Gastric Band Surgery in Iran

Laparoscopic Adjustable Gastric Banding (LAGB) Surgery in Iran

How much does Laparoscopic adjustable gastric banding (LAGB) surgery cost?

Cost of gastric band surgery at Tehran city in 2022 starts from 3000 USD. However if you want a cheaper price with the same quality you can choose Shiraz city where gastric band surgery cost starts from 1800 USD.

Factors such as the surgeon’s location, credentials, and the type of facility where the procedure is being performed all impact the final cost.

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What is Laparoscopic adjustable gastric banding (LAGB)?

Laparoscopic adjustable gastric banding (LAGB) is a surgical procedure that involves the placement of an adjustable belt around the upper portion of the stomach using a laparascope. The band is made of silicone and can be tightened by adding saline to fill the band (like blowing air into a doughnut-shaped balloon). The band is connected to a port that is placed under the skin of the abdomen. This port is used to introduce or remove saline into the band.

LAGB ultimately restricts the size of the stomach and the amount of food it can hold. It also slows the passage of food to the intestine. By doing so, signals to the brain from the gut allow for a sensation of fullness and satiety with the consumption of less food. This signal is sent from a small pouch created by the band in the upper stomach. When the pouch fills, the same signal is sent to the brain that occurred previously when the entire stomach filled.

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 Before Laparoscopic Adjustable Gastric Banding (LAGB) Surgery

Why it’s done

Is a LAGB right for me?

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.

Doctors do not recommend surgery for people who:

. Have a current drug or alcohol abuse disorder

. Have an uncontrolled psychiatric illness

. Have difficulty understanding the risks and benefits, outcomes, alternatives, and lifestyle changes that they will need to make.

What are the Advantages and Disadvantages of Laparoscopic adjustable gastric banding?

Pros:

. Reduces the amount of food the stomach can hold

. Induces excess weight loss of approximately 40 – 50 percent

. Involves no cutting of the stomach or rerouting of the intestines

. Requires a shorter hospital stay, usually less than 24 hours, with some centers discharging the patient the same day as surgery.

. Is reversible and adjustable

. Has the lowest rate of early postoperative complications and mortality among the approved bariatric procedures.

. Smaller chance of wound infections and hernias after surgery

. Reduced risk of diabetes, high blood pressure, urinary incontinence, and other conditions related to excess weight.

. Has the lowest risk for vitamin/mineral deficiencies

Cons:

. Slower and less early weight loss than other surgical procedures

. Greater percentage of patients failing to lose at least 50 percent of excess body weight compared to the other surgeries commonly performed.

. Requires a foreign device to remain in the body

. Can result in possible band slippage or band erosion into the stomach in a small percentage of patients.

. Can have mechanical problems with the band, tube or port in a small percentage of patients.

. Can result in dilation of the esophagus if the patient overeats

. Requires strict adherence to the postoperative diet and to postoperative follow-up visits.

. Highest rate of re-operation

. Return to top

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Risks and Complications

There are some risks associated with having a gastric band.

These include the following:

. Some people have an adverse reaction to anesthesia, including allergic reactions, breathing problems, blood clots in the legs that may travel to the lungs (pulmonary embolism), blood loss, infection, and heart attack or stroke during or after surgery.

. Weight loss may be slower compared with other types of surgery

. The band can slip or have mechanical problems, or it may erode into the stomach, requiring removal.

. The port can shift, making additional surgery necessary. Between 15 and 60 percent of people are reported to need follow-up surgery.

The individual needs to follow dietary recommendations with care, as overeating can lead to vomiting or dilation of the esophagus.

As with other types of weight loss surgery, gastric banding also carries these risks:

. Injury during surgery to the stomach, intestines or other abdominal organs

. Hernia

. Inflammation of the stomach lining (gastritis), heartburn, and stomach ulcers

. Wound infection

. Gastrointestinal scarring that can lead to bowel blockage

. Poorer nutrition as a result of the restricted food intake

Weight loss can give some people a boost in confidence, and this can be another benefit.

However, if a person undergoes the procedure in the hope of sudden weight loss, or if weight loss is their main reason for choosing surgery, they may be disappointed.

What to Expect

Prior to Procedure

Each bariatric surgery program has specific requirements. You may have the following done:

. Thorough physical exam and review of your medical history

. Mental health evaluation and counseling

. Ongoing consultations with a registered dietitian

. Program to help you lose weight through diet and exercise

Leading up to your procedure:

. Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to one week before the procedure.

. Do not start any new medications, herbs, or supplements without talking to your doctor.

. Arrange for a ride to and from the hospital. Also, arrange for help at home.

. If advised by your doctor, take antibiotics.

. The night before, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor. You may be given laxatives and/or an enema to clear your intestines.

. Shower or bathe the morning of your surgery.

. General anesthesia will be used. You will be asleep for the surgery.

