Morbid Obesity
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Welcome to Gastric Banding!

Gastric Binding

In gastric banding, a band is placed around the stomach which divides the stomach into two halves, thereby restricting the amount of food intake. This procedure is relatively easy to do and is reversible. On the flip side, sustained weight loss may not be possible.

Sleeve Gastrectomy

In sleeve gastrectomy part of stomach is removed to reduce the capacity of stomach and stomach will function as a conduit rather than a reservoir. This is a relatively simple operation but irreversible.

ROUS-EN-Y Gastric Bypass Surgery

Gastric bypass is considered as the gold standard for treating morbidly obese patients worldwide. Here, the stomach is made smaller to about one-tenth of the original size and allows food to bypass part of the small intestine.

Normally food passes through the stomach and enters the small intestine where most of the nutrients and calories are absorbed. It then passes into the large intestine (colon), and the remaining waste is eventually excreted.

In a roux-en-Y gastric bypass, the stomach is made smaller by creating a small pouch at the top of the stomach using surgical staples or a plastic band. The smaller stomach is connected directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper portion of the small intestine (duodenum).

The surgery works in rapid weight loss as the person feels full much more quickly than when the stomach was its original size. This cuts down on the amount of food that is eaten. Since part of the intestine is bypassed, it also results in fewer calories being absorbed.

The procedure can be done by making a large incision in the abdomen but the surgery can also be done laparoscopically by making a small incision and using small instruments and a camera to guide the surgery.

Through minimum invasion, the procedure can be completed in two hours times and requires three days of hospital stay, just like in medically advanced centers in US, UK and other countries.

Patients are personally counseled about minor side effects post-surgery like the dumping syndrome, which occurs when food moves too quickly through the stomach and intestines. It causes :

• Nausea
• Weakness
• Sweating
• Faintness
• And possibly diarrhea soon after eating.

These symptoms are made worse by eating highly refined, high-calorie foods (like sweets). Patients are put on vitamin and micro-nutrients supplements to ensure they do not become deficient.