How is gastric banding performed?
Gastric banding includes several steps. The following information can prepare you for a gastric banding procedure.
Before the surgery
- The physician will enlist your medical and medication history, especially any medical condition associated with obesity.
- The physician provides nutritional counseling
- You need to undergo blood tests and complete physical examination
- You need to stop taking aspirin, ibuprofen, vitamin E, Coumadin (warfarin), and other blood thinner medicines or any herbal supplement for some time before the surgery.
- You should be on a liquid diet 24 hours before surgery.
- You have to fast for a minimum of 12 hours before surgery.
- You’ll be given antibiotics and unfractionated heparin 30 to 120 minutes before the surgery.
During the procedure
- A gastric band is fitted under general anesthesia. It is a minimally invasive procedure and is performed through a keyhole incision.
- The patient is made to lie flat on the operating table and is secured to the operating table to prevent sliding.
- The patient’s abdomen is sterilized and draped.
- The surgeon makes three to five small surgical cuts in the abdomen.
- The surgeon inserts a long narrow tube with a camera (laparoscope) through one of the incisions.
- Through the other incision, the surgeon uses surgical instruments to place the band.
- The gastric band is placed around the upper part of the stomach and secured with stitches.
- The port attached to the band is secured to the wall of the abdomen.
- The procedure takes about 30 to 60 minutes to complete.
After the procedure
After the surgery, food intake must be restricted. For the first few days, a liquid diet should be taken.
- The patients can resume a normal diet after six weeks.
- The patients can resume a normal routine within two days.
- The physician educates the patient about how much to eat, what to eat and exercise routine to achieve adequate weight loss.