Dr. Ekhaese is a well-experienced general surgeon in Bariatric, Hernia, Reflux, Robotic, Endoscopic, Revision Bariatric, and Academic Global Surgery.
Welcome to C.A.R.E Surgery Clinic, General & Bariatric Surgery
Call Us: (832)915-8140
Laparoscopic adjustable gastric banding (LAGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It's done as a laparoscopic surgery, with small incisions in the upper abdomen. The surgeon puts an adjustable band around the top part of the stomach. This creates a very small stomach pouch. The small stomach pouch means that you'll feel full after eating less food. This will help you lose weight.
The band can be adjusted. This is done by adding or removing fluid in a balloon around the band. This is done through a port placed under the skin of your abdomen. A tube leads from the port to the band around your stomach. During office visits after surgery, your doctor will use a needle to go through your skin into the port. Fluid is injected into the port. The fluid goes through the tube into the balloon around the band and squeezes the top of the stomach. A small amount of fluid is usually added at each office visit, while your weight loss is checked. If the band becomes too tight, some fluid will be removed.
Bleeding, infection, and blood clots in your legs are possible side effects that may occur after any surgery. General anesthesia may also cause breathing problems or other reactions.
Other risks of LAGB can include slipping of the band, puncturing of the stomach, or food not going into the stomach. You may have food intolerance after gastric band surgery. For example, you may not be able to eat red meat, a major source of dietary iron. This would put you at a higher risk for anemia. Over time, a fibrous capsule to form around the stomach and band. This can make it hard to do any other surgery on the upper stomach later in life, if needed.
With LAGB, you may not lose as much weight as you would like. If your body mass index is over 50, the band might not be a good choice for you. If you are not physically active, you may not lose a lot of weight with the band.
LAGB is used to treat severe obesity. It's advised for people who have tried other weight loss methods without long-term success. Your doctor may advise LAGB if you are severely obese with a body mass index (BMI) over 40. Your doctor may also advise it if you have a BMI between 35 and 40 and a health condition such as sleep apnea, high blood pressure, heart disease, or type 2 diabetes.
Many insurance plans cover weight loss surgery but navigating the different requirements and coverage details can be challenging. We have put together a list of all the popular insurance companies and their coverage options on our insurance page. For patients who want to learn more about their coverage options not addressed on the insurance page, call us (832)915-8140.
We have partnered with CareCredit® to provide our patients with an easy way to finance their surgery. Monthly payments can make it possible to invest in better health, even without insurance. Some patients who do have insurance coverage decide to self-pay to avoid pre-requisites and waiting times that may be mandated by insurance companies.
You'll likely go home the day after surgery. You will be on a liquid diet for the first week or two. Your surgery team will give you a schedule of types of meals over the next weeks. You'll go from liquids, to pureed foods, then soft foods, and then to regular food. Each meal needs to be very small. You should make sure to eat slowly and chew each bite well. Don't move too quickly to regular food. This can cause pain and vomiting. Work with your medical team to figure out what's best for you to eat. After your stomach heals, you will need to change your eating habits. You'll need to eat small meals for your small stomach.
People who have weight-loss surgery may have trouble getting enough vitamins and minerals. This is because they take in less food, and may absorb fewer nutrients. You may need to take a daily multivitamin, plus a calcium-vitamin D supplement. You may need additional nutrients, such as vitamin B12 or iron. Your medical team will give you instructions.
You'll need to have regular blood tests every few months in the year after surgery. This is to make sure you don't have low blood iron (anemia), high blood glucose, or low calcium or vitamin D levels. If you have heartburn, you may need to medicine to reduce stomach acid.
After losing weight, it's possible to regain some of the weight that you lose. To avoid this, make sure to follow a healthy diet and get regular exercise. The sleeve may widen (dilate) over time. This will let you eat more. But keep in mind that if you eat all you can, you can regain weight. You may want to join a weight-loss surgery support group to help you stick with your new eating habits.
You'll need to have life-long medical visits to check for problems with the band, and have band adjustments as needed.
What is the C.A.R.E Surgery Clinic Advantage? For starters, we simply care! When most people hear the word "Surgery," they picture a room filled with equipment and doctors wearing masks and gloves ready to cut someone open. We want to change that! Surgery for us is a form of assistance to our patients. We want to help you achieve your short and long-term health goals through surgery. We believe in the following:
Have you made a decision to consult with a surgeon? C.A.R.E makes that decision even easier with same day online appointments! You can also call us at (832)915-8140.
Your surgeon, Dr. Obos Ekhaese, offers one-on-one consultation with emphasis on care and comfort with a passion for giving patients a new lease on life.
Ready? C.A.R.E Surgery Clinic makes scheduling a visit easy. Start today!