Gastric Band Removal
About the Procedure
The removal of an adjustable gastric band, also known as band removal, is a surgical procedure performed when the band has either failed to provide the expected weight loss results, caused complications, or is no longer needed. The procedure is carried out under general anaesthesia and involves the removal of the band and band port from and release of scar tissue caused by the band. In some cases, the gastric band can be removed with minimal disruption to surrounding tissues, while in other cases, the surgeon may need to repair or revise the stomach. The procedure is generally done laparoscopically, meaning it is minimally invasive with small incisions, which allows for a quicker recovery and less scarring.
Indications
The removal of an adjustable gastric band may be considered if you experience one or more of the following:
Failure to achieve sufficient weight loss despite following the prescribed diet and exercise plan.
Band-related complications, such as slippage, leakage, oesophageal dysfunction or erosion of the band into the stomach lining.
Persistent nausea, vomiting, or discomfort caused by the band.
Difficulty with food intake due to narrowing of the stomach outlet.
Personal preference, if the individual decides they no longer wish to continue with the banding procedure.
To facilitate future bariatric surgery
Risks
Like any surgery, the removal of an adjustable gastric band carries certain risks. These may include:
Infection at the incision site or in the stomach.
Bleeding during or after the procedure.
Scarring of the stomach or surrounding tissues, which could impact future surgical options.
Reflux or heartburn as a result of changes to the anatomy of the stomach.
Damage to surrounding organs (rare) such as the liver, intestines, or oesophagus.
Regaining weight if the underlying lifestyle changes or behavioural patterns are not addressed.
Recovery After Surgery
The recovery period following gastric band removal will vary depending on the complexity of the procedure and the individual’s general health. Most patients can expect the following:
Hospital stay: Typically, the procedure is performed and then you are discharged from hospital the next day.
Post-operative pain: Some discomfort and mild pain around the incision sites are common, which can be managed with prescribed pain relief medications.
Diet: Initially, you will be advised to follow a liquid diet as your stomach heals. Gradually, you can return to solid foods under the guidance of your healthcare team.
Physical activity: You should avoid strenuous physical activities or lifting heavy objects for at least 4 weeks after surgery.
Follow-up care: Follow-up appointments will be scheduled to monitor your recovery, ensure that any complications are identified early, and discuss your weight management progress.
Future Bariatric Surgery
Once the gastric band has been removed, you may choose to undergo a metabolic bariatric surgery. Usually a recovery period of at least 3 months is needed before further surgery can be performed.