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- 1 kg = 2.2 pounds
- 1 foot = 0.305 meters
- 1 inch = 0.0254 meters |
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Restrictive Procedures - Gastric Banding |
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Our technique consists of placing a device to be located in the highest part of the stomach as if it was a ring, (readjustable gastric band).
It is placed almost in most cases by laparoscopy, (surgery without courts), save exceptions, (super obese), is placed for laparotomy, (surgery with cut), but in both techniques the same benefits are obtained. Nowadays with the laparoscopic procedure we are obtaining better results.
This procedure produces restriction in the consumption of food, the person has to be disciplined to change its alimentary habits and have a good intention to descend weight, collaborating with the diet, the frequency of the same one, the volumes, the band adjustments according to the weight loss, and to have all the intention to achieve its ideal weight. |
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There is no need to cut the patient the patient and consequently not scars are produced; incisional ruptures are not produced neither infections, and the post operating pain decrease notably, so that the patient is able to abandon the clinic at 8 hours after the intervention, because is an ambulatory procedure. |
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The stomach is not cut so there is no suture, for which the stomach remains equal as before being operated, and consequently, the risk that a suture fail and peritonitis been produced does not exist. |
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By not cutting the stomach this surgery is reversible, and if the patient desires, he can return to the previous situation as had before being operated.
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 Once the patient has abandoned the clinic, (and until he loses weight), he should carry out a dietary processing controlled by a specialist in endocrinology. The dietary processing will be low-calorie and vitamins that permit him to descend weight, and at par, to continue with its normal life.
The great advantage of the gastric restriction is that since the moment that the patient leaves the operating room he does not have any of the hunger sensations or anxiety, (need to eat at all hours), that had before the intervention, those will disappears.
The endocrinologist maintains the low-calorie diet until the patient loses the excess of weight. The processing consists, in the first phase, in a very low caloric content liquid diet and other subsequent phase of diet, with a higher number of calories, adequate protean appraisal, vitamins and exercises.
The necessary time to lose completely the excess of weight will depend on the kilograms to lose and will oscillate between 6 months and a year. During this period, the patient is controlled by the endocrinologist and depending on the regulations of the band, that is to say, the necessary adjustments; the alimentary restriction will lead to the adequate success.
Nevertheless, it is precise to emphasize that this success goes combined to a not smaller daily exercise of 45 minutes, in the modality that accommodates more to the patient, and that physical activity, will be the indicated to manage to obtain a good lean weaving, (muscular), that involve to have a good decrease of the surplus fatty weaving.
It is considered that results have been good when the patient has lost in the interim of a year the 75% from the weight excess that had at the moment of the intervention; as an example, if the patient had an excess of 100 kilograms before the intervention, when he has lost more than 75 kilograms in the time limit of a year.
The loss of weight should be controlled and be stopped to some levels where the patient will be found comfortable with himself and free of psychological repercussion.
Likewise, the band can be retreated at the moment that the patient and the doctor have it for convenient, but, up to now, is being valued that it is preferably to maintain the patient with its band, which, can be freed to its minimum of compression; the patient should have always a control of any eating excess that could be able to RISK A NEW ASCENT OF WEIGHT. |
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 The operation of Gastric Band, for us, is a surgery that we carry out in around 30 to 40 minutes and in an ambulatory way, is been developed a technique that guarantees us to have very few complications with this prosthesis.
It is unusual to have digestive inconveniences the first day, in spite of the sensation of not being able to belch and some fullness sensations; process that diminishes gradually. Said process coincides in parallel with the physical recovery.
This restrictive caution, in the best of the cases, assures the year loss from the 80% of the excess, and if the patient is very collaborating as in the diets as in the exercise he can arrive at the 100%.
The Gastric Band is an excellent alternative in our experience, in patients that have an excess among 30 to not more than 50 kilograms of excess, regarding the derivative surgeries, it has been proved in large series studies, that it has an interesting loss of weight until the 3rd year. After this, an important group of patients, can present an effect of repercussion to the profit of excess, this happens anytime that patients stopped concurring periodically to the surgeon, or they changed their habit of diet and they forgot the exercise.
Therefore, in resume the Gastric Banding as restrictive procedure adapts correctly the patient and the expert surgeons that have a commitment to respond periodically to their controls and above all, for the adjustments of the band.
That is to say, the procedure that we carry out puncionando the port in a direct way, in the doctor's office or in X-Rays, to get periodic radiological controls of the prosthesis and the disposition of the port, generally they do not exceed to 5 adjustments.
In spite of the fact that the diet can be very balanced is indispensable that the patient carry out not less than 1 daily hour of exercises, (spinning, girdle, walk, etc.), as personal experience the only exercise that I limited to my patients is that of the sit-ups, since is not infrequent to have complications with the port, (inflammation, seromas, protrusión, etc.), port that must be handled by very experienced doctors.
There are frequent questions regarding when to take out a Band, and I detail them in some items: |
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When the patient presents some certain type of intolerance, (rare). |
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When the port presents some important sign of infection. |
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If some radiological control enlargement was observed or for any band migration. (Rare, but described). |
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By penetration of the Band diagnosed by an endoscopic control or by any important symptom in the patient. (Nauseas and postprandial vomiting). |
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When the patient requires it, (to his request). |
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When the patient is going to move away from the periodic control for a prolonged space, (trip abroad). |
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When the loss of weight is signifying an important inconvenience in the patient, (some times the restriction turns exclusively to liquids and the adequate nutrition is limited). |
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When the band failed as procedure and is carried out as prior step for any other surgical attitude, (is not recommended to take out the band and carry out some other procedure at the same time). |
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If the patient had any change in his psychological behavior, for example if he becomes alcoholic, bulimic, or developed any mental disorder. |
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In general terms, I believe this summary can respond to all the anxieties of the patients, but the Web is just the initial approach between the patients and my consultation, logically you will have a consultation where you will be able to generate and to develop all the anxieties that you express.
Likewise, during this our techniques will be shown in videos, together with patients testimonies, so that you can you can get the confidence and securities that you think for convenient |
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En español 
What is obesity?
