Gastric Banding in Iran

How is gastric banding surgery performed?

In this method of treating obesity, a silicone strip is placed near the upper part of the stomach. This strip reduces the stomach volume and ultimately reduces appetite. It is an FDA-approved method as a successful treatment for dangerous obesity. In addition to inserting a silicone band, the surgeon attaches a tube that you can detect under the skin of the abdomen. A saline solution is injected into the stomach to inflate the band using this tube.

This way, the stomach volume will be lower and the stomach can no longer tolerate large amounts of food, so the person will consume less food. In general, by doing so, the appetite decreases. People will feel full sooner and consume less food. As a result, they will experience decent weight loss.

Surgical Operation Techniques

Open method: The surgeon performs surgery by making a length of 8 to 10 cm on the abdominal surface and opening it so that the internal parts of the body are visible. Today, this procedure has been discontinued due to scarring, the possibility of infection, prolonged postoperative pain, and other complications in many surgeries that can be performed by laparoscopy.

Laparoscopy: The surgeon performs surgery by making a few small holes in the abdominal surface and sending a laparoscope (a device containing multiple tubes, a camera, and a light source) to the surgical site.
All surgical methods are visible on the monitor, and the physician has complete control over the surgical area. In this way, the patient will have much less pain and recovering is much shorter than the open surgical method.

Who is a Good Candidate for Gastric Banding?

In the past, gastric banding was recommended only if a person’s body mass index (BMI) was 35 or higher. Some people with a BMI of 30 to 34.9 used this method to lose weight if there were other obesity-related problems, including diabetes, hypertension, or sleep apnea. This strictness for gastric banding was due to its high risk in the past. But today, advances in surgical techniques have improved the safety record of this procedure. If a person’s body mass index is between 30 and 35 and fails to lose weight through non-surgical methods such as diet, physical activity, or taking various medications, the doctor will explain to them whether gastric banding is appropriate for them depending on their physical condition. Gastric banding may not be right for you if you are addicted to drugs or alcohol, have an uncontrolled psychiatric illness, or can lose weight easily through diet and exercise.

Who are the candidates for surgery?

• 1. If your BMI is 35 to 40
• 2. If you do not have excessive eating habits
• 3. Children with obesity
• 4. Women who plan to get pregnant in the future.

Gastric Banding Preoperative Instructions

Surgery is the last way to treat obesity. If you have taken all the steps and have not achieved the desired result, you can consult your doctor about surgery. Doctors at Amitis Aramesh Company will help you with this. Before the surgery, you should follow some steps to prepare for gastric banding surgery, including:

• 1. Complete physical and mental examination of the patient
• 2. Full review of patient nutrition. Reduce your daily calories in a range between 1200 and 1,500 calories (or within the range, your doctor has told you). Avoid caffeinated beverages for about a month before surgery.
• 3. Patient BMI Determination (Individuals with Massage between 32 and 50 Candidates for Gastric Band Surgery)
• 4. Provide a complete description of the surgical procedure and the need for multiple referrals to the physician after surgery
• 5. Complete blood test
• 6. Perform heart, lung, and endocrine tests (note that patients with a history of gastric ulcer, duodenum, and previous gastric surgery are not candidates for this surgery)
• 7. Complete ultrasound of the abdomen and pelvis
• 8. Complete anesthesiologist consultation
• 9. Change the way you eat
• 10. Doing daily exercise. Start an exercise program and continue it to reach your weight loss goals and keep your weight stable.
• 11. Drink plenty of water and avoid high-calorie drinks
• 12. Contraindication of aspirin ten days before surgery

You are getting ready for surgery

After the above steps, you are ready for surgery. In this way, a silicone ring is placed around your stomach by a laparoscope. Note that the stomach is divided by this ring into two equal parts and inside the bond is a small balloon that can be adjusted by the doctor. This means that the doctor can easily tighten or dilate the stomach ring by touching the tube that is beneath your skin and attached to the balloon. The day after surgery is usually done by re-imaging the stomach to ensure that the bond and hole in the bond are not leaked. This surgery will take between 2 and 3 hours under complete anesthesia and you will be in the hospital for one or two days and will be monitored and return to normal activities 4 to 6 weeks after surgery.

Life After Gastric Banding Surgery

Gastric banding is an easier operation than gastric bypass. It is the least risky compared to other methods. The surgeon makes between one and five small incisions in the abdomen. This procedure often takes 30 to 60 minutes. The patient should not eat from the night before surgery.

