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Gastric Bypass Thailand


Thailand Bariatric Surgery is available through ThaiMed International Affiliate Hospitals and Bariatric Surgeons in Bangkok, Thailand. Weight loss surgery information and medical travel tour bookings available at affordable prices.

Obese do not have to suffer with weight problems any longer. Laparoscopic bariatric weightloss surgery offers a safe and fast way to lose weight. Fast weight loss while recovering in Bangkok.

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Gastric Banding Surgery in Thailand
 

Gastric banding, sometimes known as lap banding, was approved by the FDA in June 2001 and is a highly effective weight loss surgery procedure to help overweight obese people achieve long-term weight loss.  It is also the only adjustable and completely reversible surgical treatment for morbid obesity bariatric surgery.

This weigh loss surgery limits the amount of food you can consume by reducing the capacity of the stomach. More than 250,000 Lap Band weight loss surgeries have been performed around the world.

Gastric Banding Surgery Medical Illustration Picture

The labband procedure can be carried out laparoscopically, by keyhole surgery, through five or six small incisions. It can also be carried out as an open operation with one vertical incision in the abdomen.

Who is Gastric Bypass Surgery For?

Body mass index (BMI) is a measure of body fat based on height and weight that applies to both adult men and women.

  • Enter your weight and height using Standard or Metric measures.

  • Click on "Compute BMI" and your BMI will appear in the heart of the figure.
BMI Categories:
  • Underweight = <18.5
  • Normal weight = 18.5-24.9
  • Overweight = 25-29.9
  • Obesity = BMI of 30+

Knowing if you meet medical guidelines for bariatric surgery is an early step in your bariatric surgery decision-making process and by contact our doctor so we can quickly determine if our bariatric surgeon will qualify you for surgery.

The guidelines for bariatric surgery are brief and fairly simple. Surgeons use the guidelines established by the National Institutes of Health (NIH) when considering treatment options for patients. Keep in mind that these are only guidelines. An experienced surgeon or other healthcare professional will evaluate each patient using a larger set of criteria.

NIH Guidelines for Recommending Bariatric Surgery:

  • 100 pounds or more of excess weight; or a BMI of 40 or greater
  • A BMI of 35 or greater with one or more co-morbid conditions

Other Common Guidelines:

  • Understanding the risks of lap band surgery
  • Commiting to dietary and other lifestyle changes as recommended by the doctor
  • Having a history of failed weight loss treatments
  • Undergoing a complete examination includint medical tests

The complete examination and medical tests can be performed after you arrive in Thailand and prior to your surgery or at home prior to your departure.

Gastric banding surgery doesn't replace the need for following a healthy diet and regular physical activity program. In fact, the success of the surgery depends in part on your commitment to following the guidelines given to you about diet and exercise. As you consider weight-loss surgery, make sure that you make every effort to exercise, change your eating habits and adjust any other lifestyle factors that have contributed to your excess weight.

About Laparoscopic Bariatric Lap Banding Procedure

During the Lap Band procedure, laparoscopic techniques are used to make small incisions which provide access for the surgeon to place an hallow inflatable silicone band around the patient’s upper part of the stomach. Like a wrist-watch, the band is fastened around the stomach that divides the stomach to create a smaller pouch that limits and controls the amount of food the patient eats and a larger pouch below. It also creates a small outlet that slows the emptying process in the lower-half of the stomach and intestines. As a result, patients experience an earlier sensation of "fullness" and are satisfied with smaller amounts of food. This results in the patient losing weight.

Optimal pouch capacity 30 mls

The gastric band is usually fitted using keyhole (laparoscopic) surgery, but it can also be placed via open surgery. The operation takes 30 minutes to one hour, or more, depending on the technique used.

Keyhole surgery

About five small cuts (one to two centimetres long) are made on your abdomen and chest. Your surgeon will insert a tube-like telescopic camera to view the area either by looking directly through this, or at pictures it sends to a video screen. The band is fitted using specially designed instruments passed through the other cuts. Afterwards, the skin cuts are closed with two or three stitches.

