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Obesity - Weight loss surgery

Laparoscopic Gastric Banding

 Laparoscopic Gastric BandingLaparoscopic Gastric Banding also known as lap band surgery is a reversible procedure for weight loss. It involves placing a silicone band around the upper part of the stomach to create an hourglass shaped stomach. A small outlet is left to allow food to enter into the lower part of the stomach. The band proves to be effective in weight loss as it restricts food intake; moreover, food stays in the stomach for a longer period thus leading to early satiety and decreased consumption.

Read Eligibility for surgery to see if you can opt for this procedure.

Eligibility for surgery

This procedure is recommended:

  • If you are a large eater
  • If you have tried to lose weight several times but haven't been successful
  • If you are a young person/adolescent, since the procedure is reversible
  • If you are looking to lose about 40 - 50% of your excess weight within 18 months
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Will I feel the band? Are there any side effects or complications?

The band cannot be felt and does not hurt. You could however feel the port under the skin. A few patients do mention a feeling of cramping, nausea and vomiting in the first 2-3 days, after this there are no complications. In very rare instances the band may slip or erode in the stomach, in such cases, the band will have to be removed.

What about tightening and loosening the band?

The band will need to be tightened or loosened depending upon the weight loss. The first tightening is usually done after 6 weeks of surgery and gradually thereafter, you will have to visit CODS or one of our network hospitals.

If I live abroad how do I tighten or loosen the band?

For the convenience of our overseas patients we have developed a network of clinics that can perform the tightening and loosening procedure. The network includes all major bariatric centres around the world. We will try to put you in touch with one of the centres closest to your residence.

Are there any diet restrictions after the band has been placed?

You should avoid foods like bread, pasta, rice etc. or any food with high starch content. It is also advisable to avoid high calorie liquids like colas, alcohol, etc, and to start exercising.

Will I resume eating heavily after removal of the band?

Most probably you will go back to your previous ways of eating once the band is removed. You could regain all the weight that you have lost.

Will LAGB resolve all my co-morbidities?

It does lead to decrease in the severity of co-morbidities like type 2 diabetes, high blood pressure, high cholesterol etc. though it depends on the amount of weight you lose. It takes longer to lose the weight as compared to other procedures such as Laparoscopic Sleeve Gastrectomy or Laparoscopic Gastric Bypass and eventually the weight loss may not be similar to that achieved with other bariatric surgeries.