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Everyone is different but on average we expect gastric band patients to lose 50-60% of their excess weight.
You achieve significant weight loss, and health risks associated with obesity are dramatically reduced. You will enjoy improved health and mobility, and as a consequence, experience a sense of well-being and become more self-confident.
You will feel some discomfort at the port entry sites through which the operating instruments and camera were passed, especially where the band access port was placed in the deep tissues. Left shoulder paint is also common (it’s actually pain coming from the diaphragm, the large thin sheet of muscle separating the chest from the abdominal cavity). This passes after a few days. Generally, there is no severe pain, and simple painkillers can deal with any discomfort.
You must wait 2-3 days after surgery to allow the effects of the anaesthetic and any post-operative analgesia (painkillers) to wear off. It is best to wait for 10 days to allow the port sites to fully heal.
For sedentary desk jobs, you get expect to resume work after a week. If your job involves lifting or is more streneous, you may need 2 weeks.
Scarring is minimal and should fade gradually. Some people have a greater tendency to form keloid, which may result in thicker and more prominent scars.
There should be no vomiting at all. If you vomit frequently, it means that your band hasn’t been adjusted correctly, or that you aren’t following the eating rules. Persistent vomiting may be a sign of band slippage.
You may continue with your regular medication, but large tablets will need to be crushed and had with a spoonful of yogurt. Capsules are soft and easily melt inside the stomach.
Because you’ll be eating less and losing weight, we recommend a daily soluble multivitamin to make sure you are covering all your requirements, especially B vitamins, folate and iron.
Regular walking is highly recommended. After your scars have healed and you feel more confident, you could exercise more vigorously.
Not at all.You feel a brief scratch on the skin with a small needle and then some mild discomfort as we push on the access port. This procedure takes just a few minutes and requires no anaesthetic.
If you are losing 0.5-1kg a week, have no symptoms and feel well, your band is fine. But if weight loss is very slow or you have little restriction, it might need an adjustment. One can expect from one to six adjustments in the first year, but more is not necessarily better. Some people think if the band is giving good weight loss, tightening it will give better results. This is not true. An over-adjusted band can be dangerous, risking slippage.
The band can leak a tiny amount of fluid and will need topping up. If you find yourself feeling hungry and putting on weight, don’t blame yourself. Instead, contact our doctors or dieticians so that we can check on the band for leakage.
If your weight continues to decline after achieving your goal, we would simply remove some fluid from the band to reduce the restriction. This is a strength of the band!
The band is easily removed and does not involve cutting the bowel or stomach. Removal leaves a fully restored stomach and alimentary system.
It’s safe to have other surgical procedures but you must tell your surgeon about the band and also inform us immediately. If your surgery involves general anaesthesia, we will empty your band in case you have a reaction to the anaesthetic that results in vomiting, which will put pressure on the band. The band can be re-adjustedafter you have fully recovered.
As you will be eating less, you can expect a drop in bowel activity. If you do become constipated, we can suggest plenty of effective remedies.
The band does not hinder pregnancy. In the event of your becoming pregnant,we have protocols for managing the band, so no worries.
Alcohol consumption in moderation is permissible. Studies show that small quantities enhance weight loss, so you may consume half a pint of beer, half a 175ml glass of wine, or a small single peg of spirits.
The band makes burping difficult, but the problem lasts only for the first few months.
As you can only eat small amounts, it is important to include foods which are rich in protein but low in fat and sugar: vegetables, fruit, wholegrains, lean meat and fish. Our nutritionist will well advise you on diet to be followed.
Silicone implants have been used in various areas of medicine for more than 50 years, but there is no evidence at all to suggest that silicone is dangerous. In any case, the gastric band is made of solid silicone, which cannot leak into the body tissues.
One can safely say that the band can last a decade or more, based on our understanding of its application in medicine since 1993, when the first band was implanted.
Studies show a failure rate of 10-15%. Some patients fail owing to their inability to follow nutritional or physical activity advice or to attend band adjustment clinics. Sometimes, band leakage or slippage leads to failure. If you are as committed to succeed as we are, most reasons for failure can be overcome.
Gastric Perforation and bleeding can occur during the operation. Early post-operative problems could include wound infections (1-3%) and pulmonary embolism (1%), but rarely bleeding and cardio pulmonary complications.