gastric banding abroad
Surgical procedure limiting the amonut of food intake at once. This procedure became very popular in many countries all over the world during the 90’ies.
Why gastric banding?
Why became Gastric Banding the preferred surgical method for many patients and surgeons?
Why gastric banding?
Why became Gastric Banding the preferred surgical method for many patients and surgeons?
• It is a fast and compared with all other methods, a safer procedure.
• It can be preformed by means of laparoscopy (no big abdominal incision required).
• The size of the inner diameter of the restriction created on your stomach can be adjusted to the course of your loss of weight.
• The procedure is fully reversible. No changes to the anatomy of the gastro intestinal tract are done!
Why do “gastric banding patients” eat less after surgery?
• 57% of patients do again feel satiety.
• 56% are experiencing a kind of pressure.
• 33% stop eating too much, in order to avoid vomiting.
• 6% of patients do report about other sensations, which causes them to stop eating.
What weight loss can I expect after surgery?
The loss of weight is again influenced by many factors. Your surgeon/physician will provide you with the right feedback on your loss of weight. The inflatable ring around your stomach can be adjusted to your personal needs and requirements.
Most of the loss of weight takes place during the first two years after surgery. The surgical intervention is considered to be successful when at least 60 to 70% of your excessive weight is lost during the first two years after surgery.
The procedure
A medical grade long-term inflatable ring implant is put around the upper portion of your stomach. This can be done in a minimal invasive way of surgery, big incisions of the abdominal wall are avoided. This benefit usually comes along with a much better, faster and less painful postoperative recovery of patients.
The implanted Gastric Band will cause you to eat less after the procedure. On the first post operative year you will need to see your surgeon 3-4 times. This is when your surgeon will check your course of losing weight and if required, adjust the inflatable ring accordingly to your specific needs.
The gastric banding procedure will be performed by our bariatric surgery specialist Dr. Rein Adamson.
• It can be preformed by means of laparoscopy (no big abdominal incision required).
• The size of the inner diameter of the restriction created on your stomach can be adjusted to the course of your loss of weight.
• The procedure is fully reversible. No changes to the anatomy of the gastro intestinal tract are done!
Why do “gastric banding patients” eat less after surgery?
• 57% of patients do again feel satiety.
• 56% are experiencing a kind of pressure.
• 33% stop eating too much, in order to avoid vomiting.
• 6% of patients do report about other sensations, which causes them to stop eating.
What weight loss can I expect after surgery?
The loss of weight is again influenced by many factors. Your surgeon/physician will provide you with the right feedback on your loss of weight. The inflatable ring around your stomach can be adjusted to your personal needs and requirements.
Most of the loss of weight takes place during the first two years after surgery. The surgical intervention is considered to be successful when at least 60 to 70% of your excessive weight is lost during the first two years after surgery.
The procedure
A medical grade long-term inflatable ring implant is put around the upper portion of your stomach. This can be done in a minimal invasive way of surgery, big incisions of the abdominal wall are avoided. This benefit usually comes along with a much better, faster and less painful postoperative recovery of patients.
The implanted Gastric Band will cause you to eat less after the procedure. On the first post operative year you will need to see your surgeon 3-4 times. This is when your surgeon will check your course of losing weight and if required, adjust the inflatable ring accordingly to your specific needs.
The gastric banding procedure will be performed by our bariatric surgery specialist Dr. Rein Adamson.
Patient benefits
The most important benefits of the Gastric Banding procedure versus all other surgical options, offered today are:
• It is reversible, no cutting, surgical reconnecting, shortening of the intestinal tract is done.
• It is – compared to all other surgical options – a less risky procedure (serious complication rate is much lower).
• It provides a less drastic, but stable weight loss. The total weight loss is usually achived after 24 months. It leaves all options open, for other, more invasive surgical options, if sufficient weight loss is not achieved.
After the procedure
This operation will have a major impact on your life style.
You will be put on a diet right after surgery. For the first days after surgery you will be allowed to take liquid to mashed food only. The following days you will have soft food to your diet. Some food will be difficult to eat and most will need to be carefully chewed.
This food intake pattern after surgery is important, to allow your body to heal. Adhesions are built during these days, holding the implant where it should be for a long time! Patients who eat solid foot too soon after their operation run the risk of dislocating the band.
