Gastric band removal

The laparoscopic surgery is dedicated to the patients after implantation of adjustable gastric band. Patients in many cases don’t see the expected results or may experience uncomfortable side effects of the band and intolerance symptoms.

An adjustable gastric band is a silicone ring with an expandable balloon placed around the top part of the stomach, called fundus. Patients with a gastric band are able to eat enough food to fill a small section of stomach at once, the food passes through the small opening in the band into the rest of the stomach. After the gastric band implantation surgery the volume of the stomach remains the same.

During the gastric band removal the tube and port are removed along with all adhesions and sutures from the primary surgery.

What are the reasons to remove the gastric band?

The most common reasons for gastric band removal are: inadequate weight loss, port infection or port slippage, band erosion, band infection, band slippage, swallowing difficulties, gastroesophageal reflux disease (GERD), stomach pouch dilation.

Why we don’t perform gastric band implantation?     

Many of studies have showed that the gastric band implantation is less effective and brings more risk than weight loss procedure like sleeve gastrectomy or gastric bypass surgery. The band can cause chronical inflammation and stomach erosion or ulcus.

A lot of patients after the gastric band surgery look for a bariatric center to remove the band and undergo a bariatric surgery revision procedure. After removing the band, the stomach returns to its original shape, and the digestive system functions normally. The patient should bear in mind that after removing the band it is very likely that he will return to his weight before surgery.

For the patients with gastric band we offer bright spectrum of revisional surgeries – gastric band removal with conversion to gastric sleeve or gastric bypass.

The operation to remove the band on the stomach is performed under general anesthesia and lasts about 90 minutes. After surgery, the patient must remain in hospital for several days for safety reasons. Return to full activity, however, takes several weeks. There may be abdominal pain immediately after the surgery.

Comprehensive tests and consultations are required to qualify and prepare for bariatric surgery for patient safety.

All consultations and tests can be done at KCM Clinic.

  • Surgical consultation in a Bariatric Clinic.
  • Internist-cardiological consultation with ECG and cardiac echocardiography
  • Exercise test on a treadmill
  • Spirometria, Rentgen klatki piersiowej w 2 projekcjach
  • Abdominal ultrasound
  • Gastroscopy with HP test
  • Laboratory tests: morphology, lipidogram, iron, creatinine, urea, electrolytes, INR / apTT, glucose, HbA1, TSH, FT3, Ft4, AST, ALT, Lipase, HCV, Hbs anti-body, HbsAg, cortisol, vitamin B12, calcium
  • Anesthesia consultation

The most important change in life after surgery is diet and the amount of food you eat. The diet will also help prevent postoperative complications. A very strict diet after surgery may seem exaggerated. However, it should be remembered that not following this diet can cause complications such as diarrhea, dehydration, constipation, intestinal obstruction or very serious gastric leakage.

People suffering from comorbidities should consult their GP or cardiologist before undergoing gastric band removal.

There may be abdominal pain immediately after the surgery. To prevent them, painkillers are given. On the same day, the patient can move independently.

Laparoscopy allows the patient to return to a normal lifestyle much faster. Usually, a week after surgery, the patient returns to work except for hard physical work, without pain.

About the procedure

The operation to remove the band on the stomach is performed under general anesthesia and lasts about 90 minutes. After surgery, the patient must remain in hospital for several days for safety reasons. Return to full activity, however, takes several weeks. There may be abdominal pain immediately after the surgery.

Preperation

Comprehensive tests and consultations are required to qualify and prepare for bariatric surgery for patient safety.

All consultations and tests can be done at KCM Clinic.

  • Surgical consultation in a Bariatric Clinic.
  • Internist-cardiological consultation with ECG and cardiac echocardiography
  • Exercise test on a treadmill
  • Spirometria, Rentgen klatki piersiowej w 2 projekcjach
  • Abdominal ultrasound
  • Gastroscopy with HP test
  • Laboratory tests: morphology, lipidogram, iron, creatinine, urea, electrolytes, INR / apTT, glucose, HbA1, TSH, FT3, Ft4, AST, ALT, Lipase, HCV, Hbs anti-body, HbsAg, cortisol, vitamin B12, calcium
  • Anesthesia consultation
Diet

The most important change in life after surgery is diet and the amount of food you eat. The diet will also help prevent postoperative complications. A very strict diet after surgery may seem exaggerated. However, it should be remembered that not following this diet can cause complications such as diarrhea, dehydration, constipation, intestinal obstruction or very serious gastric leakage.

Precautions

People suffering from comorbidities should consult their GP or cardiologist before undergoing gastric band removal.

Convalescence

There may be abdominal pain immediately after the surgery. To prevent them, painkillers are given. On the same day, the patient can move independently.

Post-treatment care

Laparoscopy allows the patient to return to a normal lifestyle much faster. Usually, a week after surgery, the patient returns to work except for hard physical work, without pain.

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