Gastric Band Surgery

Q: Will I be sick a lot after the operation?

A: The adjustable gastric band limits food intake. If you feel nauseated or sick on a regular basis, it may mean that you are not chewing your food well or that you are not following the diet rules properly. Vomiting should be avoided as much as possible. It can cause the small stomach pouch to stretch. It can also lead to slippage of part of the stomach through the band, which would reduce the success of the operation. In some cases, it would also require another operation.

Q: How long will it take to recover after surgery?

A: As weight loss surgery is performed laparoscopically, patients typically spend less than 24 hours in the hospital. It takes most patients about a week to return to work and six weeks to resume exercising.

Q: How much weight will I lose?

A: Weight-loss results vary from patient to patient, and the amount of weight you may lose depends on several things. The band needs to be at the right restriction level, and you need to be committed to your new lifestyle and eating habits. Obesity surgery is not a miracle cure, and the pounds won't come off by themselves. It is very important to set achievable weight-loss goals from the beginning. A weight loss of 0.5kg a week is ideal. Twelve to eighteen months after the operation, weekly weight loss is usually less. Your main goal is to have weight loss that prevents, improves, or resolves health problems connected with severe obesity.

Q: Does weight loss surgery require frequent office visits after surgery?

A: Check-ups are a normal and a very important part of the weight loss follow-up. With a gastric band, the band adjustments are key to success and this may involve a visit every 6-8 weeks in the first year.

Q: Does the adjustable gastric band limit any physical activity?

A: The gastric band does not affect or hamper physical activity including aerobics, stretching and strenuous exercise.

Q: How is the band adjusted?

A: Adjustments are usually done during a routine clinic follow-up. A fine needle is passed through the skin into the access port to add or subtract saline. This process most often takes only a few minutes. Most patients say it is nearly painless. On rare occasions the use of x-ray is required. This helps us check the position of your band and the level of restriction you have.

Q: Do I have to be careful with the access port just underneath my skin?

A: There are no restrictions based on the access port. It is placed under the skin in the abdominal wall, and once the incisions have healed it should not cause discomfort or limit your movements or any physical exercise. The only sensation you may have from the port is when you go in for adjustments. If you feel persistent discomfort in the port area, let us know as soon as possible.

Q: Can the band be removed?

A: Although the adjustable gastric band is not meant to be removed, it can be. This can be done laparoscopically. The stomach generally returns to its original shape once the band is removed. After the removal, though, you may soon go back up to your original weight or even gain more.

Q: Will I need plastic surgery for the surplus skin when I have lost a lot of weight?

A: That is not always the case. As a rule, plastic surgery will not be considered for at least a year or two after the operation. Sometimes the skin will mold itself around the new body tissue. You should give the skin the time it needs to adjust before you decide to have more surgery.

Q: Is it true that the adjustable gastric band seems "tighter" in the morning?

A: This is a fairly common feeling, especially for people with bands that are tight or just after an adjustment. During the day the water content in the body changes and this may cause the band to feel "tighter" some of the time. Some women have also noticed that the gastric band feels tighter during menstruation.

Q: Will I feel hungry or deprived with the gastric band?

A: The gastric band makes you eat less and feel full in two ways - by reducing the capacity of your stomach and increasing the time it takes food to get through the digestive system. After a small meal, the amount of which varies from person to person, you should feel full. If you follow the nutrition guidelines when you choose your food and then chew it well, you should not feel hungry or deprived. Remember that the gastric band is a tool to help you change your eating habits.

Q: What will happen if I become ill or need an operation?

A: One of the major advantages of the adjustable gastric band is that it can be adjusted. If your illness requires you to eat more, the band can be loosened by removing saline from it. When you have recovered from your illness and want to lose weight again, the band can be tightened by increasing the amount of saline. If you are due to undergo a general anaesthetic then it is advisable to have your band deflated before hand to avoid complications or damage to your band. This can be re-inflated after your surgery.

Q: What about pregnancy?

A: Becoming pregnant can be easier as you lose weight. Your menstrual cycle may become more regular. We would recommend that you have your band deflated while you are pregnant. After the pregnancy, the band may be made tighter again, and you can resume losing weight.

Q: Will I need to take vitamin supplements?

A: It is advisable to take a multi-vitamin on a daily basis

Q: What about other medication?

A: You should be able to take prescribed medication. You may need to use capsules, break big tablets in half or dissolve them in water so they do not get stuck in the stoma and make you sick. You should always ask the doctor who prescribes the drugs about this.

Q: What if I go out to eat?

A: Order only a small amount of food, such as an appetizer. Eat slowly. Finish at the same time as your table companions. You might want to let your host or hostess know in advance that you cannot eat very much.

Q: What about alcohol?

A: Alcohol has a high number of calories. It also breaks down vitamins. An occasional glass of wine or other alcoholic beverage, though, is not considered harmful to weight loss.

Q: Can I eat anything in moderation?

A: After your stomach has healed, you may eat most foods that don't cause you discomfort. However, because you can only eat a little it is important to include foods full of important vitamins and nutrients. If you eat foods that contain lots of sugar and fat or drink liquids full of "empty" calories, such as milkshakes, the effect of the gastric band may be greatly reduced.

Q: Will I suffer from constipation?

A: There may be some reduction in the volume of your stools, which is normal after a decrease in food intake because you eat less fibre. This should not cause you severe problems. If difficulties do arise, let us know as soon as possible.