Laparoscopic Gastric Banding

All Inclusive Package Price $11,000

Why choose the package?

The procedure alone costs £3995 without taking into consideration any travel, accommodation or other costs. Everything is included in the package – and we take care of all the arrangements for you

What’s included in the package price?

• FREE DIRECT RETURN FLIGHTS LONDON STANSTEAD – BRNO BY RYANAIR
• ALL TRANSFERS AIRPORT- HOTEL – CLINIC
• ONE NIGHT’S STAY IN A LUXURY HOTEL ON YOUR ARRIVAL
• OUR PERSONAL ATTENTION - One of us will be there in Brno to meet you at the hotel and to accompany you to the clinic for your procedure. We will visit you afterwards too – making sure everything goes well for you
• All pre-operative tests and investigations* 1
• Pre-operative consultations with Dr Cierny
• Laparascopic Gastric Banding procedure and the band
• All medicines and dressing whilst at the hospital and during your stay.
• All post-operative check-ups and examinations during your stay
• Four nights’ stay at the hospital in your semi private (sharing with one other patient from the UK) room
• Cosmetic Bliss after care package, dietary and nutrition advice and weight monitoring
• THREE RETURN TRIPS TO BRNO FOR BAND ADJUSTMENTS AND CHECK-UPS IN THE FIRST YEAR, INCLUDING FLIGHTS, TRANSFERS AND 1 NIGHT’S HOTEL ON EACH VISIT
• 10% discount on future cosmetic surgery procedures

What extra costs are there?

• NONE - WE ARRANGE AND PAY FOR EVERYTHING FOR YOU
• If you wish to take a friend/partner with you we can arrange their discounted accommodation at an extra charge. Just let us know at the time of booking. We will also be happy to extend your stay for you if you wish to do some sightseeing after your procedure.

What is the Laparascopic Adjustable Gastric Band, and how does it work?

The laparoscopic adjustable gastric band is placed around the upper part of your stomach. This creates a new small stomach pouch and leaves the larger part of the stomach below the band. This small pouch acts as a smaller stomach with less storage area. The adjustable band is a silicone hollow ring filled with saline. The flow of food from the pouch to the lower stomach is controlled (and restricted) by the size of the ring. This, together with the pressure from the band on the vagal nerve branches, makes you feel full sooner and for longer periods of time. Most patients report no feelings of hunger even in the mornings when the stomach is empty. The band also controls the stomach outlet (called the stoma) between the two parts of the stomach. The size of the stoma regulates the flow of the food from the upper to the lower part of the stomach. The band is connected by a tube to a small container - an access port that is placed beneath your skin, just below your ribs during surgery.

Later, Dr. Cierny can control the diameter of the band by inserting a fine needle through the skin into the port and adding or extracting saline solution. If you are not losing enough weight, saline is added, reducing the size of the stoma to further restrict the amount of food that can move through it. If the band is too tight, and causes you problems when eating he will deflate the band by removing some of the saline.

The operation to fit the band will take place laparoscopically, with only five or six tiny incisions under a general anesthetic.The band is considered to be the least invasive surgical option for weight loss because there is no intestinal re-routing, no cutting or stapling of the stomach wall or bowel, only small incisions, and minimal scarring. You will be able to resume your normal life quickly after surgery.

Many patients favour the band because it is adjustable, allowing them to regulate the rate of weight loss. The adjustments are performed without additional surgery, and are completed quickly. The operation is reversible, and the band can be removed at any time if necessary.

The band is a very good tool to help you achieve sustained weight loss by limiting how much you can eat, reducing your appetite, and slowing digestion. Please remember that the band by itself will not solve morbid obesity, nor will it ensure that you reach your ideal weight. The amount of weight you lose depends both on the band and on your motivation and commitment to a new lifestyle and new eating habits. Some people lose more than others, and though you may never reach your ideal weight, the statistics show that those patients who have had the band fitted (and there are more than 300,000 of them worldwide) lose on average in excess of 40% of their excess weight in the first year. The weight loss generated by your band will assist you to achieve better overall health, and your self-image will improve, which in turn will encourage you to maintain a changed attitude to food.

Please check your B.M.I. on our calculator.

Am I a suitable candidate for Gastric Banding?

We believe you would be most likely to benefit from the gastric band if:

• You have a BMI of 40 and above (or 35 with co morbidities i.e. other serious health problems associated with your weight* -see explanation below)
• You are at least 18 years old, and under 60.
• You have been overweight for more than 5 years.
• Your serious weight-loss attempts have had only short-term success.
• You are not suffering from any other diseases that may have caused your obesity.
• You are prepared to accept the discipline of regular band adjustments and wish for a procedure that can be reversed at a later date
• You are prepared to make substantial changes in your eating habits and lifestyle
• You are prepared to stay in touch with us and with Dr Cierny in the months after your procedure to provide feedback and report on your state of health and general well being, and to give us regular weight loss records. This is a very important part of your post-operative care.

 

What pre operative tests will I have?

* 1 On the day of your admission to the hospital the following preoperative exams are on the schedule:

• laboratory test of your blood and urine
• abdominal ultrasound examination (sonography),
• lung and heart X-ray (RTG),
• electrocardiography (ECG) possibly with ergometry
• spirometry possibly with complete pulmonary examination
• endoscopic examination of the stomach (gastroscopy)
• evaluation of your general health status by the internal medicine specialist and by the anaesthesiologist.
• final preoperative consultation by the psychologist and the bariatric surgeon

           

What risks are involved in Bariatric Surgery?

All forms of surgery carry a degree of risk, but in evaluating you for suitability for Bariatric surgery it must be borne in mind that the risk of an operation is much lower than the risk of staying morbidly obese on a waiting list for treatment.

Even though surgery is performed with great skill and care there is a small possibility of a complication during the operation or postoperatively. These complications are rare, and part of the reason Dr Cierny insists on your staying in the clinic for four days after your surgery is to be able to monitor you closely and ensure your complete recovery.

Further information on any complications and risks associated with Bariatric surgery can be found in the FAQ’s section of the website.

 

*Co-morbidities are medical conditions that exist in addition to obesity and are often a result of being overweight. Co-morbidities are a factor in determining a patient's eligibility for bariatric surgery.

Co-morbidities include:- Type II diabetes mellitus; Obstructive sleep apnoea; Hypertension; Venous stasis disease; Significant impairment in activities of daily living; Stress urinary incontinence; Gastroesophageal reflux disease; Fertility problems; Obesity-related psychosocial stress; Sexual dysfunction; Degenerative joint disease; Chronic back pain Osteoarthritis; Gallbladder disease; Asthma; Congestive heart failure; Anaemia; Menstrual irregularity; Carcinoma (breast, colon, uterine cancer).

Will the surgery be successful?

Weight loss Surgery is the only statistically proven effective treatment for Morbid Obesity. We believe that the less invasive, more straightforward surgical treatments such as Sleeve Gastrectomy and Gastric Banding can achieve results that can transform and prolong the lives of our patients. You can click here to read what some of our patients think, but as a picture is worth a thousand words here are two photographs of one of our patients. The first was taken before her surgery, and the second around 6 months post (sleeve) op.

Photo 1 Mrs C pre-op : Photo 2 Mrs C 6 months post-op

Click here to read a testimonial.

Please click here to read Mrs J's testimonial

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