Diet reconstruction after the procedure
2-3 days after the operation only liquid to semi-liquid (porridge like) nourishment may be consumed.
These include:
• Tea
• Fruit juice
• Vegetable juice
• Lean/non-fat soup and pureed sauces
• Puree
• Fruit pulp
• Dairy products, quark cream
• Buttermilk, yoghurt, whey drinks
After these 3 days the patient may change from semi-liquid to soft foods:
• Pureed vegetables,
• Well/soft cooked vegetables,
• Well/soft cooked pastas (ribbon noodles, or any type of small/thin shaped pasta)
• Mashed –potatoes or dumplings
• Porridge, compote, bananas, berries
• Pudding, semolina pudding, rice pudding
• Crust free bread, fat free quark spread
• Cream cheese
During this phase, it is extremely important to forgot the consumtion or raw fruit (except bananas) and raw vegetable as well as “ abrasive coarsely ground” full grain products.
Subsequently, after ca. 3-4 weeks, it is possible to gradually move on to firmer foods. However, particularly at the beginning, difficulty may occur when consuming some foods.
This food intake pattern after surgery is important, to allow your body to heal. Adhesions are built during these days, holding the implant where it should be for a long time! Patients who eat solid foot too soon after their operation run the risk of dislocating the band.
Diet reconstruction after the procedure
2-3 days after the operation only liquid to semi-liquid (porridge like) nourishment may be consumed.
These include:
• Tea
• Fruit juice
• Vegetable juice
• Lean/non-fat soup and pureed sauces
• Puree
• Fruit pulp
• Dairy products, quark cream
• Buttermilk, yoghurt, whey drinks
After these 3 days the patient may change from semi-liquid to soft foods:
• Pureed vegetables,
• Well/soft cooked vegetables,
• Well/soft cooked pastas (ribbon noodles, or any type of small/thin shaped pasta)
• Mashed –potatoes or dumplings
• Porridge, compote, bananas, berries
• Pudding, semolina pudding, rice pudding
• Crust free bread, fat free quark spread
• Cream cheese
During this phase, it is extremely important to forgot the consumtion or raw fruit (except bananas) and raw vegetable as well as “ abrasive coarsely ground” full grain products.
Subsequently, after ca. 3-4 weeks, it is possible to gradually move on to firmer foods. However, particularly at the beginning, difficulty may occur when consuming some foods.
Therefore at the start you should avoid:
• Fibrous or stringy meats and sausage products (beef, bacon...)
• Fruits that are high in cellulose (citrus fruits, grapes, plums, cherries, ...)
• Vegetables that are high in cellulose (woody asparangus, viper’s grass, rhubarb, lettuce, sauerkraut, ... and the skins of vegetable types such as tomatoes)
• Leguminous plants
• Fresh bread, pastas (especially spaghetti and spiralled noodles), rice
• Fried foods (schnitzel, fried fish, french fries, deep fried vegetables covered in batter)
• Hot/spicy spices/vegetables (garlic, onions, pepper, chilli, concentrated vinegar)
• Carbonated drinks
General guidelines that must be kept unconditionally of circumstance
• Fruits that are high in cellulose (citrus fruits, grapes, plums, cherries, ...)
• Vegetables that are high in cellulose (woody asparangus, viper’s grass, rhubarb, lettuce, sauerkraut, ... and the skins of vegetable types such as tomatoes)
• Leguminous plants
• Fresh bread, pastas (especially spaghetti and spiralled noodles), rice
• Fried foods (schnitzel, fried fish, french fries, deep fried vegetables covered in batter)
• Hot/spicy spices/vegetables (garlic, onions, pepper, chilli, concentrated vinegar)
• Carbonated drinks
General guidelines that must be kept unconditionally of circumstance
Eat 5 fixed meals a day
You can herewith lessen the risk of uncontrolled eating and hunger pangs. The habit of snacking between meals also fals away.
Eat small portions only
One meal should have the volume of ½ a bread roll, in other words, the intake of 3-4 dessertspoons. It helps to eat meals with a teaspoon, making it seem as though your meal lasts longer.
Thoroughly chew every bite (30 times!)
