Obesity is a growing health concern worldwide. According to WHO (The World Health Organization), globally over 1 billion individuals are obese. In India, the numbers are equally concerning, with 135 million individuals affected by obesity, making it a significant public health challenge.
Bariatric surgery has emerged as one of the most effective long-term solutions for obesity, especially in cases where lifestyle modifications and medications have failed. Among the newer advancements in this field is Banded Sleeve Gastrectomy. This procedure offers better weight maintenance and prevents the stomach from re-expanding over time.
“Obesity is not just about excess weight—it’s a chronic condition that affects every organ system. When patients come in after years of struggle, our goal is to offer them a sustainable and safe solution. Banded Sleeve Gastrectomy has proven to be a valuable tool for long-term weight management,” says Dr. Harsh Sheth, an accomplished Bariatric Surgeon in Mumbai.
This page delves into how Banded Sleeve Gastrectomy works, how it differs from regular sleeve procedures, and what long-term results you can expect.
Let’s start with understanding how a Banded Sleeve Gastrectomy stands apart from the regular sleeve technique.
What Makes Banded Sleeve Gastrectomy Different?
While both procedures begin similarly—with the removal of a portion of the stomach to reduce food intake—the banded version incorporates an added step. A medical-grade silicone ring or band is placed around the newly created stomach pouch, just above the sleeve. This subtle difference has a significant impact.
Here’s how:
Prevents Stomach Expansion
Over time, the stomach pouch in a regular sleeve gastrectomy can stretch, which may reduce the effectiveness of the surgery. The band acts as a physical barrier to prevent this.
Improves Long-term Weight Maintenance
Many patients see faster results with a regular sleeve, but keeping that weight off can be challenging. The band slows gastric emptying and helps patients stay full longer.
Reduces Risk of Weight Regain
The structured restriction provided by the band minimizes overeating, leading to better long-term outcomes.
Offers a Reversible Add-On
If needed, the band can be removed without compromising the sleeve, making this a flexible option.
“Patients often ask me how the band will benefit if they are already going for a sleeve. I tell them it’s like installing a safety net—you’re giving yourself an extra layer of support against relapse,” explains Dr. Harsh Sheth, an Advanced Laparoscopic & Bariatric Surgeon in Mumbai.
Why the Added Band Can Be a Game-Changer: Long-Term Benefits
The addition of a band isn’t just about immediate results—it’s a strategic move to promote sustainable weight loss and better health outcomes. Here are the long-term benefits:
- Enhanced Satiety
Patients feel full with smaller meals, even years after the procedure. The band supports long-lasting appetite control.
- Better Metabolic Outcomes
Sustained weight loss leads to improvements in conditions like Type 2 diabetes, high cholesterol, and hypertension.
- Fewer Revision Surgeries
Because the stomach does not stretch as easily, the need for corrective surgeries is lower than standard sleeve patients.
- Improved Quality of Life
Patients report fewer food cravings, more energy, and greater confidence post-surgery.
- Long-Term Psychological Satisfaction
Maintaining weight loss positively affects mental health. The structured restriction of the band helps patients stay on track, reducing emotional distress related to weight regain.
“Long-term follow-up is crucial in bariatric care. I’ve observed that patients with the band have better compliance with lifestyle changes and higher satisfaction rates,” notes Dr. Harsh Sheth, a trusted weight loss surgeon in Mumbai.
Possible Complications to Know
Though Banded Sleeve Gastrectomy has numerous advantages, it’s essential to understand potential challenges associated with the band component.
Here’s what to watch for:
- Band Slippage
Rare but possible, where the band shifts from its original position, potentially requiring adjustment or removal.
- Erosion
In very few cases, the band may erode into the stomach lining. Regular follow-up ensures early detection.
- Food Intolerance
Some patients may need time to adjust to how food passes through the banded section, especially during the early months.
- Gastric Discomfort
Eating too quickly or not chewing well may cause bloating or discomfort due to the restriction.
- Need for Follow-up Adjustments
Although most bands used in this surgery are not adjustable like Lap-Bands, some cases may still require imaging or minor intervention to ensure the band is functioning correctly.
“Patient education is key. We prepare our patients not just for the surgery but for the journey that follows. Knowing what to expect and when to seek help makes all the difference,” emphasizes Dr. Harsh Sheth.
Conclusion
Banded Sleeve Gastrectomy presents a promising advancement in the field of bariatric surgery. By offering both restriction and structural support, it improves weight-loss outcomes and reduces the risk of stomach pouch expansion over time.
For individuals struggling with obesity and looking for a long-lasting, sustainable solution, this approach is worth considering—especially when guided by a skilled professional.
“Surgery is only one part of the weight-loss journey. It’s the right technique, patient commitment, and ongoing support that ensure success,” concludes Dr. Harsh Sheth, an acclaimed GI Surgeon in Mumbai.
FAQ: Let’s Clear Up Some Common Concerns
Is the band used in this surgery adjustable like in gastric banding?
Can I feel the band inside my body?
Will I need to change my diet permanently?
Can the band cause acid reflux or heartburn?
What happens if the band needs to be removed later?
References:
https://bariatric-solutions.com/banded-sleeve/
https://asmbs.org/videos/banded-sleeve-gastrectomy/
Disclaimer: The information shared in this content is for educational purposes only and not for promotional use.
