Adjustable Gastric Banding

  • What’s Adjustable Gastric Banding?
    Adjustable Gastric Banding Surgery performed laparoscopically In Egypt - Restrictive Type Of Weight Loss - Slim and Beautiful - Obesity Surgery Clinic - Dr Mohamed El Masry

    Gastric banding is an adjustable gastric band that alters the anatomy of the stomach to help you reduce your food intake.

    It is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision.

    Laparoscopic adjustable gastric banding is the simplest and safest obesity operation and it is also an easily reversible one; however it generally has the lowest percentage of excess weight loss.



  • How It works?
    This surgery is a restrictive type of weight loss surgery. A silicone band with an inflatable balloon on the inner surface is implanted around the top of the stomach to restrict food intake. This creates a small pouch and a narrow passage to the lower stomach. This small passage delays the emptying of food from the pouch and causes a feeling of fullness. The balloon is able to be inflated via a reservoir under the skin of the abdominal wall. The silicone band can be tightened or loosened to change the size of the passage by injecting saline through this reservoir. However, it requires regular follow up for periodic adjustments. Many types of this surgery are on the market in Egypt. However, we prefer the Lap-Band System AP (made in USA).
  • Who is a good candidate for this Surgery?
    The indications for this surgery are those aged 18-65 years old (with some exceptions) with body mass index greater than 35. In addition people with body mass index greater than 30 may also be candidates for gastric banding with Lap-Band System if they have obesity-related illnesses such as diabetes, high blood pressure or high cholesterol. Gastric banding may be an option also for people in whom the more invasive gastric bypass surgery is deemed too risky due to underlying health complications.
  • Risks and complications
    It is important for you to understand that the risks of surgery are low and that the majority of patients have no complications. However, as with any surgery, there may be immediate and long-term complications and risks. These risks are greater for individuals who suffer from obesity. Your weight, age and medical history play a significant role in determining your specific risks.

    Possible general risks can include:

    • Bleeding. 
    • Pain.
    • Infection. 
    • Pneumonia. 
    • Complications due to anesthesia and medications. 
    • Deep vein thrombosis. 
    • Pulmonary embolism. 
    • Heart attack.

    Risks and Disadvantages:

    • Infection of this foreign body (the band) 
    • Slippage of the band can occur with persistent vomiting if behavioral changes are not made. 
    • The band may erode into the inside of the stomach.
    • The band can spontaneously deflate due to leakage.
    • The stomach pouch can enlarge with continued overeating.
    • The stoma (stomach outlet) can be blocked. 
    • Gastro-esophageal reflux disease (GERD), when stomach contents rise up into the esophagus. 
    • Frequent visits for band adjustments or fills. 
  • The Advantages of this surgery?
    Compared with other types of weight loss surgery:
    • Reversible (removable at any time) 
    • Adjustable without additional surgery 
    • Less invasive 
    • Less operating time 
    • Less operative and short-term mortality than gastric bypass and sleeve gastrectomy. 
    • Low risk of nutritional deficiencies associated with gastric bypass as it does not interfere with absorption, so vitamin deficiencies are less likely to occur. 
    • No "dumping syndrome" related to dietary intake restrictions, which occurs when the undigested stomach contents are "dumped" into your small intestine too quickly. It is marked by abdominal cramps and nausea. 
    • Improves health problems related to excessive weight, including type 2 diabetes, high cholesterol, sleep apnea, high blood pressure and asthma. 
    • Slow and steady weight loss 
    • Less risk of hair loss
  • What to expect after Adjustable Gastric Banding
    The operation is very safe and just an overnight hospital stay. Most people can return to normal activities in 1 to 2 weeks. The expected weight loss from this surgery is on average 60% of excess weight. However, this procedure requires the most effort of all of the procedures in order to be successful. Patient must be committed to good eating habits and exercise.

Adjustable Gastric Banding


Gastric banding is an adjustable gastric band that alters the anatomy of the stomach to help you reduce your food intake.

It is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision.

Read more...

Sleeve Gastrectomy?


Sleeve gastrectomy, or vertical sleeve gastrectomy, is one of the relatively newer types of weight loss surgery.

This surgery can also be referred to medically as gastric sleeve resection, gastric sleeve surgery or tube gastrectomy.

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Gastric Bypass


Gastric bypass (Roux-en-Y Gastric Bypass) is regarded internationally as the “gold standard” of weight loss surgery designed to reduce your food intake if you have tried and failed to lose weight through diet and exercise. Follow up to 15 years after surgery has shown patients maintain weight loss after gastric bypass surgery.

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