Other Bariatric Procedures
Gastric Banding for Weight Loss
Gastric banding, also known as Laparoscopic Adjustable Gastric Banding (LAGB), involves placing an inflatable silicone band around the upper portion of the stomach to create a small pouch that restricts food intake. The band is connected to a port placed under the skin, allowing for adjustments by adding or removing saline solution to tighten or loosen the restriction. This procedure is purely restrictive, meaning it works solely by limiting the amount of food you can eat at one time, without affecting nutrient absorption.
The procedure is performed laparoscopically through small incisions and is considered one of the least invasive bariatric surgeries available. Gastric banding is typically recommended for patients with a BMI of 35-40 who prefer a reversible option and are committed to long-term follow-up care. The adjustable nature of the band allows for personalized restriction levels, and the procedure can be reversed if necessary, making it appealing to patients seeking a less permanent solution.
Recovery from gastric banding is generally faster than other bariatric procedures, with most patients returning to normal activities within 1-2 weeks. The band requires regular adjustments during the first year to achieve optimal restriction, necessitating frequent follow-up appointments with your surgical team. Weight loss tends to be more gradual compared to bypass procedures, typically resulting in 40-60% excess weight loss over 2-3 years.
However, gastric banding has fallen out of favor in recent years due to higher complication rates and less predictable long-term results compared to other bariatric procedures. Common complications include band slippage, erosion, port problems, and the need for revision surgery in 20-40% of patients within 10 years. Many bariatric centers now rarely perform this procedure, instead recommending sleeve gastrectomy or bypass surgery for more reliable and durable weight loss results.
Gastric Balloon for Weight Loss
Gastric balloon weight loss, also known as intragastric balloon therapy, is a non-surgical, temporary weight loss procedure that involves placing one or more silicone balloons in the stomach to create a feeling of fullness and reduce food intake. The balloons are inserted through an endoscopic procedure, where a deflated balloon is passed through the mouth and esophagus into the stomach, then inflated with saline solution or gas. This outpatient procedure typically takes 20-30 minutes and is performed under mild sedation.
The gastric balloon is designed as a temporary intervention, remaining in the stomach for six months to one year depending on the specific type used. During this time, the balloon occupies space in the stomach, helping patients feel full sooner and eat smaller portions. The procedure is typically recommended for patients with a BMI of 30-40 who want to avoid surgery or need to lose weight before qualifying for other bariatric procedures. It's also suitable for patients who prefer a reversible, non-permanent approach to weight loss.
Weight loss with gastric balloon therapy is generally more modest compared to surgical options, with patients typically losing 20-30% of their excess weight during the balloon placement period. The procedure works best when combined with comprehensive lifestyle counseling, dietary modifications, and behavioral support. Most patients experience some initial discomfort, nausea, or vomiting during the first few days as their body adjusts to the balloon, but these symptoms typically resolve within a week.
The main limitations of gastric balloon therapy include its temporary nature and the potential for weight regain after balloon removal if lifestyle changes are not maintained. Risks include balloon deflation, migration, gastric obstruction, and in rare cases, gastric perforation. While the procedure offers a non-surgical option for weight loss, long-term success depends heavily on the patient's ability to maintain dietary and lifestyle changes after balloon removal, making it most effective as part of a comprehensive weight management program rather than a standalone solution.
NEWCASTLE OBESITY & WEIGHT LOSS CLINIC