Asian diet consists mainly of volume instead of fast foods and sweets
in the West. The influence of the “Western” portion sizes is causing
more and more obese populations worldwide.
For BMI over 30, with an
over-eating habit, LAGB may be a possible solution for weight loss by
reducing the portion size ingested and improving daily eating habits.
This is one of the most widely adopted weight loss surgery as it is
minimally invasive. Doctors can adjust the band according to the
condition of the patient.
Procedure of LAGB:
Under normal conditions, once food is ingested, it will passes
through the stomach and be broken down and absorbed in the small bowel.
During the minimally invasive LAGB surgery, only four small incisions
will be made. A silastic gastric band will be placed at the upper
portion of the stomach to create a 15-20 ml “gastric pouch”. The
adjustment port will be placed under the skin so it is completely
invisible.
According to patient’s weight loss progress, doctors will
adjust the band tightness by injecting saline solution via the
adjustment port to the band. Patient will usually notice slight hold up
sensation following adjustment but there should be NO pain.
The surgery is performed under general anesthesia, which takes
about 1-1.5 hour. Shortly after surgery (on the same day) patient can
start mobilizing and the length of stay is usually 1-2 days after
surgery. No long-term medication is required. However, patients should
change / restrict their diets, according to instructions given by Dr.
Wong and your dietitian. Patients who had received LAGB will have to
come back for follow up on a more regularly basis (every 1-2 months)
during the first 2 years – as this is the “golden period” for weight
loss. Long-term follow up is also needed.
The information aims to
provide educational purpose only.
Anyone reading it should consult Surgery Specialist before considering treatment
and should not rely on the information above.
