Adjustable Gastric Banding

The Adjustable Gastric Banding involves the placement of an inflatable band around the upper portion of the stomach, in such a way as to create a small stomach pouch at the end of the band. Thanks to the small stomach pouch created with an adjustable band, patients are enabled to feel satiety by eating a small amount of food. The band can be inflated from the outside with physiological saline solution, through a mechanism placed under the skin. By this means, the passage of foods can be adjusted. No malabsorption occurs; and foods are digested in the stomach normally. The band is adjusted from the outside to limit food intake. With this effect, it is a procedure that enabled patients to feel satiety by eating less amount of food and reduce their caloric intake.

This surgical procedure that has been commonly performed in the past is today rarely performed due to certain reasons. The most important one of these reasons is the problems related to the band (band slippage on the stomach, erosion of the stomach wall and the resultant migration of the band into the stomach). Another reason is that people cannot suppress their hunger (food craving) although they cannot eat too much after this procedure. Due to these and other similar reasons, the gastric banding procedure is rarely performed around the world. With the exception of rare cases, we no longer perform this surgical procedure in our clinic.

 

Its Advantages

1. The rate of getting rid of excess weight in the short term ranges from 40 to 50%.
2. It does not involve the cutting of the stomach and intervention in the intestines.
3. Patients can be discharged the next day.
4. It is a reversible procedure.
5. It has a very low risk of complications.
6. It rarely causes vitamin and mineral deficiencies.

Its Disadvantages

1. It provides less weight loss than other procedures.
2. It involves the placement of a foreign device in the body.
3. It can cause complications such as band slippage or band erosion into the stomach in some patients.
4. Mechanical problems related to the band may occur.
5. In those who eat by straining the band, the esophagus may get enlarged and its angle with the stomach may change, leading to problems.
6. It requires strict adherence to the diet and follow-up visits.
7. It has a high rate of revision surgery.