A Gastric Band is a specific adjustable device, which is placed below the esophagus on the upper part of the stomach during laparoscopy, shaping the organ into an hourglass. The band divides it into two cavities: the small pouch with the capacity of up to 50 ml and the big one. A narrow lumen remains between them, through which food slowly moves from the small pouch into the big one and is digested there.
The whole system is a ring made of natural latex with a cavity inside. Supplying/pumping the fluid into/out of the cavity leads to a change in the cuff diameter. A soft thin tube is attached to it, which is brought to the subcutaneous fat layer of the abdominal wall in the umbilical region. There is a special extension at the end of this tube, referred as the port.
The functioning principle is as follows: the fluid (usually a saline solution) is injected into the port through a dermal puncture. The fluid enters the cuff through the tube and inflates it. The more fluid is injected into the cuff, the narrower the lumen becomes dividing the small pouch and the big one. The lumen width is calibrated postoperatively, and then, when deemed necessary – approximately once every 3-6 months.
The upper part of the stomach is receptor-rich, and they are responsible for satiety. They are signaling to the brain about satiety when small portions of food enter the small pouch. Thus, gastric banding resolves a variety of patient’s health issues:
It is recommended to remove the band one year after achieving the intended effect.
Gastric banding: pros and cons of the technique
Principal benefits of such bariatric surgery:
The drawbacks of the technique, in addition to the necessity for staying under care by an expert and system adjustment, is the 15% probability of complications:
Gastric Banding in Ukraine: comments from Andrian Reiti, bariatric surgeon:
“Medical statistics in Ukraine, regarding such a serious chronic condition as obesity, are unpromising: 58% of our fellow citizens are overweight, a certain class of obesity is diagnosed in 25%. If diet, exercises and medication do not bring the intended effect, the issue can be resolved using bariatric surgery – minimally invasive gastric surgery, resulting in patients with the BMI (body mass index) higher than 30-35 kg/m2 during the first two years to gradually lose 30-50% of excess weight, and over the next 3-4 years bring it back to normal limits (optimal BMI range: 18.5–24.9 kg/m2).”
Laparoscopic Gastric Banding is considered as the most gentle and safe surgical technique for obesity treatment. Although, it has contraindications:
Any operation, including Gastric Banding, requires preparation:
Only liquid diet is allowed after surgery, and semi-liquid – after 2-3 weeks. Solid foods can be consumed after 5 weeks. It’s crucial to lead an active lifestyle and change eating habits not to gain weight again after removing the band.
THE PRICE FOR GASTRIC BANDING IN KYIV
Surgery is performed in the Metabolic Surgery Center located in Kyiv Regional Clinical Hospital, so its price is 60-70% lower than in clinics of the U.S. and Western Europe. The results are up there with foreign analogues in quality and safety.
Let us introduce the doctor
PhD in Medical Science, Chief Surgeon at the Metabolic Surgery Center