The patient may only swallow the food once it has reached the semi-liquid state in the mouth. This prevents clogging the stoma (= narrow area where the Gastric Band is placed). The compatibility of various foods depends not only on the quantity consumed but especially on sufficient chewing.
End your meal on the feeling of saturation
You can herewith lessen the risk of uncontrolled eating and hunger pangs. The habit of snacking between meals also fals away.
Eat small portions only
One meal should have the volume of ½ a bread roll, in other words, the intake of 3-4 dessertspoons. It helps to eat meals with a teaspoon, making it seem as though your meal lasts longer.
Thoroughly chew every bite (30 times!)
The patient may only swallow the food once it has reached the semi-liquid state in the mouth. This prevents clogging the stoma (= narrow area where the Gastric Band is placed). The compatibility of various foods depends not only on the quantity consumed but especially on sufficient chewing.
End your meal on the feeling of saturation
Signs of saturation:
• Pressure of a feeling of fullness in the centre of the stomach directly under the chest
• Pains in the shoulder or chest area
• Feelings of revulsion
• Nausea
Discontinuing a meal at the slightest feeling of saturation is conditioned and shows that the Band restricts the volume of food intake. An overfilling of the stomach causes expansion and can lead to nausea, prolonged vomiting, heartburn...
Plan a time frame of 30 – 40 minutes per mealtime
• Pressure of a feeling of fullness in the centre of the stomach directly under the chest
• Pains in the shoulder or chest area
• Feelings of revulsion
• Nausea
Discontinuing a meal at the slightest feeling of saturation is conditioned and shows that the Band restricts the volume of food intake. An overfilling of the stomach causes expansion and can lead to nausea, prolonged vomiting, heartburn...
Plan a time frame of 30 – 40 minutes per mealtime
Drink 1.5 – 2 litres of low calorie/calorie free fluid
Do not in glups, but rather in small manageable sips. A sufficient supply of fluid supply is especially important in the catabolism of fat because numerous metabolic products need to be flushed out.
Drink either before or after meals
Drink ¼ - ½ hour before meals and ½ hour after meals. A fluid supply during meals results in the acceleration of the food as it passes along the passage therefore increasing capacity intake and/or causing the feeling of a full stomach.
Do not lie down after meals and do not eat lying down
Lying down during or after eating results in a longer chyme retention period in the reservoir created in by the Band. This then mixes with the naturally produced stomach lim wich in turn can result in a feeling of pressure with subsequent vomiting.
General nutritional guidelines:
Do not in glups, but rather in small manageable sips. A sufficient supply of fluid supply is especially important in the catabolism of fat because numerous metabolic products need to be flushed out.
Drink either before or after meals
Drink ¼ - ½ hour before meals and ½ hour after meals. A fluid supply during meals results in the acceleration of the food as it passes along the passage therefore increasing capacity intake and/or causing the feeling of a full stomach.
Do not lie down after meals and do not eat lying down
Lying down during or after eating results in a longer chyme retention period in the reservoir created in by the Band. This then mixes with the naturally produced stomach lim wich in turn can result in a feeling of pressure with subsequent vomiting.
General nutritional guidelines:
• Avoid food that causes trouble.
• Dietary fibre should only be taken in refined form (full grain, whole wheat pasta, ...)
• In no uncertain terms lower the quality for the food you buy.
• Take note: that drinks such as fruit juices, lemonades, alcohol, ... contain calories that are ingested.
• Make yourself aware of the sugar and fat content contained in foods. Calorie count.
• Preparation methods of food should be low – fat free. Therefore stay away from butter, olive oil, vegetable oil...
Possible complications
• Dietary fibre should only be taken in refined form (full grain, whole wheat pasta, ...)
• In no uncertain terms lower the quality for the food you buy.
• Take note: that drinks such as fruit juices, lemonades, alcohol, ... contain calories that are ingested.
• Make yourself aware of the sugar and fat content contained in foods. Calorie count.
• Preparation methods of food should be low – fat free. Therefore stay away from butter, olive oil, vegetable oil...
Possible complications
Contraindications for gastric banding Surgery?
• Age of less than 15 and older than 65 years
• Alcohol- /drug addiction
• Psychosis
• Patients, who will not be compliant during the required postoperative follow up.
