What are the pros and cons of Gastric band surgery? Gastric banding surgery, also known as laparoscopic adjustable gastric banding, is a weight-loss procedure designed to help individuals who are struggling with obesity. Gastric banding surgery involves the placement of an adjustable band around the upper part of the stomach to restrict food intake. As with any surgical procedure, gastric band surgery presents both advantages and disadvantages. This blog aims to provide an unbiased analysis of the benefits and drawbacks of gastric band surgery, empowering individuals contemplating this option to make an informed decision regarding their weight-loss journey.
Pros of Gastric Banding Surgery:
Adjustable and Reversible
Gastric bands are slowly adjusted over time, allowing for personalization to achieve optimal weight loss. The band can be tightened or loosened by adding or removing a saline solution through the port placed under the skin. This adjustability allows healthcare professionals to personalize the level of restriction based on the individual's weight loss progress and goals. It enables fine-tuning of the band's tightness to optimise weight loss outcomes. Additionally, the gastric band is reversible, meaning it can be removed if necessary, allowing the stomach to return to its original size and functionality.
Minimally Invasive
Compared to other weight loss surgeries, gastric band surgery is less invasive, resulting in smaller incisions, shorter recovery times, and potentially fewer complications. Digestion and absorption is not disrupted because no part of the gastric anatomy is removed or changed. Patients typically experience less discomfort and can resume their normal activities sooner.
Gradual Weight Loss
The gastric band is designed to promote gradual weight loss over time. The band creates a small pouch at the top of the stomach, limiting the amount of food that can be consumed in one sitting. This restriction leads to a feeling of fullness with smaller portions, resulting in reduced calorie intake. Gradual weight loss is beneficial as it allows the body to adapt to the changes and reduces the risk of nutritional deficiencies commonly associated with rapid weight loss. Furthermore, a more gradual weight loss can contribute to better long-term weight maintenance.
Lower Risk of Nutritional Deficiencies
Because no part of the gastric anatomy is removed or changed during the gastric banding procedure, no malabsorption occurs and there is a lower risk of nutritional deficiencies compared to other weight-loss surgeries. Unlike certain weight-loss procedures that involve bypassing or altering parts of the digestive system, such as gastric bypass surgery, gastric banding surgery does not interfere with the normal digestion and absorption of nutrients. The band simply restricts the amount of food that can enter the stomach.
No Dumping Syndrome
Dumping syndrome is a well-known side effect commonly experienced by patients who undergo bariatric surgeries such as gastric bypass, but it is notably absent in lap band surgery. Dumping syndrome occurs when the reduced size of the stomach post-surgery cannot accommodate the same amount of food as before. Even a small intake of food can trigger symptoms like nausea and vomiting. This condition arises due to the surgical wound created during the removal of a significant portion of the stomach in gastric bypass surgery. However, with lap band surgery, which does not involve any incision, the occurrence of dumping syndrome is effectively eliminated. In this article, we will explore the absence of dumping syndrome as one of the advantages of lap band surgery, highlighting its benefits for individuals seeking weight loss solutions.
May improve comorbidities
Research suggests that improvements to chronic health conditions improve with every 5% of excess weight that is lost. As individuals lose excess weight, there is often a reduction in blood pressure, blood sugar levels, high cholesterol and the severity of other obesity-related health issues.
Cons of Gastric Band Surgery:
Slower and Potentially Less Weight Loss
Gastric banding surgery typically results in slower weight loss compared to other bariatric procedures. The distinction arises from the fact that in other bariatric surgeries where a significant portion of the stomach is removed, hunger is also diminished. However, in lap band surgery, the hormone that triggers the desire for more food remains intact, resulting in less weight loss. Long-term commitment to new lifestyle habits and continued follow-up with the bariatric team is required for long-term success.
Need for Regular Adjustments
Ongoing band adjustments are needed to optimise weight loss and manage potential complications. Frequent and ongoing office visits with the surgeon will be necessary for successful weight loss and long-term success.
Potential Complications
Complications such as band slippage, band erosion, or band intolerance are rare, but can occur after band placement. These issues may require additional surgical interventions or band removal in some cases. Regular monitoring and follow-up visits are necessary to detect and address such issues promptly.
Diet Restrictions
The gastric band restricts the top portion of your stomach which will lead to a more limited diet and the need for portion control. Rough or sticky textures like salads or breads may not be well-tolerated. Ask your surgeon or bariatric dietitian to be sure you are able and willing to follow post-op nutrition guidelines for gastric banding.
Lifestyle Changes Required
Gastric banding surgery is not a standalone solution for weight loss. It requires long-term commitment to dietary modifications, portion control, and regular exercise. Adherence to a specific diet and lifestyle changes is necessary to achieve and maintain weight loss goals.
Limited Effectiveness for Certain Individuals
Gastric banding surgery may not be as effective for certain individuals, such as those with significant comorbidities, emotional eating disorders, or those who struggle to adhere to the necessary lifestyle changes. A comprehensive evaluation by healthcare professionals is essential to determine the suitability of this procedure for each patient.
Conclusion:
Considering the pros and cons of gastric band surgery is crucial before making a decision. This procedure offers flexibility with its adjustable and reversible nature, but it also requires regular adjustments and may have potential complications. The weight loss achieved through gastric band surgery may be slower than alternative methods. Therefore, individuals should carefully evaluate the advantages and disadvantages, consult healthcare professionals, and make an informed decision aligned with their goals and well-being. It's important to note that long-term commitment to lifestyle changes and ongoing follow-up care are necessary for successful outcomes after gastric band surgery.