Most people can resume most of their normal activities after 2 days. But they may need to take a week off work. Immediately after gastric banding surgery, you will feel some pain and discomfort that can be controlled by medications. This is part of the normal recovery phase after any surgery.

Generally, after 6 to 8 weeks, normal activities can be resumed. Weight loss with gastric banding is a gradual process. At first, weight loss may be more dramatic. For example, you may lose 2 to 3 kg per week. However, in the long run, this weight loss generally decreases to one kilogram per week. Naturally, your choice of food will affect the amount of weight loss.

After about 18 months, weight loss slows down significantly. The average weight loss for this procedure is 40% of excess body weight in the first year and an extra 10% to 20% in the second year. Patients are usually asked to keep in touch with their surgeon regularly during this period because they may need further care.

A new start after surgery

Your surgery was successful and the results were satisfactory to the doctors. You’re backing home. But to have real satisfaction with your surgery is to go back to your new lifestyle.
Start a lifestyle change to see the effects of your surgical success.

• 1. Your diet is very restrictive for up to 3 weeks after surgery and includes various liquids and noodles and light (meaning puree is the perfect mix of simple foods like soup).
• 2. You can start eating regular foods from about 3 weeks after surgery
• 3. Avoid high-fat and high-calorie foods by reducing gastric volume from 1 liter to 5 liters
• 4. Eat the food slowly and keep it in your mouth longer to make it easier to digest
• 5. Avoid carbonated drinks
• 6. The exercise begins about two months after surgery. Of course, start with simple exercises such as walking as soon as possible and get advice from your doctor about getting a regular exercise program.
• 7. Avoid overeating
• 8. Drink plenty of fluids between meals. Liquids will dilute food and absorb it easily in the stomach. In addition, eating plenty of light liquids, such as non-pulp and sugar-free juices, prevents bowel obstruction, which can be a complication of this surgery.
• 9. Quit smoking and drink alcohol.

Exercise and its benefits after surgery

One way to maintain success after surgery is to do regular exercise throughout the week. Usually, two days of constant exercise per week are recommended to the patient. Be aware, that these exercises and the type of exercise should be performed under the supervision of a sports physician. Heavy sports such as weightlifting are forbidden for up to one year after surgery. Exercises that require balance training (gymnastics) can also be postponed for up to six months.

But other benefits of exercise after surgery:

• 1. Build muscle mass
• 2. Prevent loosening and falling of skin after surgery
• 3. Assist in proper metabolism by performing aerobic exercise
• 4. Accelerate recovery
• 5. Increased confidence and desire to continue changing lifestyle

Advantages and Disadvantages of Surgery

Note that this surgery, like all other surgeries, has its own advantages and disadvantages. So, after a thorough study and knowledge of them, decide to have surgery./ Gastric Banding in iran

Gastric Banding and its Benefits:

• 1. Reduce weight by 2 to 3 percent, but obesity can be reversed if the loop is removed unless you fully obey the doctor’s instructions and are committed to continuing to lose weight.
• 2. Failure to remove part of your stomach: The texture and overall shape of your stomach will be unchanged. Your habitual stomach without pliers, stitches, and halves and just having a slim belt on it.
• 3. No contact with the patient’s intestine.
• 4. The action is reversible. Anytime you are able to remove the ring, this has led many in Iran to prefer this surgery to other similar obesity treatments.
• 5. The procedure is closed (laparoscopic), which means you are safe from the complications of heavy open abdominal surgery.
• 6. Your stomach ring can grow and shrink. This is good news if you need to lower or increase your gastric volume a little bit after surgery.
• 7. You will be able to walk a few hours after surgery.
• 8. This is a good way for women who want to get pregnant. Prenatal nutrition is vital to the health of the mother and fetus. If you are overweight and therefore unable to get pregnant and you are worried about the effects of weight-loss surgeries on yourself and your baby, this method works for you. First, put on a gastric ring and, after losing weight and reaching the desired level, remove the ring so that you will not be deficient in the absorption of minerals and vitamins during pregnancy. After Postpartum, bond around your stomach and resume overweight treatment.
• 9. It costs less than the sleeve and bypasses.
• 10. Short recovery due to the type of surgery (laparoscopy) and failure to remove part of the stomach.

