What is gastric bypass and how does it work?

Gastric band, also known as a weight loss belt, is a gentle way to lose weight immediately. This ring is made of biocompatible silicone so that it is not an invasive foreign body. Unlike surgeries such as sleeve or bypass, in which a part of the body tissue is removed forever, gastric banding respects the anatomy of the body and puts a small checkpoint on the way of the stomach to reduce the volume of the stomach. In the following, we review these effects in detail.

Scientific definition and mechanism of effect

The gastric band is a flexible silicone band that can be inflated. This ring is laparoscopically placed around the upper part of the stomach and divides the stomach into two unequal parts: a very small pouch at the top and the rest of the stomach at the bottom. The small upper pouch fills up after a few small bites, and the nerve receptors on its wall immediately send a satiety message to the brain.

The contents of the upper pouch slowly enter the lower pouch of the stomach. The exit channel is very narrow and keeps the food in the upper bag for a long time. For this reason, a person will not feel hungry for hours.

Types of stomach rings and their differences

We have two types of stomach rings: adjustable and fixed.

Adjustable rings have a small tank that is placed under the skin of the abdomen, and the doctor makes the ring tighter or looser around the stomach by injecting water into this tank. This capability makes the treatment personalized and appropriate to the individual's appetite and obesity status; If he has a small appetite, the ring will be a little tighter and if he needs to absorb more nutrients, the ring will be looser.

Fixed rings have a certain size and their size does not change after gastric bypass. These loops are less useful than adjustable models.

The benefits and effects of gastric band on weight loss

The immediate and effective effect of the gastric ring for weight loss has been proven many times. This silicone band sits like a strict coach for 24 hours in the most sensitive part of the digestive system and prevents overeating. Its advantage over other surgeries is a gentle but continuous approach.

The first and most tangible effect of gastric banding is to shrink the useful space of the stomach. In such a way that the stomach turns from a large tank into a small cup, which is enough to fill 5 to 6 mouthfuls of food. If you eat more than the capacity of the upper pouch of the stomach, you will immediately feel pain and nausea, and this punishment will correct your eating behavior.

Control of appetite and metabolism

The gastric ring does not start a hormone storm in the body, but targets the nervous system and appetite and by sending The early satiety message to the brain creates a feeling of deep satiety.

On the other hand, by correcting the eating pattern and preventing the entry of a high volume of calories, it prevents the sharp fluctuation of insulin and makes the body enter a stable fat burning phase instead of continuous storage. This means that the body's metabolism will be balanced again, away from the stress of heavy surgeries.

Comparison of gastric band with other surgical methods

In the previous section, we mentioned the difference between gastric banding and other surgical methods. In this section, we will answer all your questions.

Stomach ring operation is more aggressive than temporary slimming methods (such as balloon and botox) and more conservative than permanent slimming methods (such as sleeve). This method is useful for those who are looking for a permanent and at the same time reversible weight loss solution, who do not run away from surgery and anesthesia and do not want to lose a piece of their being forever. id="lwptoc7">Gastric ring or gastric balloon: advantages and limitations

Many ask, is gastric ring or balloon better? The answer to this question depends on their lifestyle and purpose. The balloon enters the stomach through a non-surgical method and through endoscopy and occupies a space. The differences between these two are:

• The balloon stays in the stomach for a maximum of 6 to 12 months, and after leaving, the possibility of weight regain is very high; But the ring is a permanent and reversible method that will remain with the person for years if he wishes. While the body adapts more to the gastric band.
• Weight loss with the band is more and more stable than the gastric balloon.

Gastric ring or gastric sleeve: differences and applications

Sleeve surgery removes a large part of the stomach and removes it from the body; While gastric banding does not make the smallest incision on the stomach. The differences between these two are:

• Sleeve is irreversible; But the ring can be removed for any reason.
• The sleeve removes the hunger hormone (ghrelin); The ring only suppresses appetite with physical pressure.
• The ring requires frequent visits to the doctor for fluid injections; But one-time sleeve surgery does not have to be reworked.

Advantages and disadvantages of the band compared to gastric botox

The effect of Botox disappears completely after 4 to 6 months and needs to be repeated; But the ring is a long-term solution.

Gastric ring weight loss comparison with gastric bypass

Gastric bypass is a permanent surgery for severe weight loss that bypasses a part of the stomach and intestines to reduce calorie absorption. Unlike gastric band, which is reversible and minimally invasive, bypass produces permanent changes and has faster weight loss.

• Bypass produces rapid and severe weight loss (70-80% within a year), but band is gradual and stable;
• Band is adjustable and reversible, but bypass is permanent. and irreversible;
• Bypass requires nutritional supplements and continuous care, but the ring requires a lighter care;
• The rapid weight loss of the bypass may cause the skin to loosen, but the ring prevents skin sagging by gradually reducing the weight.

Quick comparison table of all procedures

Gastric ring complications

however Let us tell you about the safety and risks of the gastric band, as long as the surgery involves anesthesia, there are complications. The side effects of gastric banding fall into one of these two groups:

• The side effects of the days after the surgery, which indicate the body's effort to adapt to a foreign body;
• The side effects of the months and years after the surgery, which are related to lifestyle and how to maintain the ring are related.

