Stomach Stapling Surgery in India

Stomach Stapling Surgery

Stomach stapling, also called gastric stapling or vertical banded gastroplasty, is one type of restrictive surgery (the other being gastric banding) for the treatment of morbid or malignant obesity. The idea of this surgical procedure is to severely restrict the patient's capacity to eat foods, reduce calorie intake and induce significant weight reduction. There is no bypass, or interference with normal digestion or absorption of foods. Instead the surgeon uses staples to create a small stomach pouch and a gastric band to limit the size of the opening (stoma) between the pouch and the rest of the stomach

Stomach Stapling Surgery Candidates

Candidate for stomach stapling Surgery:

Someone who is morbidly obese (100 or more overweight)
Someone who has some other obesity related, life threatening problem
Someone who has tried everything possible including a healthy diet and exercising and has still been unable to lose the excess weight.

Stomach Stapling Surgery Success Rate

The long-term success rate of these procedures is estimated to be around 70-80%. Although, stomach stapling cost is more expensive than other methods, it has the greatest success rate thus far.

Stomach Stapling Surgery Preparation

At the initial meeting with your doctor, you should ask questions so that you understand fully what the stomach stapling is and what it involves.
Start an all liquid diet 2 days before the surgery and don’t eat anything 24 hours before the surgery.
Make sure you don’t take any non-steroidal anti-inflammatory drugs 1 week before the surgery.
The surgery may last between 1 and 4 hours, depending on the difficulty of the surgery and whether the doctor will perform one incision or several smaller ones.
You will have to arrive at the hospital a few hours or even a day before the procedure and you will be asked to stay in a preoperative room, where you will be able to talk to the anesthesiologist. You will also receive intravenous fluids, so an IV line will be placed. You can ask for a sedative, so that you are relaxed and ready for the surgery.

Stomach Stapling Surgery Procedure

The whole procedure will be performed under anesthesia. Physicians will take a portion of the stomach, around the size of a cricket ball and separate it from the rest of the stomach. Then the doctor will staple that portion of your stomach and divide it off from the other. The food we take will go to the newly separated small area, as it is very small it can take only small amounts of food, thus reducing the food intake.

Types of Stomach Stapling Surgery

There are two types of Stomach stapling procedures available, but actually only one use staples.

Traditional Stomach Stapling Surgery

It is also called vertical banded gastroplasty; it involves the usage of staples in addition to a band. The pouch created by the band and staples act almost like a new stomach. A dime-sized hole works as a passage between the pouch and the rest of the stomach, the hole is wrapped in a mesh or in a plastic tissue.
Adjustable Gastric Banding
It is the second type of stomach stapling procedure, and it uses a band for separating the pouch from rest of the stomach. The band acts as a tight belt in restricting the size of your stomach. This band can be adjusted depending on the requirements.

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Recovery after Stomach Stapling Surgery

You will usually need to stay in hospital for around four or five days following the stomach stapling surgery.
You will only be allowed to drink clear fluids during this time. You can then move on to pureed food for the next two weeks, before gradually introducing solid foods over the next few months.
After the surgery, you will have to make significant, lifelong changes to your diet, as the pouch will only admit small amounts of well-chewed food.
It is vitally important that you stick to your new diet regime and avoid the temptation of high fat and high calorie processed foods just because they are give you a ‘quick fix’ in small amounts.

Benefits of Stomach Stapling Surgery

Benefits of Stomach stapling surgery are:

Procedure is reversible
Digestive anatomy is unaltered
No dumping syndrome (rapid gastric emptying)
Low risk of serious complications
Gradual weight reduction

Risks of Stomach Stapling Surgery?

Breakage of staples
Erosion of band
Risk of vomiting if food is not properly chewed
Reduced weight loss due to non-compliance with diet and exercise guidelines

Alternatives to Stomach Stapling Surgery

Stomach stapling surgery is just one of many surgical procedures to help severely or morbidly obese people. In addition to gastric band surgery, other options include gastric by-pass procedures in which food is directed around parts of the digestive tract to avoid the absorption of nutrients and calories. However, these procedures do involve even more complex post-operative diets to avoid the risk of vitamin deficiencies or malnutrition.