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Placement of a gastric band

Gastric banding is performed under general anesthesia and on an empty stomach..

The operationusually takes place as an outpatient surgery.

The person enters the health facility in the morning and can leave in the evening.

In the event of postoperative complications, a short hospitalization may be necessary.

The adjustable gastric band is a medical device implanted during a surgical procedure.

This operation aims to help obese people lose weight by reducing the volume of the stomach. of the stomach.

This medical specialty aims to limit the quantity of food ingested at one time.

Band gastroplasty does not permanently divide the stomach, like other obesity surgery procedures.

The ring around the stomach is an inflatable tube made of soft silicone.

It is implanted around the upper part of the stomach.

When the person eats, the upper stomach pouch fills quickly, giving them a feeling of fullness more quickly.

The passage of food occurs at the level of the tightening of the gastric band.

The gastric band is connectedby a thin tube to a device placed under the skin.

The surgeon can thus adjust the diameter of the ring by injecting saline liquid into the subcutaneous casing.

During the procedurethe ring can be tightened or loosened without having to reoperate.

In fact, a balloon incorporated in the ring is connected by tubing to a reservoir placed under the skin, which allows its diameter to be modified:

- by puncture or injection of liquid into the case through the skin.

This operation does not lead to a reduction in Ghrelin (hunger hormone) and it does not disrupt the digestion of food.

It reduces food intake by purely mechanical effect.

The feeling of hunger is retained but we cannot eat more than the small pocket can hold.

In which cases should a stomach ring be used: what are the conditions and what is the required age?

To benefit from the installation of a gastric band, certain conditions must be met:

- the person must have failed in their weight loss efforts despite medical treatment (dietary monitoring, regular physical activity and psychological help).

- She must have a body mass index (BMI) greater than 40 kg/m², which increases the risk of obesity-related diseases.

People with a BMI greater than 35 kg/m² are eligible if they suffer from a disease linked to obesity. The pathologies associated with being overweight include:

- type 2 diabetes,high blood pressure, obstructive sleep apnea-hypopnea syndrome.

- she must undergo a medical examination to ensure that she is healthy enough for the gastric banding operation..

- si Theysmoke, drink alcohol or take opioids..

- it is essentialthat they stop before the intervention. (Smoking, alcohol, opioids etc.

- they must not presentany psychological contraindication.

- they must be agedbetween 18 and 60 years old.

What results and weight loss can you expect with a gastric band?

On average, people who wear a gastric band lose between 40 and 60% of excess weight.

HoweverThis is an average: the result of a gastric band depends on the individual.

The gastric band only helps you lose weight if you monitor your diet and have regular physical activity. It’s a long-term process.

How does the operation with gastric banding work?

The placement of a gastric bandis done under general anesthesia and on an empty stomach.

The operation generally takes place as an outpatient surgery. The person enters the health facility in the morning and can leave in the evening.

In the event of postoperative complications a short hospitalization may be necessary.

This surgical procedure is in fact minimally invasive, because it is carried out by laparoscopy.

Laparoscopy is a so-called “mini-invasive” surgical technique for exploring and treating the organs of the abdominal cavity.

Laparoscopy allows, thanks to small incisionsto be able to intervene on numerous organs and treat numerous pathologies.

The postoperative periodis generally easier than in the case of laparotomy, and the scars are smaller.

The surgeon makes several small incisionsand inflates the abdomen with gas.

He can thus place the gastric band easily, without making a major incision.

LThe procedure lasts approximately one hour.After installation, medical monitoring with radiological control is necessary.

What are the risks and dangers of a gastric band that may require its removal?

The lifespan of a gastric band is theoretically that of the patient's life.

However, a new operation to remove the gastric band is sometimes done at the patient's request or on the surgeon's advice.

The reasons for removing the gastric band are:

- insufficient weight loss;

- complications — for example, dilatation of the esophagus or stomach pouch;

- heartburn or severe gastroesophageal reflux ;

- digestive disorders:constipation, especially linked to the reduction liquid absorption;

- difficultyswallowing.

Looseningthe ring or eating more slowly with smaller bites can alleviate this problem.

- an intoleranceto the box placed under the skin;

What are the advantages

- Almost zero operating risk

- No lifelong supplementation< with vitamins and trace elements (no malabsorption)

- Total reversibility: the ring can be removed in the event of a complication or intolerance

VERY IMPORTANT! It's the medical team at our partner clinics who will decide which medical procedures are best suited to each patient's situation! You are the only one, together with the doctors, to decide on the desired care.

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