The adjustable gastric band (known as lap banding) acts as a restrictive weight loss procedure. Gastric band surgery involves placing a silicone band around the upper part of the stomach. The procedure, which takes approximately 40 minutes to complete, is undertaken laparoscopically (using small keyhole incisions) under a general anaesthetic. There is a small potential for conversion to open surgery (less than 0.1%).
The surgeon will create a small pouch above the band (about the size of a golf ball) and a large pouch below the band. This creates an hourglass appearance, and it functions by limiting the amount of food you need to eat in order to feel full. It also controls the rate at which food is emptied out of the pouch into the rest of the stomach. This is at a slower rate than normal, and therefore you should feel satisfied with a smaller amount of food and feel fuller for longer.
The band can be adjusted to increase or decrease restriction.
BENEFITS OF GASTRIC BAND SURGERY
PATIENTS TYPICALLY LOSE 20% OF TOTAL BODY WEIGHT
LEAST INVASIVE SURGICAL OPTION
NO INTESTINAL RE-ROUTING
NO CUTTING OR STAPLING OF THE STOMACH
SMALL INCISIONS AND MINIMAL SCARRING
QUICK RECOVERY TIME & SHORT HOSPITAL STAY
ADJUSTABLE & INDIVIDUALISED
FEWER RISKS THAN GASTRIC BYPASS
LOWER RISK OF NUTRITIONAL DEFICIENCIES AND COMPLICATIONS COMPARED TO OTHER SURGERIES
*As with any surgical procedure, there are possible risks and complications, including band slippage or erosion, infection, anaesthetic contraindications, leakage from thin connection tubing, deep venous thrombosis, pulmonary embolism (clot to the lung), bleeding, wind/constipation, haemorrhage problems, gastroesophageal reflux disease (GERD), oesophageal dilation causing heartburn (may require band deflation and surgery), pouch dilation, gastritis (inflammation of the stomach) or oesophagitis (inflammation of the oesophagus), death.
These are uncommon and we will do everything possible to prevent them from happening. Please speak to your Tonic surgeon to discuss the risks in more detail and any concerns you may have.
Danni’s review of her gastric band. Watch her inspiring story below.
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Weight Loss Results
The band is designed for slow, continuous weight loss (one to two pounds per week). Patients typically lose 20% of their total body weight over a 12 to 18 month period.
At 12 months, the weight loss achieved by gastric banding is slightly less than the sleeve gastrectomy and the gastric bypass – approximately 50% of their excess weight (a term used to describe weight above a BMI of 25).
Before the procedure, patients will go on a low-carbohydrate and low-fat 800-calorie diet to shrink the liver.
Recovery Time and Aftercare
In many cases, the gastric band can be undertaken as a day-case procedure. Some patients may require an overnight stay in the hospital and can expect to return to work after 7 to 10 days and to full activity within 10 to 14 days of surgery.
After the procedure, patients will be asked to go on a particular diet to help the healing. Typically, this is a liquid-only diet for two weeks, a puréed diet for two weeks and then a soft diet for two weeks. From then on, patients will need to continue to eat in the right way, adopting an active and healthy lifestyle.
Read more about our Premium 2–5 Year Aftercare package at the bottom of this page.
Gastric Band Adjustments
The gastric band can be tightened or loosened and will need adjusting from time to time. Typically, a patient will have six to eight follow-up appointments in the first year. This ensures we reach the appropriate amount of fluid in the band for each patient. (This varies depending on the body mass index of the patient, the band we have used and the weight loss expectations.)
An adjustment reduces the size of the opening into the rest of the stomach below the band. This is done via the port (button like), which is connected to the band by a small thin tube that is positioned under the skin and fat. Please note that this is not visible.
Gastric band adjustments are relatively pain-free and will be carried out by our own team of specialists until the suitable restriction for you is established. This can be different for every patient.
Is the Procedure Reversible?
The gastric band is a reversible procedure unlike the sleeve gastrectomy and the gastric bypass. The operation to remove the gastric band is done laparoscopically (keyhole) and takes 30 to 45 minutes.
Is a Gastric Band Right for You?
If you have already tried adjusting your diet and exercise routine to lose weight and these measures have not been effective, you may qualify for a gastric band procedure.
The gastric band is generally not appropriate for those with conditions such as acid reflux, Barrett’s oesophagus and oesophageal dysmotility.
Your Tonic surgeon will discuss whether a gastric band is right for you and explain all the benefits and risks in detail during your initial consultation.
Tonic’s gastric band surgery procedures are available in London, Derby, Manchester, Leeds, Luton, Birmingham, Nottingham and Leicester, with finance options available.
All our leading bariatric surgeons are NHS-approved.
Aftercare and Support Like No Other
We pride ourselves in providing the most comprehensive support package around you after your procedure. Weight loss surgery itself is simply a tool to help you lose weight. Our aftercare team work with you to make sure this is as effective as possible in your weight loss journey. Tonic are the only provider to offer a Premium 2–5 Year Aftercare service to ensure you get the results you desire and deserve from your procedure.
Other UK and overseas providers
Unlimited Dietitian Appointments
Unlimited Access to a Psychotherapist
Unlimited Support from a Bariatric Nurse
Aftercare Toolkit Including the Tonic Bariatric Plate
5-Year Surgeon Follow Up Appointments
Access to a Private Social Media Community Support Group
Monthly Psychotherapy Workshops
Lifelong Support & Advice
Weekly Newsletter Including Tips and Advice
5 Steps to Change Your Life
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At Tonic Weight Loss Surgery we offer a bespoke service to all of our patients – this is because all our patients are unique in their own way and they are likely to have different needs and requirements.
When you book a free consultation with one of our bariatric surgeons we will arrange a pre-consultation telephone call for you. This is where our surgeon will call you prior to your in-house consultation and go through the details of the operation you are considering to ensure that:
You are a suitable candidate for the surgery.
The procedure you are considering is the correct one for you.
Your medical history is within expectations.
To discover if any concerns are preventing you from undergoing the operation.
You have a chance to feel at ease with the surgeon before you attend your in-house consultation – we are fully aware of how daunting this can be.
For further information, please contact our team on 0115 950 4662 to discuss your individual case.
We are experts in the field of weight loss and weight loss surgery and have many years of experience. Tonic Weight Loss Surgery currently have clinics situated around the UK, in Birmingham, Cardiff, Derby, Leeds, Leicester, London and Nottingham. Our philosophy is simple: we teach you how to ‘eat to live, not live to eat’.
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