1. Will I be sick a lot after the gastric banding operation?
2. Will I feel hungry or deprived after the gastric banding surgery?
3. Can I eat anything in moderation?
4. Can I drink alcohol?
5. Can I go out to eat?
6. Am I allowed to have my gastric lap band opened for a special occasion?
7. Does the gastric lap band limit any physical activity?
8. Do I have to be careful with the access port just underneath my skin?

1. Will I be sick a lot after the gastric banding operation?
The gastric banding will limit the amount of food you can eat at one time. If you always feeling nauseated on a regular basis, it probably means that you aren’t chewing your food well enough or that you aren’t following the gastric banding post-surgical diet properly, other reason could be that the placement of the gastrc band have a problem, so contact your doctor if you continue to get sick. You must avoid vomiting as much as possible because it can cause your small stomach pouch to stretch. It can also lead to slippage of the band which will offsetting the effectiveness of your surgery. In some severe cases, damage due to vomiting can mean another operation.

2. Will I feel hungry or deprived after the gastric banding surgery?
The gastric lap band makes you eat less and feel full in two ways:

• By reducing how much your stomach can hold at one time
• By increasing the time it takes food to get through your digestive system.

After a small meal, the amount of which varies from person to person, you should feel full and satisfied for some time. If you follow the nutrition guidelines when you choose your food and then chew it well, you shouldn’t feel hungry or deprived at all.
3. Can I eat anything in moderation?
After your stomach has healed, generally you may eat most foods that don’t cause you discomfort. Since you can only eat a small amount of food at a time, it is important that you choose nutritious, vitamin-rich foods. You may click here to find out some problem foods after you avoid after gastric banding.

4. Can I drink alcohol?
Alcohol has a lot of calories and breaks down vitamins. An occasional glass of wine or other alcoholic beverage is not considered harmful to weight loss.

5. Can I go out to eat?
Order only a small portion, such as an appetizer and try to eat slowly. It may help if you stop eating at the same time as your dinner companions too. Best to explain to your host or hostess know in advance that you cannot eat very much.
6. Am I allowed to have my gastric lap band opened for a special occasion?
While it is tempting and easy, your gastric lap band should not be opened to eat a big meal at a special occasion. However the gastric lap band can be opened for medical reasons such as pregnancy, when you will need to increase your nutritional intake.

7. Does the gastric lap band limit any physical activity?
It should not hamper any type of physical activity. You should be free to do aerobics, stretches, and any strenuous exercise you enjoy once you’ve completely recovered.

8. Do I have to be careful with the access port just underneath my skin?
The access port is placed under the skin in the abdominal wall, it should not cause discomfort or limit any physical exercise at all. The only sensation you may experience from the port occurs when you go in for adjustments. If you feel persistent discomfort in the port area, see your doctor.

Diet after Gastric Banding Surgery

Immediately after your Gastric Banding operation has been completed, it is important to let it sit and rest so that scar tissue can form around it which is crucial to helping it fix in the correct position. If you were to eat a normal solid diet immediately after the operation your stomach muscles squeeze and churn to break down the food and put stress and pressure on the band and any stitches holding it in position.

The Gastric banding idea is to limit how much food your stomach pouch can contain, so you need to get to grips with your diet after Gastric Banding Surgery if you are going to get the best results. Whilst individual surgery centres do vary in their specific eating plan advice, here is general information and guidance for Gastric banding patients.

Your food will alter as time goes by and can be broken into two different time frames, the first being within the first four weeks and the other being beyond four weeks.

The first four weeks

You will start taking sips of water the day after the gastric band surgery and following day you will probably be able to take free fluids. Once you are taking fluids easily the next step is moving to puree.

The key point to your eating plan for the four weeks after gastric banding is to make sure all your food is pureed and that you eat small quantities (4–5 small meals per day).Here’s the key points to take note when preparing your diet:

• The texture should be something like smooth baby food and this can be achieved by using a food processor or hand–held blender, or push though a sieve to remove any lumps and remember to add a little water to make a smoother consistency.
• The size of your meals should be about 100g, or 5–6 tablespoons is the correct amount. Ensure you eat this slowly and eat in small mouthfuls.
• Stop eating as soon as you start to feel full as your pouch is at the top of your stomach, the feeling of fullness you will get is different from the feeling before and has been explained as a tightness in your chest not your stomach.
• Drink 1.5 litres of water (2 1/2 pints) every day in 100-200ml portions which is too be taken between meals and not with the meal as it could fill you up fast.

Example meals during this stage:

By controlling your diet after Gastric Banding Surgery you will gain the maximum comfort and results, combine this with a exercise after gastric banding surgery routine and your gastric surgery recovery process will be improved.

