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Adjustable Gastric Banding Surgery, Swedish Band or Lap-Band performed as Keyhole Surgery, or Band-Aid Surgery, in Bangkok, Thailand

Laparoscopic Bariatric Specialists in Bangkok, Thailand perform Gastric Banding, an adjustable Weight Loss Surgery, WLS, where a silicone device such as a LapBand, or Lap-Band, or the newer Swedish Band, is placed around the stomach, reducing the amount of food the patient can eat. This is known as Adjustable Gastric Banding, because the device can be adjusted after the surgery.

Gastric Banding has been performed worldwide over 100,000 times. International Standards are well controlled and our surgeons are specially trained and certified in use of these devices.

The Banding device is inserted through a Laparoscope, in a minimally invasive procedure. After applying general anesthesia, the surgeon will make a few small incisions in the abdominal wall for the insertion of the Lap-Band and the surgical instruments and camera required to complete the procedure.

gastric banding weightloss surgery Bangkok Thailand Gastric Banding Illustration

The surgeon then makes a small tunnel behind the top of the stomach, which allows him to insert the band, wrap it around the upper part of the stomach and lock it securely in a ring, dividing the stomach into two portions.

Using tubing, the band is then connected to an access port placed beneath the skin during surgery. Later, the surgeon can change the stoma size using the access port to add or subtract saline inside the inner Gastric Banding balloon. This adjustment process helps drive the rate of weight loss: If the band is too loose and weight loss inadequate, adding more saline can reduce the size of the stoma to restrict further the amount of food that can move through it. If the band is too tight, the surgeon will remove some saline to loosen the band and reduce the amount of restriction.

Click below for two movie clips on the functioning of the Gastric Banding in Qyuicktime format:

Clip 1                 Clip 2

Weight Loss Results

The Gastric Banding helps patients achieve sustained weight loss by limiting the amount of food they can eat, reducing their appetites and slowing digestion. The Gastric Banding by itself will not solve morbid obesity, nor will it ensure patients reach their goal weight-or even that they lose weight at all!

The amount of weight each patient loses depends on the effectiveness of the Gastric Banding and on the patient's commitment to a new lifestyle that includes different eating habits. Some people lose more than others, and though you may never each your ideal weight, chances are good that patients will lose a significant amount of weight, increasing their health and self-esteem.

Removing the Gastric Banding

If there is a problem with the Gastric Banding - if the patient can't lose enough weight or can't adjust to the new eating habits - the surgeon may suggest removal of the Lap-Band, a simple, noninvasive procedure.

Generally after removal of the Gastric Banding, the patient's stomach will be restored to its original form, and the digestive tract should function normally. Please keep in mind that when the band is removed, the patient's weight will likely increase.

Who Benefits from Adjustable Gastric Banding

Gastric Banding, Lap-Band or Swedish Band is not for everyone. It may be indicated in patients who meet specific criteria and who do not want, or are not candidates for Roux-en-Y Gastric Bypass Surgery at this time. Our surgeons can help you decide if your problem is  suitable for Gastric Banding or other procedure.

You may be eligible for Lap-Band outpatient surgery if:


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Your BMI is over 35
- You have been overweight for more than five years
- Your serious weight-loss attempts have only had short-term success
- You are not suffering from any other disease that my have caused your obesity
- You are prepared to make substantial changes in your eating habits and lifestyle
- You are willing to continue being monitored by the specialist currently treating you
- You do not drink excessive amounts of alcohol


Lap-Band Outpatient Surgery Contradictions

The Lap-Band Outpatient Surgery is not right for you if the following conditions apply:


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You are addicted to alcohol or drugs
- You are on chronic, long-term steroid treatment
- You have portal hypertension
- You have an inflammatory disease or a condition of the gastrointestinal tract, such as ulcers, severe esophagitis or crohn's disease
- You or someone is your family has an autoimmune connective tissue disease, such as systemic lupus erythmatosus or scleroderma
- You have severe heart or lung disease, cirrhosis or chronic pancreatitis
- You have any other disease that makes you a poor candidate for surgery
- You have any problem that could cause bleeding in the esophagus or stomach
- Your esophagus, stomach or intestine is abnormal due to a chronic condition
- You have or have experienced an intra-operative gastric perforation at or near the location of the intended band placement
- You are pregnant at the time of the initial surgery (pregnancy is possible after the Lap-Band has been placed)
- You might be allergic to materials in the device
- You cannot tolerate pain from an implanted device
- You cannot or do not want to follow the dietary rules that come with this procedure

Please also read our FAQs on Gastric Banding

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