Open surgery

A single cut (about 15 to 25 centimetres long) is made on your upper abdomen. Afterwards, the skin cut is closed using stitches and staples.

The size of the pouch needs to be adjusted by adding or removing fluid in the band. This is done through a tube that runs from the band to a "port" in your chest or lower abdomen. The port sits under the skin. The band is adjusted a few weeks after the operation, leaving time for the swelling caused by the surgery to settle down.

Laparoscopic VS Open Surgery

The open approach involves an 8 to 10 inch incision to open the abdomen and perform the surgery in open view of the surgical team. The laparoscopic approach creates five or six small incisions (1/4 or 1/2 inch long) instead of the one larger incision. In the laparoscopic method, a small fiberoptic tube (the laparoscope), connected to a video camera, is inserted through the small abdominal incisions. This gives the surgeon a magnified view of the patient's internal organs on a television screen next to the operating table. The entire operation is performed "inside" the abdomen, after gas has been used to expand it, with the instruments inserted through the various small incisions.

Advantages of Laparoscopy

Whatever the method used, the patient's average stay in the hospital is 2-3 days. When this procedure is done laparoscopically, patients recover faster and often return to work in 2 weeks (as compared to 4 -6 with traditional surgery). The rate of hernias (a complication in 10 to 20 percent of open procedures) is significantly reduced. Laparoscopic surgery also protects the patient's immune function, whereas open surgery can compromise the immune system and even promote the growth of any existing tumors.

In summary, the minimal access, laparoscopic surgical approach to the treatment of obesity may reduce postoperative pain and medication levels, promote faster return of bowel function, and improved cosmetic results. It is important to remember, however, that not all patients are candidates for laparoscopic surgery. Your surgeon will be able to provide you with the most appropriate treatment options for your individual situation.

Band Adjustments

Adjusting the size of the opening between the two parts of the stomach controls how much food passes from the upper to the lower part of the stomach. This opening (stoma) between the two parts of the stomach can easily be decreased or increased, by injecting or removing saline from the band. The band is connected by a tube to a reservoir placed beneath the skin during surgery. The surgeon or Nurse Practitioner can later control the amount of saline in the band by piercing the reservoir through the skin with a fine needle. Being able to adjust the band is a unique feature of the LAP-BAND® system and is a normal part of the follow-up.

Before Gastric Banding Surgery

You will have a team of people around you to help you through your weight loss surgery and the following months. They will be there to help you stay healthy and achieve the best weight loss results for you.

The hospital will send you a pre-admission questionnaire. Your answers help hospital staff to plan your care by taking into account your medical history and any previous experience of hospital treatment. You will be asked to fill in this questionnaire and return it within three days.

Two or three weeks before your operation you will be asked to attend a pre-admission clinic for a blood pressure check and routine blood and urine tests.

If you normally take medication (eg tablets for blood pressure), continue to take this as usual, unless your surgeon specifically tells you not to. If you are unsure about taking your medication, please contact the hospital.

Prior to hospital admission instructions:

  • Have a bath or shower at home on the day of your admission.
  • Remove any make-up, nail varnish and jewellery. Rings and earrings that you prefer not to remove can usually be covered with sticky tape.
  • Follow the fasting instructions in your admission letter. Typically, you must not eat or drink for six hours before general anaesthesia.

When you arrive at the hospital, your nurse will do some simple tests such as checking your heart rate and blood pressure, and testing your urine.

You may be asked to wear compression stockings to help maintain circulation and prevent blood clots forming in the veins of your legs (deep vein thrombosis, DVT). You may also be given an injection of a blood thinning drug called heparin before surgery. For more information please see the separate BUPA health factsheets, Compression stockings and Deep vein thrombosis.

Your surgeon and anaesthetist will visit you before the operation. This is a good time to ask any unanswered questions.

After Gastric Banding Surgery

You will have a team of people around you to help you through your weight loss surgery and the following months. They will be there to help you stay healthy and achieve the best weight loss results for you.

Because obesity surgery is just a part of the process, we have put in place a comprehensive aftercare programme to ensure you receive all the care and support you need, long after your surgery for weight loss.