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During Laparoscopic Adjustable Gastric Banding (LAGB) Surgery

During the Procedure

To prepare you for surgery, an IV will be placed. You may receive fluids and medications through the IV during the procedure. A breathing tube will be placed through your mouth and into your windpipe. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.

Several small incisions will be made in the abdomen. Gas will be pumped in to inflate the abdomen. This will make it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of the abdominal cavity to a monitor in the operating room. Your doctor will operate while viewing the area on this monitor.

An adjustable round band is placed around the top of the stomach and fastened into place. This creates a smaller stomach area for food. Tubing is placed from the band to an access port in the abdominal wall. The band can later be adjusted with a special saline solution and needle syringe. The incisions will be closed with staples or stitches.

The procedure can take between one and two hours, but this may vary between surgeons.

The common explanation of how this device works is that with the smaller stomach pouch, eating just a small amount of food will satisfy hunger and promote the feeling of fullness. The feeling of fullness depends upon the size of the opening between the pouch and the remainder of the stomach created by the gastric band. The size of the stomach opening can be adjusted by filling the band with sterile saline, which is injected through a port placed under the skin.

Reducing the size of the opening is done gradually over time with repeated adjustments or “fills.” The notion that the band is a restrictive procedure (works by restricting how much food can be consumed per meal and by restricting the emptying of the food through the band) has been challenged by studies that show the food passes rather quickly through the band, and that absence of hunger or feeling of being satisfied was not related to food remaining in the pouch above the band. What is known is that there is no malabsorption; the food is digested and absorbed as it would be normally.

The clinical impact of the band seems to be that it reduces hunger, which helps the patients to decrease the amount of calories that are consumed.

After Laparoscopic Adjustable Gastric Banding (LAGB) Surgery

Recovery and Post-procedure Care

At the Hospital

While you are recovering at the hospital:

. Pain medication will be given as needed.

. On the day after the surgery, x-rays will be taken to make sure the band is in place. If everything looks fine, you will be given fluids, then progress to pureed food.

You may be asked to do the following:

. Use an incentive spirometer to take deep breaths every hour. This is to prevent breathing problems.

. Wear elastic surgical stockings or boots. This is to promote blood flow in your legs.

. Get up and walk to circulate blood and promote healing.

Preventing Infection

During your stay, the hospital staff will take steps to reduce your chance of infection such as:

. Washing their hands

. Wearing gloves or masks

. Keeping your incisions covered

There are also steps you can take to reduce your chance of infection such as:

. Washing your hands often and reminding visitors and healthcare providers to do the same

. Reminding your healthcare providers to wear gloves or masks

. Not allowing others to touch your incision

At Home

Be sure to follow your doctor’s instructions. You will need to practice lifelong healthy eating and exercising habits. Keep in mind after your surgery:

. It will take 2-4 weeks to fully recover. You may be out of work for several days after surgery.

. Meet regularly with your healthcare team for monitoring and support.

. Your doctor may recommend that you meet with a therapist to discuss emotional changes after surgery.

. Eating too much or too quickly can cause vomiting or intense pain under your breastbone. Most people quickly learn how much food they can eat.

. This procedure does not cause nausea and diarrhea if sweet or fatty foods are eaten. In fact, some people gain back weight because they continue to eat high-calorie foods. To promote ongoing weight loss, you will need to eat healthy foods.

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LAGB Diet

. Eat three small meals per day.

. Eat only good, solid food. (“Good” refers to foods that are high in protein or complex carbohydrates; “solid” means not liquid. The food should be of sufficient texture to pass only slowly through the banded area.)

. Eat slowly; stop when comfortable (1/2 hour per meal).

. There must be no eating between meals.

. Take no liquids with a meal. (Liquids may be consumed up to 10 minutes before meals, but not for at least 90 minutes after meals.)

. All liquids must be zero calories (with the exception of 2–4 glasses per week of alcohol due to the possible health and weight loss benefits).

. Eat approximately 4oz (1/2 cup) of food at each meal and note that protein will stay in the upper stomach longer than other foods.

. Sip 64oz of low-calorie, non-carbonated fluids daily.

. Do not drink anything 15 to 30 minutes before a meal and do not drink during a meal. Wait 30 to 60 minutes after a meal before drinking anything.

. Avoid foods that may block the stoma, such as bread, pineapple, celery, fibrous foods, and non-tender cuts of red meat.

Eating behaviors

Helping patients to follow these or any guidelines is a challenge for even the most experienced health professionals. Most of us have encountered patients who do the following:

. Develop maladaptive eating behaviors (covering vegetables in high fat dressings so that they “slide” down more easily; soup for lunch, which means hunger returns one hour later instead of a meal that actually takes time to chew); eating so slowly that dinner can last for over an hour, thus enabling a much larger portion; picking on high-carbohydrate or low-density snack foods like chips, pretzels, and crackers between meals to avoid a feeling of fullness).