The full names for the two types of restrictive surgery for weight loss are:

• Laparoscopic adjustable gastric banding which id the most common form of restrictive surgery, and
• Vertical banded gastroplasty

Laparoscopic Adjustable Gastric Banding

Laparoscopic gastric banding is often called gastric banding or lap banding and is the second most common weight loss surgery, after gastric bypass.

Gastric Lap band surgery will involves the following:

• Using laparoscopic tools, the procedure will place an adjustable silicone band around the upper part of the stomach.
• Squeezed by this silicone gastric band, the stomach becomes a pouch with about an inch-wide outlet. After banding, the stomach can only hold about an ounce of food, so you will feel full alot faster.
• A plastic tube runs from the silicone gastric band to a circluar device just under the skin. Saline (sterile salt water) can be injected or removed through the skin, flowing into or out of the silicone band.
• By adding the saline the band can be tightened or loosened as needed.

Laparoscopic adjustable gastric banding can help to reduce your weight by about 40%  on average. So someone who is 200 pounds overweight could expect to lose an average of 80 pounds after gastric banding. However, these results vary widely depending on the person.

Gastric banding is considered the least invasive form of weight loss surgery and is also the safest too. The procedure can be reversed if necessary and the stomach generally returns to its normal size.

Gastric Lap banding surgery has a low complication rate. The most common problems after lap banding surgery include:

• Nausea and vomiting. Can by reduced by adjustment of the banding.
• Minor surgical complications occur less than 10% of the time. These include problems with the adjustment device, wound infections, or minor bleeding.
• The risk of death due to lap banding surgery is about 1 in 2,000.

Unlike gastric bypass surgery, gastric banding does not interfere with food absorption but just the quanitiy of food thats taken.So vitamin deficenceny for people who had Gastric banding is rare.

Vertical Banded Gastroplasty (VBG)

Vertical banded gastroplasty also involves a similar plastic band placed around the stomach. In addition to the band the surgeon will staple the stomach above the band into a small pouch.

Vertical banded gastroplasty results in less weight loss, compared with other surgeries and also has a higher complication rate. Therefore due to this vertical banded gastroplasty is less common today as approx. 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).

If your looking for Gastric Banding Surgery in the UK click here.

Side-effects are an unwanted by product of the Gastric Banding Surgery but are generally temporary effects of the Surgery, afterwards you are likely to have bruising, pain and swelling around the wounds left behind from the surgery.

You may feel or be sick after eating, especially if you try to eat too much. Your restricted diet may cause some shortage of nutrients so you may consider taking multivitamin tablet as a supplement.

Complications caused from Gastric Banding occur during or after the surgery, but most people are not affected. Some possible complications of Gastric Banding Surgery include a reaction to the anaesthesia or excessive bleeding during or soon after surgery for this case a  blood transfusion may be required.

Some of the specific gastric banding complications:

* Wound infection. Antibiotics are given during surgery to help prevent this.
* For up to six weeks after the operation, it is possible to develop a blood clot (DVT) in the veins in the leg. This clot can break off and cause a blockage in the lungs. In most cases this is treatable, but it can be a life-threatening condition. Compression stockings, intermittent compression pumps and blood-thinning injections are used to help prevent DVT.
* There is a risk that during the operation other organs in the abdomen may be accidentally damaged.
* There is a risk that the gastric band may slip out of place, break or erode through the stomach wall. This may require further surgery or removal of the gastric band.
* It is possible you may fail to lose sufficient weight or regain weight, and some patients have further weight loss surgery.
* If you lose weight rapidly, there is a risk of developing gallstones in your gallbladder. These can be painful. Your surgeon may remove your gallbladder during surgery.

Before any surgery you should ask your surgeon to explain how these risks apply to you. The exact risks will differ for every person.

• You are aged 18 or over.
• You have tried all conventional methods of weight loss, like exercise and diet, but have failed to lose any significant amount of weight.
• You don’t have any medical or psychological reasons for not carrying out the procedure.
• You understand the long-term commitment to having a gastric band fitted, for example you continue to reduce your food intake and maintain a regular exercise regime.

Funding for the cost of the operation for gastric banding will vary across the UK and will depend on your local PCT. PCTs can only set aside an amount of money for this type of gastric banding surgery. If you are recommended for surgery, as a treatment for obesity. Typically gastric banding usually costs around £7,000 if you do it privately.

If you feel you qualify for gastric banding in the UK and would like to have the operation on the NHS, as all your attempts you have used to lose weight have failed you will need to discuss all possible options with your GP or surgeon.