Below we will list some of the benefits of gastric banding:

The safest way to lose weight

Compared to other methods of treating obesity, which include incisions in the stomach, gastric banding surgery carries the lowest risk. Instead of an incision, the surgeon places the rubber strip on the upper part of the stomach using a laparoscope. When the band is placed in the stomach, it is inflated with air, which divides the stomach into two parts. The top is smaller and the bottom is larger. If you feel uncomfortable or undesired side effects uccur , the band will be removed the same way it was mounted. The best benefit of this method is that no wound will remain on the body for healing.

It is reversible

Other bariatric surgeries such as gastric bypass include incisions in the larger part of the stomach. You will have wounds and permanent somewhat unsightly scars on your abdomen. The good news about gastric banding surgery is that you can remove the band if you feel some kind of discomfort or severe negative effects. Removal is done using a laparoscope and takes only a few minutes.

Dumping Syndrome does not occur after Gastric Banding

Dumping syndrome is a condition in which the new size of the stomach cannot return to the same size as before the meal. Any amount of food that the patient eats can cause nausea and even vomiting. This is a common side effect among patients of bariatric surgery such as gastric bypass. This is due to a wound that occurs after the incision when the larger part of the stomach is removed. With gastric banding surgery, there is no dumping syndrome because no incisions are made.

Shorter Hospitalization

Gastric banding surgery takes less time than other forms of bariatric surgery. The surgeon only inserts the bandage and that’s it. This procedure will be done in the shortest possible time and then you will return home. This method is quite convenient because you do not need to be hospitalized.

It is effective for weight loss

Although the rate of weight loss by this method may not be consistent with other obesity surgeries, it is still an effective way to lose excess weight. As a result, the weight loss rate of this method is more than you can lose weight through other weight loss methods such as exercise and diet.

Possible Risks of Gastric Banding Surgery

Side effects of gastric banding include nausea and vomiting, ulcers at the site of the bandage, esophageal reflux, indigestion, weight recovery, and dehydration.

Because this type of surgery is a restrictive procedure and does not cause nutrient malabsorption, vitamin deficiency is not usually seen. However, many centers recommend multivitamin supplements. You may experience constipation after surgery.

Gastric banding carries fewer risks than other weight loss methods. This method has recorded fewer deaths than other methods. There is a possibility that the band will slip in the stomach, and it may even wear out in the stomach. Other complications may include infection, bleeding, or pain in the abdominal area.

Gastric Banding Complications

• 1. It was mentioned above that if you eat a lot of sweets, you are not a good candidate for this surgery. Eating sweets will cause obesity to recur after surgery.
• 2. The possibility of bond rotation due to continuous vomiting: Due to the fact that your stomach volume is reduced, if you do not pay attention to the amount and type of food your stomach will not be able to digest, and with repeated vomiting, there is the possibility of bond rotation.
• 3. Vomiting persists for up to two years after surgery and may lead to pre-surgery to remove the ring.
• 4. The possibility of infection and leakage of the ring that, if this occurs, your doctor will remove the ring from your stomach.
• 5. Slower weight loss process than the sleeve and bypass surgery. Since this method does not remove part of your stomach and does not alter the overall structure and structure of your stomach, weight loss will be slower than similar lean surgeries.
• 6. The possibility of inserting a bond into the stomach, if this happens; your doctor will re-insert and remove the ring. Keep in mind that repeated vomiting that is not related to the type of eating and excessive bandage stiffness can be one of the symptoms of ring entry into the stomach, which is a dangerous complication.
• 7. Esophageal Motility Disorders: By losing weight as a result of surgery, it is possible to narrow the bowel and block it. Having a diet rich in fluids and light foods, especially in the early months after surgery, will help prevent bowel obstruction.

See your doctor if you have the following symptoms:

• 1. Fever above 38 degrees
• 2. Redness and infection in the surgical area
• 3. Severe pain out of control

Disadvantages of Gastric Banding

Here are some disadvantages of gastric banding:

Less weight loss

The main disadvantage of gastric banding surgery is that it causes less weight loss compared to other surgeries. This difference is due to removing the larger part of the stomach in other obesity surgeries, causing more feeling of fullness. With gastric banding surgery, the hormone that causes hunger is still present and therefore results in less weight loss.

There is a possibility of regaining weight

Because no part of the stomach is removed in this surgery, the hormones that control satiety are not affected in any way. If this method is not accompanied by physical exercise and a healthy lifestyle, the patient can get used to the new size of the stomach. When this happens, the patient can eat the same amount of food he did before surgery, leading to a regain of weight.

