Laparoscopic Adjustable Gastric Banding (LAGB): obesity solution


Life is becoming hectic these days with so many works to do and no time for ourselves. This is increasing obesity in people. Sedentary and time taking jobs doesn’t leave time for cooking healthy home food and craving for fast foods increases. It may lead to other life-threatening conditions. If your weight is not reducing by dieting or workout, you may need bariatric surgery.

Gastric Banding

The adjustable band is put to bind the stomach below oesophagus so as to make a small pouch-like structure. The outlet to the distal part of the stomach is very narrow, this makes the obese person satiated for a long time. The small pouch gets full of a small amount of food. Thus, resulting in weight loss. It is scheduled for a limited time, a follow-up visit is needed at 6 weeks, or monthly, depending on the medical requirements.


Why might I need a laparoscopic adjustable gastric banding?

LAGB is done to cure severe obesity, which is related to hypertension, high cholesterol, type 2 diabetes, arthritis, apnea, etc. It is advised for persons whose plans for weight loss doesn’t result in long-term success. Adjustable gastric banding may help you to lose weight if it is not working in other ways. And decreases the risk for life-threatening disease.

In what condition LABG is recommended?

Severe  obesity BMI > 32

Large volume eaters.

Obesity not responding to any weight loss plans.

Obesity with other cardiovascular diseases where exercising is restricted.

What benefits do you get with LABG?

  1. Rapid healing < 48 hours.
  2. LABG is a reversible procedure.
  3. It doesn’t create disturbance in normal natural anatomy and function.
  4. The band is inflatable as well adjustable.
  5. More effective.
  6. Increases quality of life.


What are the preparations done before LABG?

Pre Operative preparation includes blood tests and ECG and PAC( pre anaesthesia checkup). Surgery is not advised for abusers of drugs or alcohol or any other serious medical problems.If you’re a smoker, you must stop it before surgery and not restart again. You have to be bill per oral for at least 8 hours before surgery.

How LABG is performed?

Laparoscopic adjustable gastric banding (LAGB) is the least invasive weight loss solution available for obesity. It’s done with a laparoscope by making small abdominal incisions. The surgeon inserts instruments through the incision. One of those instruments is a laparoscope, a tool with a small HD camera and LED  light. Using this, a silastic band is a bind around the stomach just below the esophagus forming a small pouch with a narrow outlet. Its reservoir is placed beneath the skin below the chest in the midline so that it can be felt from above. With the help of a needle through the skin to the reservoir, one can adjust the outlet size by inflating or deflating the band.

What lifestyle changes to perform after LABG?

  •  Mostly liquids and pureed food for 2 to 3 weeks
  •  Slowly changing the texture of food from soft to solid.
  •  6 weeks it will take to return to a normal diet but smaller in portion…
  •  Thoroughly chewing your food to make it like a slurry before swallowing
  •  Have a balanced diet rich in high fiber, protein, vitamins, and minerals but low in carbohydrates.
  •  Make a habit of little exercise in your daily routine.

LAGB is safer and minimally invasive surgery for weight loss instead of traditional weight loss surgery. It will not aid in sudden weight loss but it will gradually maintain your weight.just you need to follow proper diet and exercise. You may face nutritional deficiencies related to surgery so you have to have supplements to check it.

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