Nausea and vomiting after surgery

Short-term nausea and vomiting are the most common body reactions after gastric band surgery. There is no structural problem. It is possible that the person has eaten fast without paying attention to the limited capacity of the new stomach bag or has not chewed the bites correctly and caused a defensive reaction of the stomach.

If the nausea becomes persistent and annoying, the balance can be restored by draining part of the liquid inside the ring and readjusting the pressure of the band.

Stomach pain and discomfort

Another complication of gastric ring is pain and discomfort at the site of the injection tank, just under the skin of the abdomen. This pain will continue until the wounds heal completely. The next pain appears in the shoulders and is caused by stimulation of the diaphragm nerve in Laparoscopy surgery. This referred pain is relieved by light walking in the first days after the operation.

Possibility of displacement or infection of the ring

One ​​of the unfortunate side effects of gastric bypass surgery is the displacement of the ring and infection. The silicone band may move downward from its original location, widening the upper pouch and causing The possibility of ring infection is very low. But if it becomes infected for any reason, you will experience symptoms such as fever, skin redness, or unusual abdominal pains.

Long-term effects

The results of gastric bypass surgery are stable when a person commits to a long-term and regular care program. During this period, due to the reduction in the amount of food consumed, you should pay attention to the level of vitamins and minerals in the blood. This is the only way to prevent food poverty.

Furthermore, to prevent long-term complications of gastric banding, periodic visits to the doctor to adjust the degree of narrowing of the band and adherence to nutritional rules, such as separating the time of drinking liquids from meals, are necessary.

Care and tips after banding in Stomach

The stable and lasting results of the operation of the ring in the stomach are in the hands of the individual and depend on his adaptation to new changes. Most of the care the doctor orders is designed to rehabilitate the person's behavior. By following these tips, the body learns how to get full with the least amount of food and produce the most energy possible. Also, these cares will prevent the unpleasant side effects of gastric bypass surgery.

Proper post-operative nutrition

The diet after stomach bypass surgery is changed step by step so that the stomach has a chance to heal.

• Liquid phase (weeks 1 and 2): only clear liquids such as water, diluted broth and pale tea to keep the body hydrated.
• Pure phase (weeks 3 and 4): mashed and soft food such as porridge, mashed potatoes Diluted and mixed soups.
• Return to cup food (week 5 onwards): Start consuming solid foods.

Each bite should be chewed at least 20 times and each meal should last 20 minutes. Water and drinks are prohibited on the dining table! Half an hour before and after eating, no liquid should enter the stomach. In addition, when choosing meals, the first priority is always protein and then vegetables.

Safe exercise and physical activity

The body needs activity and mobility to prevent skin sagging and maintain muscle mass after surgery. In the first weeks, just a slow walk is enough to prevent blood clots. Do not lift heavy objects for 6 weeks. Approximately 2 months later, you can start aerobic activities such as swimming and fast walking; But to shape the muscles with strength training and light weights, you have to wait at least 3 months.

Medical follow-up and periodical checkups

During the first year, Zibajo goes to the doctor several times for fluid injection and adjusting the ring tightness so that the weight loss process does not stop. It is also necessary to perform blood tests every 6 months to ensure safe levels of iron, vitamin B12, calcium and vitamin D.

Cost and choice of doctor for gastric band

The cost of gastric band surgery includes the cost of the band itself, the salary of the surgical team, geographic location, doctor's experience and costs related to care and hospitalization in the clinic. This amount is not fixed and varies depending on the city, location and experience of the doctor in clinics across the country. It is not wrong. But in the case of this operation and other such surgeries, you should not be so involved in the price that you fall behind the quality. Know that the low price is sometimes due to the low quality of equipment and non-standard surgical environments.

The cost of gastric bypass surgery in 1404

This year, the cost of gastric bypass surgery is estimated to be up to 150 million Tomans in private hospitals. In special medical conditions, such as a body mass index above 40, if the beautician is covered by supplementary insurance and social security, there is a possibility of a price reduction.

The best doctors and reputable centers for gastric bypass surgery

Not every doctor is good at gastric bypass surgery; Choosing the best doctor for gastric bypass surgery requires careful examination of the surgeon's records and his expertise in the field of advanced laparoscopy. The surgeon must obtain international certificates and the approval of the Ministry of Health and have sufficient experience and skill in performing the operation. Also, the presence of a support team, including a nutritionist and a psychological consultant, along with the doctor, is mandatory.

Doctor's last word

Gastric ring is a way to overcome anorexia and curb overeating. This method does not create a permanent incision in the body, nor does it prevent the absorption of nutrients. Just by creating a physical restriction, it changes the eating pattern. The success of this low-risk slimming method depends on periodic checkups to adjust the ring and post-surgery care. If you are looking for a minimally invasive and reversible way to lose weight that has minimal interference with the body's natural functions, the gastric band will mark a new chapter in your life. Talk to obesity and nutrition doctors and get expert advice.

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