ring + stomach + slimmingbanding procedure appeared in the 1980s. In the world it was used more than 650 000 people.

This operation is particularly effective for people who have to feel satisfaction and satiation requires large portions, or when there is an increased feeling of hunger. Banding also shows good results in those patients who are losing weight through diet and exercise, but it is difficult to restrain him.

Adjustable gastric band is almost always performed laparoscopically. This is the least invasive surgery available totreat obesity in Israel. Conducted through a few small incisions using laparskopa and surgical instruments.

The operation involves the installation of a silicone ring on top of the stomach. In fact, the body is divided into two parts - a small top and large bottom. The bandage is attached via tubing to port or reservoir, which is under the abdominal skin, typically in the navel. It can not see or feel out outside.

Thus, the mounting of the ring on the stomach slimming or banding operation:

  1. Reduces the feeling of hunger.
  2. It allows you to feel full with a small amount of food.
  3. Prevents overeating.

Benefits of gastric banding in Israel

It may be noted several key reasons why this surgery is so popular for a long time:

  1. Banding - a relatively safe procedure, as compared to other weight loss operations.
  2. It can be canceled.
  3. This less traumatic surgical intervention. During the operation, the body receives the minimum of stress, because the banding is almost always performed laparoscopically without resection of the stomach or changes in the digestive tract. Most patients can leave the clinic on the same day or the next. Quick recovery after surgery, as a rule, people returning to work after a week or so after surgery.
  4. Possibility of regulation makes it unique banding operation. Adjustments are made, depending on the individual characteristics and needs of the patient. Detour through the intestine is not created, so there is much less nutritional problems, deficiencies of vitamins and minerals. Many programs recommend taking dietary supplements after banding. Despite the fact that this Non-metabolic procedure, some patients reported decreased feelings of hunger.

Reasons for gastric banding

This operation is used to treat severe obesity, which is associated with hypertension, high cholesterol, type 2 diabetes, sleep apnea and arthritis. It recommended for people who have tried other methods of weight loss without long-term success.

Once the body loses a significant amount of weight, it takes the risk of other obesity-related health problems such as high cholesterol, hypertension, type 2 diabetes, heart and lung disease, back pain and osteoarthritis, asthma, gastrointestinal reflux disease, infertility, depression. Adjustable gastric banding will improve the quality of life and prolong it if the patient can not lose weight by other methods.

Your doctor may recommend laparoscopic gastric banding in Israel in severely obese with a body mass index (BMI) greater than 40. It can also offer her a BMI of between 30 and 40 and the presence of at least one of the diseases - sleep apnea, hypertension, heart disease, osteoarthritis or type 2 diabetes.

Before the operation in Israel

Bariatric surgery on the stomach precedes the diagnosis, the doctor can make sure that the patient is a good candidate for banding. It conducted a number of studies, including a blood test for nutritional deficiencies and other problems, an electrocardiogram. Work is carried out with the patient, aimed at informing about healthy lifestyles, preparation for surgery. Banding is not recommended for people who abuse alcohol or drugs, with other serious medical problems. And also those who are not ready to commit themselves to constantly adhere to a particular diet, active lifestyle - the availability of physical activity.

Gastric banding surgery in Israel

General anesthesia is used. In most cases, a laparoscopic approach. Contraindications to it is the weight of more than 159 kg, or severe heart disease and lung.

The surgeon makes several small incisions (5 mm) in the abdomen, through which works by using a laparoscope and surgical instruments. Bandage silicone places around the stomach, and then tighten it in such a way that the upper part of the body formed pouch.

Under the skin of the abdominal wall surgeon installs a small port. If the size of the created pouch need to increase or decrease, this is accomplished by filling fluid port or its extraction. Adjustment is carried out by introducing a small needle through the skin into the port, and manipulations with the liquid. Incisions are closed by absorbable sutures, which are invisible and do not require removal.

All gastric banding operation continues from 30 to 60 minutes.

Weight loss

Losing weight with the help of a band is usually slow and steady. Patients tend to lose from 500 grams to 1 kg per week during the first year after surgery. On average, one year they lose about 14% of total body weight (a man weighing 158 kilograms, he loses weight by 22 kg) or 60% of excess weight within 12-18 months.

Possible consequences of gastric banding

Patients who are planning this operation should normally relate to the idea that a medical device is placed in the body for life. Although the band has excellent safety features, there is a risk of complications that may occur. It is therefore important that the doctor held regular inspection for the purpose of adjusting and monitoring.

Approximately 30-50% of patients required re-operation to address problems with bandage.

Postoperative risks may include thrombus, hemorrhage or infection caused by general anesthesia with breathing problems. Laparoscopic surgery carries less risk than abdominal surgery.

In Israel, after the operation is necessary to be at least two weeks, when possible complications. Doctors will be able to install them, and start early treatment.

Potential complications include displacement of the shroud or prolapse of the stomach, gastric erosion due to ring leakage. The risk of death from the banding is less than 0.1%. If necessary, the bandage can be removed.

Food intolerance after such surgery is common. For example, the patient is unable to digest red meat, a major source of iron. This increases the risk of developing anemia.

There are also state provoked by the lack of vitamins and minerals. For example, when people no longer eat protein foods and dietary supplements taken daily as directed. This lack sometimes develops even if the person follows the diet and taking dietary supplements. The doctor appoints regular blood tests that measure the level of nutrients in the body.

It is important to understand that the band - it's not a short-term treatment. It is intended to remain indefinitely in the body.

After placement of the device, especially in the first year after surgery, it may be a necessary part of the adjustment, which will require regular meetings with the doctor. Adjustments are made by filling the shroud through the fluid port (sterile saline) via the needle.

Patients with a bandage does not suffer from the negative consequences of the use of sugar in food (dumping syndrome), therefore have to be more disciplined in food preferences. Products such as soft drinks, ice cream, cakes and biscuits are easily blown through the band, but it is obvious that this choice will not lead to the desired goal - a significant weight loss.

After surgery, banding in Israel

As a rule, the next day the patient can leave the Israeli clinic. The diet consists mainly of liquid and pureed meals for 2-3 weeks. Gradually, the need to add soft foods. Return to normal diet occurs in about 6 weeks, but to a much lesser extent.

As part of the necessary lifestyle changes you need to eat much less food. It must be slowly and thoroughly chewed before swallowing. The diet should include a high amount of protein, vitamins, minerals and a small amount of sugar.

With banding can not be just a lot to lose weight. But it is safer and less invasive procedure compared to the other, including the traditional gastric bypass. The patient must be prepared for a specific diet and physical activity. It requires a long-term attitude to weight loss - from ¼ to 1/3 of the initial body weight.

Since there is a high risk of nutritional deficiencies, needs to be a daily intake of dietary supplements prescribed by a doctor.

Thus, banding - is an effective bariatric surgery on the stomach, which can lead to significant and long-term weight loss. No matter what the operation preference, patients will need to change their lifestyle in order to achieve success.