It is important to note that most of the side effects of bariatric surgeries are due to the patient’s negligence.

Gastric Banding Diet

A gastric banding diet helps people who are recovering from gastric banding to change their eating habits. A gastric banding regimen is designed to facilitate the recovery period of the stomach.

Gastric Banding Diet Details

Dietary recommendations after gastric banding surgery vary depending on your circumstances. A gastric banding diet usually follows a consistent process to help you digest solid foods more easily. You can usually start eating regular foods about three months after surgery.

Tips you should follow in this diet include:

• 1- Drink 2 liters of fluids a day to prevent dehydration.
• 2- Drink liquids between meals, not during meals. Wait about 30 minutes after meals, then drink liquids and avoid drinking liquids 30 minutes before meals.
• 3- Eat and drink slowly to prevent dumping syndrome.
• 4- Eat low-fat and high-protein foods daily.
• 5- Choose foods and beverages that are low in fat and sugar.
• 6- Avoid alcohol.
• 7- Limit caffeine consumption, which can cause dehydration.
• 8- Take vitamin and mineral supplements every day as directed by your doctor.

Suitable Drinks After Gastric Banding

For the first day or so after surgery, you can only drink clear fluids. You can use the following liquids:

• 1- Water
• 2- Caffeine-free tea or coffee
• 3- Milk (skim or 1% fat)
• 4- Gelatin or sugar-free minerals

After about a week of fluid foods, you can start eating refined and mashed foods. You can eat three to six small meals a day. Each meal should consist of 4 to 6 tablespoons. Eat slowly and allow about 30 minutes for each meal.

Suitable Pureed Foods after Gastric Banding

Choose foods that are well-pureed, such as:

• 1- Minced meat, chicken, or lean fish
• 2- Cheese
• 3- Soft eggs
• 4- Cooked cereals
• 5- Soft fruits and cooked vegetables
• 6- Cream soup

After a few weeks of eating mashed food and with your doctor’s approval, you can add soft foods to your diet. Your food should be in small, soft pieces, and easy to chew. You can eat three to five small meals a day. Each meal should consist of one-third to one-half of a cup.

Suitable Soft Foods after Gastric Banding

• 1- Lean ground meat or chicken
• 2- Eggs
• 3- Cheese
• 4- Cooked or dried grains
• 5- Rice
• 6- Freshly canned or soft fruit, without seeds and skin
• 7- Cooked vegetables

Suitable Solid Foods after Gastric Banding

After about eight weeks on a gastric banding diet, you can gradually return to eating slightly solid foods and start by eating three slightly solid meals a day. It is important to stop eating before you feel full. Depending on your solid food tolerance, you may be able to change the number of meals and the amount of food in each meal. Try new foods one by one. Some foods may cause pain, nausea, or vomiting after gastric banding surgery.

Foods to Avoid after Gastric Banding

Foods that can cause problems at this stage include:

• Bread
• Carbonated drinks
• Raw vegetables
• Red meat
• Fried foods
• Nuts
• Popcorn

Is it necessary to take vitamins and supplements after surgery?

Note: that you lose a lot of your stomach volume compared to the normal person. So it’s normal to not eat like a normal person and not get the vitamins needed by the body. Therefore, the need for vitamins and supplements after surgery is inevitable.

But what kind of vitamins should you take?

• 1. Don’t forget to take a multivitamin daily
• 2. Folic acid
• 3. Iron tablets in case of anemia
• 4. B1 and B12 vitamins
• 5. Calcium tablets
• 6. Talk to your doctor about how to use multivitamins

GET a Gastric Banding Package in Iran!

Since highly skilled surgeons are present in Iran to perform various operations, lap-ban gastric banding also has its specialists. People from all over Iran and the world can benefit from highly experienced specialists and medical facilities at the lowest cost and highest quality. There are equipped clinics for gastric banding surgery in different cities of Iran, including Tehran, Isfahan, Shiraz, Mashhad, Tabriz, and Kish Island.

How much do I have to pay for Gastric Banding in Iran?

The cost of this surgery is less than any other type of weight loss surgery. In Iran, this surgery can be performed in the amount of $ 700 to $ 1100 depending on the type of hospital. It is also important to note that this surgery has decreased by 18% in countries such as Europe and the US in the last year and one of the reasons is that the temporary use of the bandwidth is ultimately 4 years and then the patient should be replaced. Or removing the ring can lead to the return of obesity in patients.