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Gastric Banding in India

About Gastric Banding ?

Adjustable gastric band surgery is an example of bariatric surgery designed for obese patients with a body mass index (BMI) of 40 or greater — or between 35 and 40 in cases of patients with certain comorbidities that are known to improve with weight loss, such as sleep apnea, diabetes, osteoarthritis, GERD, Hypertension (high blood pressure), or metabolic syndrome, among others.

Working principle

The inflatable band is placed around the upper part of the stomach to create a smaller stomach pouch. This slows and limits the amount of food that can be consumed at one time, thus giving the opportunity for the sense of satiety to be met with the release of peptide YY (PYY). It does not decrease gastric emptying time. The individual achieves sustained weight loss by choosing healthy food options, limiting food intake and volume, reducing appetite, and progress of food from the top portion of the stomach to the lower portion digestion.

Surgical indications

In general, gastric banding is indicated for people for whom all of the following apply:

  • Body Mass Index above 40, or those who are 100 pounds (7 stone/45 kilograms) or more over their estimated ideal weight, according to the National Institutes of Health,or those between 30 to 40 with co-morbidities that may improve with weight loss (type 2 diabetes, hypertension, high cholesterol, non-alcoholic fatty liver disease and obstructive sleep apnea.)
  • Age between 18 and 55 years (although there are doctors who will work outside these ages, some as young as 12.
  • Failure of medically supervised dietary therapy (for about 6 months).
  • Gastric Banding

    Benefits of gastric banding
  • Lower mortality rate: only 1 in 1000 versus 1 in 250 for Roux-en-Y gastric bypass surgery.
  • No cutting or stapling of the stomach.
  • Short hospital stay.
  • Quick recovery.
  • Adjustable without additional surgery.
  • No malabsorption issues (because no intestines are bypassed).
  • Fewer life-threatening complications (see complications table for details).
  • Potential complications

    A commonly reported occurrence for banded patients is regurgitation of non-acidic swallowed food from the upper pouch, commonly known as Productive Burping (PBing).Productive Burping is not to be considered normal.

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