Please understand that surgery is always associated with some risks. There is no guarantee for success for each and every individual. It is important for you to be aware of the complication risks. Please ask your doctor to explain these risks to you, since he knows you and your individual situation best.
Possible side effects and general advice:
• Age of less than 15 and older than 65 years
• Alcohol- /drug addiction
• Psychosis
• Patients, who will not be compliant during the required postoperative follow up.
Please understand that surgery is always associated with some risks. There is no guarantee for success for each and every individual. It is important for you to be aware of the complication risks. Please ask your doctor to explain these risks to you, since he knows you and your individual situation best.
Possible side effects and general advice:
Constipation
Many patients feel constipated after surgery. This is mainly due to the fact that the reduced food intake leads to less faeces and thus less bowel movements. Please ask your doctor for the proper selection of laxatives, if required at all.
Pregnancy
The period between surgery and weight stabilisation is considered as a period of starvation. It is therefore not adviable to become pregnant during this period. Should you nevertheless get pregnant, it is then advisable to remove all fluid from the system. Once your weight has stabilised, pregnancy is no longer a problem.
Medication
Tablets must be broken down into small pieces or crushed before they are taken. Please consult your doctor about the adjusted (in most cases reduced) amount of medication after surgery.
Vomiting
Patients occasionally vomit or feel pain after food intake. This may be caused either by poor eating behaviour, or by the narrowing of the opening between the two divided gastric pouches, following the injection of fluid into the adjusment port, which is located under your skin.
Please eat slowly and chew your food carefully. This will help you to avoid this problem. Regular vomiting is definitely a warning sign and you should consult your doctor. The opening between the two gastric pouches may need to be readjusted.
Vitamins
It is advisable to take vitamin supplements during the rapid phase of weight loss.
A liquid vitamin mixture containing multivitamins is recommended for at least the first 6 months following surgery.
A few more tips you should be made aware of
• Always write a shopping list. This helps you avoid those little buying mistakes.
• Never go grocery shopping hungry!
• Always have an ample supply of low sugar/fat foods at home.
• Allocate certain times during the day to you meals. Religiously make an effort stick to these times and only eat that those allocated times! AVOID SNACKING BETWEEN MEALTIMES!
• Find your own personal meal place and sit down for every meal.
• Do not open yourself to distractions during your meal time (television, newspaper)
• Weigh yourself at least once a week. Always at the same time under the same conditions.
Back to beginning
Many patients feel constipated after surgery. This is mainly due to the fact that the reduced food intake leads to less faeces and thus less bowel movements. Please ask your doctor for the proper selection of laxatives, if required at all.
Pregnancy
The period between surgery and weight stabilisation is considered as a period of starvation. It is therefore not adviable to become pregnant during this period. Should you nevertheless get pregnant, it is then advisable to remove all fluid from the system. Once your weight has stabilised, pregnancy is no longer a problem.
Medication
Tablets must be broken down into small pieces or crushed before they are taken. Please consult your doctor about the adjusted (in most cases reduced) amount of medication after surgery.
Vomiting
Patients occasionally vomit or feel pain after food intake. This may be caused either by poor eating behaviour, or by the narrowing of the opening between the two divided gastric pouches, following the injection of fluid into the adjusment port, which is located under your skin.
Please eat slowly and chew your food carefully. This will help you to avoid this problem. Regular vomiting is definitely a warning sign and you should consult your doctor. The opening between the two gastric pouches may need to be readjusted.
Vitamins
It is advisable to take vitamin supplements during the rapid phase of weight loss.
A liquid vitamin mixture containing multivitamins is recommended for at least the first 6 months following surgery.
A few more tips you should be made aware of
• Always write a shopping list. This helps you avoid those little buying mistakes.
• Never go grocery shopping hungry!
• Always have an ample supply of low sugar/fat foods at home.
• Allocate certain times during the day to you meals. Religiously make an effort stick to these times and only eat that those allocated times! AVOID SNACKING BETWEEN MEALTIMES!
• Find your own personal meal place and sit down for every meal.
• Do not open yourself to distractions during your meal time (television, newspaper)
• Weigh yourself at least once a week. Always at the same time under the same conditions.
Back to beginning
