It is completely reversible and can be removed if desired.
A gastric band works by reducing your hunger so that you don’t need to eat large portions to be satisfied.
By placing an adjustable band around the upper part of your stomach, sensors are irritated which send a message to your brain to tell you that you are no longer hungry. It will only work if you eat normal foods because the sensors need pressure from bulky foods. They won’t work if you eat mashed foods and liquids. Band adjustments are needed to tighten or loosen the band to maintain pressure.
The benefits of a gastric band are that it helps you to accomplish long-term weight loss if you are committed to keeping to a new healthier lifestyle and gastric band diet. If you have obesity-related health problems such as type 2 diabetes these should also improve with your weight loss.
The typical cost of gastric band surgery is between £5000 and £8000 in the UK with prices at Ramsay Health Care UK starting from a guide price of £6,630. Our package includes 24 months aftercare that comprises of appointments with specialist bariatric nurses, specialist dieticians and medical reviews as required. Band adjustments are included in the package. Payment plans are available to fund your treatment.
So, who can have a gastric band? You may be eligible if:
Typically, you’ll also need to demonstrate that you have tried to lose weight in other ways such as eating healthily, exercising and taking relevant medicines, for at least six months and this hasn’t worked.
A gastric band may be best suited to you if you want the safest weight loss surgery with the lowest risk and serious complications and a fast recovery. A gastric band is the least invasive gastric surgery and can offer a reversible change to your stomach size that can help you to modify your diet and lifestyle forever.
Before surgery you’ll be given a general anaesthetic, the procedure is performed using laparoscopic (keyhole) surgery and usually takes an hour.
Your weight loss surgeon will make several small cuts in your stomach and insert a long, thin telescope with a light and camera lens at one end, called a laparoscope, through the cuts so that they can see inside.
Your surgeon will place the gastric band around the top part of your stomach to create a small upper pouch. The band is kept in place by folding some of your lower stomach over the band and stitching it to your upper stomach pouch.
Your gastric band is connected to an injection port just under your skin via a thin piece of tubing. Your surgeon will inflate the band with sterile fluid after your operation. The injection port allows your surgeon to inflate or deflate your band and adjust the size of the opening from your upper to your lower pouch and this will control how quickly your pouch empties.
Your surgeon will then close the cuts, usually with disposable stitches under your skin.
After gastric band surgery you’ll stay overnight in hospital.
You’ll only be able to have fluids in the first few weeks. You will then progress onto soft pureed food before recommencing solid food.
Your weight loss surgeon or a dietitian will discuss your diet and the exercise changes you should make for a healthier lifestyle and to help you to reach your weight loss goals. Their diet plan will include recommendations regarding your food choices and the quantities you should be consuming, this includes eating smaller meals, because your new stomach can hold only about a quarter-cup to a full cup of food at a time.
It's important to 'listen to your band' and how you feel when you eat different foods at different times. Your surgeon or registered dietitian will support you with any problems you experience and offer advice and tips on how to tweak your diet and eating habits.
You may need pain relief and you can take over-the-counter painkillers such as paracetamol or ibuprofen.
You will need to attend follow up appointments including gastric band adjustments, gastric bands need to be adjusted on average of four to six times in the first year after surgery. It often takes several adjustments to find the right level of restriction. Your stomach needs to heal from surgery before the first fill so this won't be until six weeks after surgery. In addition to your regular hospital appointments to ensure everything is going well and you have adequate nutrition.
Most people take around two weeks to recover from gastric band surgery.
You may experience some side effects such as bruising, pain and swelling around your wounds and vomiting or feeling sick after eating, especially if you try to eat too much. Try to chew your food well, eat smaller portions and carefully choose the foods you eat.
Possible complications of any operation include: bleeding or a blood clot, pain and wound infection. Complications associated with gastric band surgery include:
Your weight loss surgeon will discuss these in detail with you before you decide to have gastric banding.
Mr Srinivasan Balchandra
Weight Loss Surgery
Mr Srinivasan Balchandra is an Upper GI & Bariatric Surgeon in DoncasterRead more
Mr Peter Vasas
Weight Loss Surgery
Mr Peter Vasas is a General, upper gastro-intestinal, laparoscopic and Bariatric Surgeon at Park Hill Hospital in Doncaster, South Yorkshire.Read more
Mr Sashi Yeluri
Weight Loss Surgery
Mr Yeluri is a Consultant General, Laparoscopic, Upper GI and Bariatric Surgeon who specialises in bariatric surgery.Read more
For many patients with a BMI (body mass index) of 27 - 35 surgery is not always available or recommended according to the NICE (National Institute of Clinical Excellence) guidelines, as patients with a lower BMI do not normally qualify for weight loss surgery. The gastric balloon is a soft, expandable intragastric (inside the stomach) device that is temporarily inserted into the stomach.
Surgery patients are not always successful in reaching their weight loss goals. Reasons for post-operative weight loss failure can include problems with the original surgery, as well as the patient’s inability to comply with necessary life style changes.
Gastric sleeve surgery is a restrictive procedure only. Two thirds of the stomach is resected and removed, leaving a smaller stomach in the shape of a sleeve. The portion of the stomach removed produces a hormone that stimulates appetite and hunger. Removing this portion of stomach results in a significant reduction in appetite.