While in hospital:

  • Following weight loss surgery your obesity surgeon will usually see you daily to checkyour condition, discuss your operation and talk through the nextstages of your aftercare.
  • You will have discussions with your dietician to plan your diet for when you go home. You will be given diet sheets to help you understand what you need to do.

Tips after you have gone home:

  • Your weight loss surgeon will see you again a month after surgery then every three months for the first year.
  • You will have monthly one to one meetings with your dieticianwho will provide ongoing dietary advice. There are regular patient support group meetings led by the dietician, to help you stay motivated and overcome any difficulties you are having with your new lifestyle.
  • You will be able to contact your hospital in case of complication immediately after discharge.
  • If you have a lap band, you will need to visit the Outpatient Department of your BMI hospital to have the band adjusted. This usually takes two adjustments to find the right level of restriction, but additional adjustments may be required. The first one is usually six weeks after lap banding surgery.

Results After Gastric Banding Procedure

Everybody is different, so it is difficult to predict exactly how much weight you would lose following weight loss surgery. The amount of weight loss is also dependant on your weight before surgery, your food choices and the amount of exercise that you do following obesity surgery. But you are likely to lose a lot of weight and keep it off.

On average people who undergo a gastric lap banding operation lose around half of their excess weight within two years of surgery. The average actual weight loss is around half a stone a month, though this does vary by patient. Most patients can expect to lose a significant amount of weight within 9 to 12 months.

Estimated weight loss is approximately 40 - 50% of one's excess weight to be achieved over 2 years.

In general, most patients find they are unable to easily tolerate red meat, pasta, rice, fresh bread and fibrous foods. You will be asked to eat three meals a day with one planned snack, chew your food very well and swallow slowly. You must only drink either no or low caloric beverages and wait at least one hour between eating and drinking.

Which weight loss surgery is right for you?

After deciding you are ready to procede with ThaiMed, we can begin the registration and prepraration process. After submittin a questionaire and health history, the bariatric surgeon can submit to you an online consultation to give you a general idea which procedure is best for you.

After you arrive and have your medical work-up and consultation, you will be able to discust with the surgeon further what all your options are and which obesity operation is most suitiable for you and your needs.

Benifits of LapBand:

Because the band is removable, adjustable and does not permanently alter the anatomy, it provides an option for patients who may not otherwise consider surgery for treatment of their obesity.  Other advantages include a shorter hospital stay and no effects on the absorption of nutrients.

Here are some key points for each weight loss surgery:

Bariatric Gastric Bypass Weight Loss Surgery Options

Risks of Having Lap Band Weight Loss Surgery

Most people get through their weight loss operation with few problems, but as with all surgeries there are risks and complications - even though rare - are a possibility. Serious complications but rare complications include heart attack or a blood clot, but these potentials can be identified before surgery during your health evaluation.

To reduce your risk of complications you may be asked to lose weight before surgery, or to go on a special milk and yoghurt diet. This will shrink the fat around your liver, and allow easier access to your stomach during the operation.

The bariatric surgeon will make sure you have all the information you need to help you make your decision.

Possible complications and risks of weight loss surgery:

  • Lung problems
  • Spleen injury
  • Band slippage - for gastric bands
  • Bleeding
  • Wound infections
  • Blood clots
  • Blockages

Other Banding Procedure Methods

Vertical Banded Gastroplasty (VBG)

Vertical banded gastroplasty also involves a plastic band placed around the stomach. In addition, the surgeon staples the stomach above the band into a small pouch.

Vertical banded gastroplasty results in less weight loss, compared with other surgeries. It also has a higher complication rate. For these reasons, vertical banded gastroplasty is less common today. Only 5% of bariatric surgeons still perform this surgery.

Mixed Surgeries (Restrictive and Malabsorptive)

Restrictive surgery is an important part of nearly all weight loss surgeries. In the most common weight loss surgery, gastric bypass surgery, restrictive surgery is first done on the stomach. This "stomach stapling" creates a small stomach pouch.

The new stomach pouch is reconnected to a part of the small intestine further down. This leads to less food eaten (restrictive) and less food absorbed (malabsorptive).