Gastric Banding

QUEENSLAND's TRUSTED WEIGHT LOSS CLINIC
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Gastric Banding Surgery

Gastric Banding

Gastric banding surgery is usually performed with keyhole surgery. This minimally invasive surgery usually results in less discomfort and time off. During the 30-45 minute procedure, a gastric band is fastened around the upper stomach to create a small pouch which restricts the amount of food that can be consumed. In addition to the band, an access port, connected by tubing, is placed in the abdomen wall. This port allows for the size of the band to be increased or decreased with saline. The gastric banding surgery does not involve cutting or stapling of the stomach or intestines, providing the option to reverse the treatment.

Laparoscopic gastric banding surgery was first introduced to Australia in 1994. Since then, 850,000 procedures have been performed worldwide.

We offer Stomach or Gastric Banding for an effective long term weight loss

The advantage of gastric band surgery is lower risk than other forms of weight loss surgery. This is because it does not require any cutting or joining of the stomach or small bowel.

Gastric band surgery is performed in 99% of patients with keyhole surgery, and is associated with usually an overnight stay in hospital and a shorter recovery time of one week in the majority of patients.

Successful weight loss after gastric banding requires regular follow up to make sure the band is adjusted correctly. Usually this involves monthly visits to one of our clinics at either the Wesley, Stafford, Logan, Toowoomba, Noosa or Cairns. Most patients will know their gastric band better than themselves and will be able to tell if they require an adjustment; these could be little signs of looking for more food or meal size becoming larger.

The thing to remember is that, because you will be eating less, it is important to focus on good quality nutritious meals to ensure your body gets all the nutrients it needs. We recommend a daily multivitamin as well as regular follow up with your dietitian. They will be able to provide you with food alternatives which are ‘band friendly’ and also nutritionally sound.

Gastric band surgery is less invasive than other surgical weight loss procedures generally speaking the chance of a compilation is lower than other forms of weight loss surgery as there is no cutting and joining of the stomach or small bowel.

Infection – This may require treatment with antibiotics and occasionally re-operation. If the access port becomes infected this will often need to be removed and replaced at a later date.

Wound issues – People with a higher weight are at a higher risk of complications involving wound infections, haematomas (large bruises) and poor wound healing.

Damage to organs – Any keyhole procedure can be complicated by unintentional injury to the organs near the area of operation. This may require a repeat operation to repair the damaged organs. The risks associated are at about 1 in 3000

Blood clots – Deep Venous Thrombosis (clots in the veins) and pulmonary embolus (clots in the lungs). Please inform the clinic if you have history or family history of DVT or PE. Patients will be asked to sit out of bed and walk on the day of surgery to reduce these risks.

Pneumonia/chest infection – With any surgery it is important to walk and mobilize to expand your lungs post operatively to avoid these complications.

The gastric band can slip or move on the stomach in 2% of patients usually this causes moderately severe gastroesophageal reflux. If a gastric band slips it needs to be deflated relatively quickly and often requires further surgery to reposition it in the correct position.

A rare complication of gastric banding is where the band slowly erodes into the stomach. The most common symptom of this is upper abdominal pain and the access port showing signs of infection. This necessitates the band being removed. This can occur in approximately 1 in 600 patients.

With successful weight loss there can be development of gallstones in 20% of patients. If the gallstones cause pain the patient may require a further operation to remove the gallbladder.

The range of foods tolerated after gastric band surgery is not as wide and varied as other weight loss procedures including gastric sleeve and gastric bypass. Patients may not tolerate dense foods such as bread, steak and dry chicken breast.

The long term success of weight loss after gastric band surgery whilst substantially higher than diet and exercise programs is not as high as the sleeve gastrectomy and gastric bypass surgery. The effectiveness of the band can be easily reduced with liquid calories and foods e.g. chocolate. Whilst the gastric band is very good at reducing hunger and allowing small meals to be satisfying, it relies more heavily on patients improving their dietary habits and lifestyle in order to achieve best results.

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18.5 – 24.9 25 – 29.9 30+
Classifies you within a healthy weight range. Classifies you as overweight. Being overweight can lead to obesity and the start of life-threatening health problems. Classifies you as obese. This means that you are more at risk of developing:
  • Heart disease
  • High blood pressure
  • Type 2 diabetes
  • Skin problems
  • Infertility
  • Depression
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Disclaimer: This is a summary of the procedure and risks associated with the surgery. It is meant as general information only, and not a complete resource, or to replace an in-depth consultation with your surgeon. If you require any further information about this, or any procedure please contact the clinic.

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