Banded Gastric Bypass
About Banded Gastric Bypass
Banded Gastric Bypass and Banded Sleeve Gastrectomy are add-ons to the standard procedures of regular sleeve gastrectomy and gastric bypass.
A non-adjustable ring of silicon is placed about 3-4 cm away from the OG (oesophagogastric junction) either on the gastric sleeve or the gastric pouch of the gastric bypass. This is done to continue the restrictive element of the standard procedure even years after the surgery, thus ensuring long-term weight loss and avoiding weight regain.
Indeed, Laparoscopic gastric bypass is the gold standard for weight loss surgery, and it is well known as Roux- en- Y gastric Bypass. It has withstood the test of time in achieving substantial weight loss and maintaining the same. In this Gastric Bypass surgery, we create a gastric pouch having a volume of 30-40 cc and connect it to the small intestine so that the residual part of the stomach and approximately 100-150cms of the small intestine is bypassed. This gastric bypass surgery works in four ways.
Firstly, we restrict food intake by creating a 30 to 40cc stomach pouch.
Secondly, there is a reduction in the levels of the hunger hormone Ghrelin. Thirdly, as food passes from the pouch directly to the small intestine, the hormone GLP1 is thrice the amount normally secreted, which has a significant role in the remission of Diabetes.
Fourthly, as food does not enter the second part of the duodenum, a hormone called Factor X is not secreted, which also contributes to diabetes remission along with weight loss. This is why this surgery is also known and has been popularised as a Metabolic Surgery or Diabetes surgery.
The best Bariatric Surgeon is one who knows whom to operate on and whom not to operate on (medical weight loss), whose focus is only on Bariatric and Metabolic Surgeries does a large number of surgeries every month, personally follows up with the operated patients, has excellent and sustained results in terms of weight loss and diabetes remission.