What is an Adjustable Gastric Band?
Stomach band, or commonly used stomach clamp, is a medical device made of silicone. The band is a silicone material, such as the elongated finger, about one centimeter wide, about 10 centimeters long, carrying an inflatable balloon along its inner face if necessary. Adjustable silicone gastric band, or stomach clamp with commonly known name; it is usually placed just under the esophagus and stomach junction by laparoscopic route. In surgery, the band, which is inserted straight into the abdomen, is curled around the stomach tissue a few centimeters below the esophagus-stomach junction. As the name suggests, the biggest advantage of this band is that it can be adjusted postoperatively. By means of an apparatus called the port, which is connected to the band by a connecting tube and placed under the skin, tightening or loosening can be performed with only one injection, depending on the patient’s weight loss rate and whether or not the saturation occurs. Made of silicone and without any allergic effects, this band divides the stomach into two compartments, such as an hourglass. A knuckle is formed in the stomach and the upper stomach chamber is formed as walnut. When the upper stomach is filled with food, an early feeling of saturation occurs. In this way, the amount of food and thus the calorie intake is significantly reduced. If the patient continues to eat, nausea, vomiting or pain may occur.
Adjustable Gastric Band surgery can be performed in less than one hour. One day of hospitalization is sufficient.
How is the Adjustable Gastric Band (Stomach Clamp) Applied?
The operation is usually performed by laparoscopic means, which means that small holes can be made in the abdomen through which only special instruments can be inserted. In some cases, open surgery may be required. In this operation, a band is placed around the stomach about 20 mm below the esophagus and stomach junction. The band is a silicone material, such as the elongated finger, about one centimeter wide, about 10 centimeters long, carrying an inflatable balloon along its inner face if necessary. This balloon is connected to a port placed under the skin through a thin tube. The band is left down during operation. Approximately 1 month after the operation, it is gradually inflated with serum injections through the port under the skin. In this way, the size of the gastric passage can be easily adjusted after surgery
What are the advantages?
The biggest advantage of gastric band surgery is that the anatomy of the stomach is absolutely intact. No cuts or sutures are applied to the stomach or intestines. This prevents problems such as leakage, bleeding and infection that may occur in the future.
What are the disadvantages?
It can give 75-80% of their weight in 1.5 years to patients with stomach band surgery. But for this weight loss to be permanent, patients need to be very careful and avoid all abuses. This may cause an increase in insulin sensitivity after surgery. As a result, dizziness, acceleration in heartbeats, sweating, tremor, excessive feeling of hunger, headache in the morning, such as effects may be encountered.
After insertion of the gastric band can move from the area, erosion and slippage. In these cases, it is either fixed or removed by medical intervention again.
Acceptance of the applied clamp by the body may vary from person to person. At first, effects such as nausea, acid reflux, constipation, diarrhea may be encountered.
Patient may encounter some problems according to the speed and amount of weight loss. Gallstone formation is one of these problems. A new surgical operation may be required in gallstones. In the same way, the gallbladder can be completely removed.
What are the Early Postoperative Side Effects?
Patients with surgery may experience problems such as vomiting, constipation, band problems, hair loss, band migration, port problems and infection.