* You are aged 18 or over.

* You have tried all conventional methods of weight loss, like exercise and diet, but have failed to lose any significant amount of weight.

* You don’t have any medical or psychological reasons for not carrying out the procedure.

* You understand the long-term commitment to having a gastric band fitted, for example you continue to reduce your food intake and maintain a regular exercise regime.

Funding for the cost of the operation for gastric banding will vary across the UK and will depend on your local PCT. PCTs can only set aside an amount of money for this type of gastric banding surgery. If you are recommended for surgery, as a treatment for obesity. Typically gastric banding usually costs around £7,000 if you do it privately.

If you feel you qualify for gastric banding in the UK and would like to have the operation on the NHS, as all your attempts you have used to lose weight have failed you will need to discuss all possible options with your GP or surgeon.

Vertical banded gastroplasty results in less weight loss, compared with other surgeries and also has a higher complication rate. Therefore due to this vertical banded gastroplasty is less common today as approx. only 5% of bariatric surgeons still perform this surgery.

Gastric banding is considered the least invasive form of weight loss surgery and is also the safest too. The procedure can be reversed if necessary and the stomach generally returns to its normal size.

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1. Will I be sick a lot after the gastric banding operation?

2. Will I feel hungry or deprived after the gastric banding surgery?

3. Can I eat anything in moderation?

4. Can I drink alcohol?

5. Can I go out to eat?

6. Am I allowed to have my gastric lap band opened for a special occasion?

7. Does the gastric lap band limit any physical activity?

8. Do I have to be careful with the access port just underneath my skin?

1. Will I be sick a lot after the gastric banding operation?
The gastric banding will limit the amount of food you can eat at one time. If you always feeling nauseated on a regular basis, it probably means that you aren’t chewing your food well enough or that you aren’t following the gastric banding post-surgical diet properly, other reason could be that the placement of the gastrc band have a problem, so contact your doctor if you continue to get sick. You must avoid vomiting as much as possible because it can cause your small stomach pouch to stretch. It can also lead to slippage of the band which will offsetting the effectiveness of your surgery. In some severe cases, damage due to vomiting can mean another operation.

2. Will I feel hungry or deprived after the gastric banding surgery?
The gastric lap band makes you eat less and feel full in two ways:

* By reducing how much your stomach can hold at one time

* By increasing the time it takes food to get through your digestive system.

After a small meal, the amount of which varies from person to person, you should feel full and satisfied for some time. If you follow the nutrition guidelines when you choose your food and then chew it well, you shouldn’t feel hungry or deprived at all.
3. Can I eat anything in moderation?
After your stomach has healed, generally you may eat most foods that don’t cause you discomfort. Since you can only eat a small amount of food at a time, it is important that you choose nutritious, vitamin-rich foods. You may click here to find out some problem foods after you avoid after gastric banding.

4. Can I drink alcohol?
Alcohol has a lot of calories and breaks down vitamins. An occasional glass of wine or other alcoholic beverage is not considered harmful to weight loss.

5. Can I go out to eat?
Order only a small portion, such as an appetizer and try to eat slowly. It may help if you stop eating at the same time as your dinner companions too. Best to explain to your host or hostess know in advance that you cannot eat very much.
6. Am I allowed to have my gastric lap band opened for a special occasion?
While it is tempting and easy, your gastric lap band should not be opened to eat a big meal at a special occasion. However the gastric lap band can be opened for medical reasons such as pregnancy, when you will need to increase your nutritional intake.

7. Does the gastric lap band limit any physical activity?
It should not hamper any type of physical activity. You should be free to do aerobics, stretches, and any strenuous exercise you enjoy once you’ve completely recovered.

8. Do I have to be careful with the access port just underneath my skin?
The access port is placed under the skin in the abdominal wall, it should not cause discomfort or limit any physical exercise at all. The only sensation you may experience from the port occurs when you go in for adjustments. If you feel persistent discomfort in the port area, see your doctor.

