Laparoscopic Adjustable Gastric Banding Surgery (LAGB)
Laparoscopic Adjustable Gastric Banding Surgery (LAGB)
Laparoscopic Adjustable Gastric Banding Surgery in india used to be one of the most popular procedures about a decade ago in India. In the recent years the incidence of laparoscopic gastric banding has considerably decreased all over the world owing to unsatisfactory Weight Loss surgery / Bariatric Surgery outcomes.
One of the biggest advantages of Gastric Banding Surgery in Mumbai is that it does not involve cutting of the stomach or intestine and is a fully reversible procedure. It may be recommended as a procedure of choice for younger patients, high volume eaters and for those who do not wish to undergo an irreversible procedure.
Laparoscopic adjustable gastric banding surgery in mumbai, india
Laparoscopic Adjustable Gastric Banding Surgery in India is a surgical procedure in which an adjustable silicon band is applied on the outer surface of the stomach, dividing it into a smaller upper pouch and a larger lower pouch. The band is connected by a tube to a port which is fixed under the skin. The amount of fluid in the band can be adjusted by injecting fluid through the port.
Mechanism for weight loss after gastric banding surgery in mumbai, india
Gastric banding surgery is mainly a restrictive procedure and leads to weight loss by limiting the food intake. Following a lap band surgery, the stomach is divided into a smaller upper pouch and a larger lower pouch. The fluid in the lap band can be adjusted to increase or decrease the feeling of restriction.
Expected weight loss after adjustable gastric banding surgery in india
Weight Loss is a gradual process after Adjustable Gastric Banding in India. Gastric banding surgery typically leads to an excess weight loss of 45 to 50% over a period of 12 to 18 months. Weight loss after laparoscopic adjustable gastric banding in mumbai also depends on rigorous follow up and regular band adjustment. If the weight loss after adjustable gastric banding tapers, one needs to visit their doctor for a band refill. Behavioral modification, diet and exercise also play a big role after lap band surgery. Patients who modify their lifestyle have been seen to fare much better in terms of weight loss outcomes after gastric banding surgery in india.
It is important to note that Metabolic Surgery/ Bariatric Surgery is a tool that pushes you into a lifestyle change. While metabolic/ Bariatric surgery in mumbai helps to lose massive amount of weight, it is also important to exercise every day and follow a healthy diet. Our experience shows that patients who embrace the lifestyle change along-with surgery, tend to do much better in terms of weight loss and weight maintenance in the long term.
Diabetes improvement after laparoscopic adjustable gastric banding in india
Any kind of weight loss leads to improvement in diabetes. Laparoscopic adjustable gastric banding in india leads to significant loss of weight and in turn leads to improvement in type 2 diabetes. Significant reduction in anti-diabetic medications has been observed after lap band surgery. The outcomes of diabetes improvement depend on a lot of factors like the duration of diabetes, type of diabetes (type 1/type 2), age of the patient, c-peptide levels, use of insulin etc. Early diabetics tend to do better with gastric banding surgery and patients with more severe and longer duration of diabetes have been seen get better results with other bariatric/metabolic surgery like a Roux-en y Gastric Bypass Surgery in India.
Adjustable Gastric Banding in mumbai also leads to improvement in other associated diseases like high blood pressure, high cholesterol, obstructive sleep apnoea, gout, joint diseases PCOD, infertility etc. The overall risk for heart disease goes down considerably due to significant weight loss and overall improvement in associated co-morbidities.
Laparoscopic adjustable gastric banding surgery (Frequently asked question FAQs)
Once you see the doctor, you will need to undergo investigations and medical checks for fitness. Additionally, you may need to see a chest physician, an endocrinologist, a nephrologist or a cardiologist, based on your clinical profile. You will also need to be on a high protein liquid diet for about 5 to 7 days prior to surgery. We would want you to lose atleast 3 to 5 kg before you undergo any bariatric/metabolic surgery. This helps to reduce the swelling on the liver, and makes surgery easier for the surgeon and in turn, safer for you. In a way, it is also a test of your compliance for long term follow up. It has been seen that patients who follow the pre-operative diet well, they tend to get better results after any best bariatric surgery in mumbai.
