Gastric Band Tunisia :
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The gastric ring, also called gastroplasty is an obesity surgery which consists in establishing a silicone ring around the upper part of the stomach, the diameter of the ring can be adjusted (tightened or released) thereafter.
This procedure makes the patient consuming smaller amounts of food, allowing to reach a concrete weight loss over the long term.
As gastric bypass or sleeve gastrectomy, gastric banding is one of the most practiced bariatric procedures throughout the world.
This procedure makes the patient consuming smaller amounts of food, allowing to reach a concrete weight loss over the long term.
As gastric bypass or sleeve gastrectomy, gastric banding is one of the most practiced bariatric procedures throughout the world.
Gastric banding: how does it work?
The gastric band laying will separate the stomach into two parts: an upper pocket 15 to 25 cm 3, and a bottom pocket, thus giving it the shape of an hourglass. The goal is to pass food more slowly through the stomach. The tighter the ring is the slower the food gets in to the passage.The patient will quickly feel full after consuming a small amount of food.
Tightening and loosening the ring are very simple: it is done through a small box located under the skin at the abdomen, the housing being connected to the ring with a tube.
Indications
The gastric band surgery is for anyone with a BMI (Body Mass Index) greater than 40 (or between 35 and 40). You must be at least 18 years old to use this, and do not exceed the age of 65.This procedure can be considered if the patient was unable to lose weight with proper diet and physical activity.
Before procedure
Before undergoing the gastric band, the plastic surgeon will check patient's general state of health as well as his motivation to undergo this procedure. Indeed, this procedure is reserved for determined patient ready to follow a strict and rigorous diet after surgery. Patients should be followed by specialists to regularly assess their progress.A complete check-up and a blood test will be performed by the patient. A fibroscopy should be performed to assess the state of the stomach.
Procedure could not be performed if patient already suffers from diseases that cons-indicate surgery (stomach problems, cancer, etc.)
During procedures
Gastric band is done under general anaesthesia and lasts between 30 minutes to 45 minutes.The surgeon will perform the gastric band by laparoscopy: this technique can make small incisions to reach the stomach, and then proceed to place the ring around the entrance of the stomach.
After one or two months of the procedure, the ring will be tightened and then be tightened gradually to achieve better results, or otherwise loosened depending on the evolution of the patient's condition.
One day hospitalization is required.
After procedure
The gastric band is a painless procedure. Its tightening is not systematic because its placement may be enough to achieve the desired result. If the patient's case requires a tightening of the gastric band, it will be done gradually to ensure a balanced weight loss and some comfort when eating.The patient should eat 3 times a day, but he must avoid at all costs snacking. He will swallow each bite very slowly, taking time to chew well.
The ring can be kept for life, but the patient may request to withdraw it: the withdrawal of the ring will most likely cause weight gain.
It is very important that the patient is monitored regularly by specialists; after losing several kilos, the patient may suffer from vitamin deficiencies that must be addressed.
Vomiting can be frequent but should be avoided as it can cause oesophageal burns and a ring movement. Endoscopic control every 3 years has to be performed to verify that the ring did not move.
It is necessary that the patient is aware that the gastric band is a diet booster; this means that he will scrupulously follow his diet and adopt a more healthy lifestyle in order to achieve satisfactory results.
Results
The patient will benefit from a loss of satisfactory and stable weight after one to two years of procedure. When the patient has mastered his new eating habits, the ring will be gradually released.If the patient manages to maintain a strict diet and follow a healthier lifestyle, then he can expect to lose up to 80% of its weight surplus in less than 24 months.
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