. Learn that frequent vomiting is acceptable or even helpful; or develop full-blown eating disorders, such as bulimia.

. Believe that the only way they will lose weight is by making the band tighter and tighter.

. Fail to admit to heartburn or vomiting.

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Nutrient adequacy

A discussion of LAGB nutrition would not be complete without a note on nutrient adequacy. Some practices “sell” the band as an operation that does not require any supplementation since it does not impart malabsorption. This has been proven to be untrue. Even though LAGB is a purely restrictive operation, patients undergoing the procedure do need supplementation, especially as the band is made tighter. Poor eating behavior, low nutrient-dense food choices, food intolerance, and a restricted portion size contribute to the risk of developing nutrient deficiencies.

As food variety and portion sizes decrease, it is harder to meet the recommended dietary intakes for all nutrients. The best example of this is iron deficiency anemia. Intolerance to red meat, a highly absorbable source of heme iron, is common. Another serious concern is thiamin deficiency. The half-life of this water-soluble vitamin is only 9 to 18 days; thus, a period of prolonged vomiting, especially in patients who are not compliant with supplements, can lead to deficiency fairly rapidly.

In addition to the band’s impact on food volume and variety, one should consider the available evidence of vitamin and mineral deficiencies in the (non-operated) obese.

Current guidelines for postoperative daily vitamin supplementation are the following:

. 1 high-potency adult multivitamin-mineral supplement containing 100 percent of daily value for at least two-thirds of nutrients, including 18mg of iron, 400mg folic acid, zinc, and selenium.

. 1,500mg additional elemental calcium split into doses of 500 to 600mg each

. (Optional: B50 complex)

Patients will be less likely to feel good enough to be compliant with physical activity recommendations if they are tired or not sleeping well, problems which may stem from low levels of iron or B vitamins. In a circular pattern, poor and shortened sleeping cycles also lead to weight gain through mechanisms that are both behavioral and biological.

Patients may stop their supplements as their bands are tighter and pills become more difficult to swallow. Making your patients aware of chewable and liquid forms of supplements early on will help to prevent problems.

Are there any foods I should avoid with a gastric band?

You may find it difficult to tolerate some foods, and this varies from person to person. Common foods known to cause problems may be dry meat, soft white bread, stringy or very fibrous vegetables, sweetcorn, nuts, dried fruit, pips and seeds. Avoid these until you have established yourself on your solid diet and always try foods cautiously. If you don’t tolerate a food, try it again in a few weeks time. There is a lot of adaptation in the first few months. It is highly likely you will manage it with time.

Physical activity

Patients who do not increase their physical activity have been found to have a 2.3 times higher likelihood of not accomplishing a greater than 50-percent excess weight loss. Many weight loss surgery patients tend to eat in response to emotional cues—such as feeling upset, anxious, or bored—versus eating in response to a hunger signal. Promoting participation in exercise as a better way to cope with negative feelings can have a positive, even synergistic impact on weight loss.

Can I drink alcohol with a gastric band?

It is not recommended that you drink alcohol for the first two months after operation and remember that you will feel the effects of the alcohol much more quickly than before. Please take special care when driving as it may affect your legal limit and your reaction speed. Remember that alcohol is very high in calories (particularly alco-pops and stronger wines or lagers) and contains no nutrients. It can also stimulate appetite – another reason not to drink frequently.

Laparoscopic adjustable gastric banding (LAGB) Surgeons

How can I find the best Laparoscopic adjustable gastric banding (LAGB) surgeon in Iran?

Bariatric surgeons in Iran can make your body more appealing. It is important that you seek the assistance of experienced and skilled Laparoscopic adjustable gastric banding (LAGB) surgeons in Iran who have provided a suitable condition for people with limited budgets to undergo Laparoscopic adjustable gastric banding (LAGB) in Iran easily. It is worth explaining that the quality provided by Iranian surgeons is far higher than other countries including Turkey and India.

Bariatric surgeons in Iran, have performed numerous procedures annually which make them more experienced than other countries’ Bariatric surgeons, due to high demand and low costs of Bariatric in Iran, thousands of people travel to Iran every year to undergo Bariatric surgery in Iran with the best Bariatric surgeons at an affordable and reasonable price.

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The factors that the best Bariatric surgeons should have:

1. Experience

Because of performing a great number of procedures, they become knowledgeable and highly skilled which make them very famous worldwide.

2. Expertise in different types of Bariatric surgery

It is of paramount importance that your surgeon be expert in various types of Bariatric surgery.

We are happy to introduce a great number of Iranian surgeons who have all two above-mentioned features.

Iranian Surgery is an online medical tourism platform that helps you to do Gastric Band Surgery with the best bariatric surgeons in Iran at the most affordable price.
For more information and to schedule an appointment, contact our consultants via WhatsApp number +98 901 929 0946.
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