You will be admitted to the hospital one day before the gastric banding surgery or in special cases as per the advice of the doctor. Adjustable gastric banding surgery typically takes about 30 – 45 minutes to perform depending on the grade of difficulty. You are encouraged to walk within 4 to 6 hours of surgery. Most patients get discharged the next day, of course it will depend on your clinical condition and the doctor’s decision.
Follow up is the most important part of any bariatric/metabolic surgery. You will need to see Best Bariatric Surgeon in Mumbai, India - Dr Aparna Govil Bhasker 7 days after your surgery. First adjustment after a lap band surgery is usually performed 6 weeks after the operation. The amount fluid injection will depend on the type of band that has been placed. You will need regular adjustment of the band in order to achieve good weight loss. Band adjustment is an out-patient procedure and can be done in the doctor’s office. There is no special preparation or fasting needed prior to band adjustment.
In the first year, you need to do your tests and visit at 3 months, 6 months and at the end of 1 year. Post 1 year, all patients need to get investigated once a year and visit the centre for a check up. Life long follow up is advised after all bariatric/metabolic surgeries.
After the laparoscopic Sleeve Gastrectomy, you will be on liquid diet for 15 days followed by soft diet for 15 days. You can commence normal home food after a month of surgery but it will be restricted in quantity. The nutritionists will guide you at every step and will be there to answer all your queries. You will need to avoid high calorie foods, fired food, sweets and alcohol.
After adjustable gastric banding, you need to be on regular nutritional supplements for the first 6 months as your intake will reduce considerably. After that the doctor will guide you regarding supplementation based on your reports and clinical profile at the time of follow up visits. You may also need to be on other medications as advised by the doctor based on your clinical profile.
Adjustable gastric banding in india is as safe as a laparoscopic gall bladder surgery or a knee replacement surgery. Its complication rates are much lower when compared to other major surgeries like cardiac bypass or surgery of the food-pipe or many other cancer surgeries. The immediate or short-term complication rate after this surgery is low.
Laparoscopic adjustable gastric banding in india was very popular about ten years ago. Presently, it is not considered as a procedure of choice for Indian patients except for adolescents. There are high chances of inadequate weight loss and weight regain after this surgery. There is also a significant incidence of band erosion and slippage in the long term.
Patients suffering from hiatus hernia and reflux esophagitis (GERD) must not undergo adjustable gastric banding as it can lead to an increase in the reflux levels. Patients allergic to silicon, patients suffering from auto-immune diseases like SLE and patients who have had previous stomach surgeries must not undergo this procedure. Other contra-indications are the same as any other bariatric surgery and the doctor will explain them to you during consultation.
Adjustable gastric banding can be reversed and the band can be removed laparoscopically. The cost of lap band surgery removal will depend on the type of room that you select in the hospital and the number of days that you need to stay for.
Yes, this can be converted to any other type of bariatric surgery in india such as a Sleeve Gastrectomy or a Roux-en y Gastric Bypass Surgery
or any other Bariatric Surgery procedure. Sometimes, band removal and conversion to another bariatric procedure can be done at the same time. In complicated cases, the surgeon may have to remove the band first and then do the second operation after a gap of 3 months. This depends on individual case and the surgeon will guide you further about it.
This will depend on a host of factors such as whether it is a staged procedure or being done at the same sitting, which procedure it is being converted to, how much disposable equipment is being used, duration of surgery, stay in the hospital etc. Cost of gastric banding surgery india conversion depends on all the above factors and will be discussed on a case to case basis.
How much does a laparoscopic adjustable gastric banding cost in india?
Cost of adjustable gastric banding in india depends on the type of the band used. Laparoscopic gastric banding cost in mumbai also depends on disposable equipment like trocars, energy sources etc. This increases the lap band surgery cost. Gastric banding surgery cost in india also depends on the number of days you need to stay in the hospital, type of room that you select as well as the hospital in which you get operated. The doctor will guide you about the adjustable gastric banding cost in mumbai after assessing and evaluating all the above details.
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About Dr. Aparna Govil Bhasker
Dr. Aparna Govil Bhasker is an accomplished Bariatric Surgeon and Laparoscopic GI Surgeon. Extremely passionate about her field of specialization. She completed her MBBS and MS in General Surgery in 2006, from Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram. Set up in 1967 by none other than the first health minister of India, Ms. Sushila Nayar, MGIMS is deeply rooted in Gandhian ethics. Read more