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Preparing for Surgery

Before you have the surgery, your gastric banding surgeon will discuss your procedure in detail with you. It is also very important for you to discuss your overall health and your health history with him. You need to let your surgeon know if you are allergic to any drugs, have any current/past health conditions, or have ever had a bad reaction to anesthesia. In addition to this, make a list of all the medications that you take how ever small it is, including aspirin, injections, all prescription and over-the-counter drugs, herbal supplements, vitamins, and recreational drugs, and give it to your surgeon.

Your doctor/surgeon may also want you to meet with other medical experts, such as a dietitian and/or psychologist, to help you understand what will happen during and after the gastric banding surgery process. They will help you make certain that you are emotionally and mentally prepared for the up coming surgery and your new life afterwards. You will be required to have a number of tests before your surgery to evaluate your general state of health.

On the day before your gastric procedure, you will need to listen and follow the specific instructions to ensure a smooth surgery the next day. Your surgeon or medical team will provide you with a complete list of the do’s and dont’s on how to prepare for the surgery.

Here are two general guidelines:

1. Do not eat or drink anything after midnight the day before surgery this way your stomach will be empty for surgery to minimize risks during the gastric banding operation.

2. Ask a friend or a family member to be at the hospital with you for comfort and support and to drive you home after the surgery.

What to Expect on Surgery Day

The routine at your healthcare/hospital facility may be different form country to country. You will be admitted to the hospital either the day before, or on the actual morning of your surgery. You may be in the operating room for the morning but the actual procedure typically takes about one hour. Then you will spend a few hours in the recovery room. Once the anesthesia has worn off, you may feel some pain or discomfort from the operation which can usually be treated with pain killers.

On the day after the surgery, you will likely have an X-ray. This allows your health team to see that the gastric banding System is in the right place and that the new stomach outlet is open. You may be asked to swallow a liquid that can be seen on X-ray.

Typically for gastric banding surgery, hospitalization is usually less than 24 hours. However the hospital stay may have you stay longer if there are complications or if the surgeon has to change to an “open” surgical procedure.

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Maintaining a good diet after gastric banding and exercising regularly after surgery may be important elements of diabetes management, but results of this study highlight the value of gastric banding for both weight loss and healthy glycemic levels.

Key Benefits of Gastric Banding for Type 2 Diabetes Patients

Type 2 diabetes patients will struggle with managing healthy blood sugar levels along with their extra weight. Excess weight is a risk factor for developing diabetes, high blood pressure and heart problems, in gastric banding is a valuable solution for managing all of these areas.

As stated by Dr. John Dixon, the lead doctor at the Centre for Obesity Research and Education, states that: “Our study presents strong evidence that obese patients with a Body Mass Index greater than 30 with Type 2 diabetes need to lose a significant amount of weight to improve their overall health and glycemic management.”

He also indicates that patients who lose a significant amount of weight from gastric banding surgery were found to be able to reduce their diabetes medication, control their blood pressure more effectively and lower blood fats – all of these are common challenges of Type 2 diabetes conditions. Normally these circumstances will take several months and years to get under control.

Other Concerns for Diabetes Patients

Despite the positive impact on Type 2 diabetes after gastric banding surgery, patients do need to keep up with a healthy weight loss program. In a rial also in 2008 highlights the results of 60 obese patients who underwent laparoscopic adjustable gastric banding procedure, and compared the effects to those who were receiving conventional medical therapy for diabetes. Those who underwent gastric banding surgery also took part in a conventional therapy program which comprised of:

*

Ongoing education about Type 2 diabetes and health

*

Medical therapy with an experienced diabetologist

*

Frequent contact with a diabetes educator

*

Access to a dietitian, nurse and physician

*

Lifestyle modification programs that included physical activity and education on low glycemic index foods for meal planning purposes

Those who completed the surgery and also pursued the conventional therapy program showed a significant improvement in the symptoms of metabolic syndrome and were able to reduce their diabetes medication. Therefore researchers concluded that the trial proves gastric banding leads to diabetes remission, but th patient must have ongoing care and lifestyle modification programs are necessary for long-term success.

Contact your local bariatric surgeon who can provide referrals for nutritional counseling, lifestyle modification therapy, and other resources to help you maintain weight loss for the long term – and reduce or eliminate a case of diabetes as a result.

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