Adjustable gastric band

Laparoscopic placement of an adjustable band around the upper part of the stomach, a reversible food-restriction technique.

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What is it?

The adjustable gastric band is a silicone device placed around the upper part of the stomach, creating a small pouch that slows the passage of food and produces a rapid feeling of fullness. The band is connected to a port placed under the skin, which allows its tightness to be adjusted by a simple injection, without further surgery. It is the least invasive bariatric technique and the only fully reversible one: the band can be loosened, tightened or removed as needed. It involves no stapling or division of the stomach, making it a short procedure with a generally straightforward recovery. The effectiveness of the band depends heavily on the patient's commitment: following the dietary guidelines and attending follow-up regularly determine the quality of the weight loss. Band adjustments are made gradually during follow-up consultations. At Clinique Pasteur Tunis, gastric band placement is part of the same multidisciplinary pathway as the other bariatric procedures, with regular adjustment consultations and personalised nutritional support.

When is it indicated?

Obesity confirmed by the multidisciplinary team

The band is intended for people whose excess weight justifies surgical help, after a complete assessment confirming that this gentle technique is suitable.

Preference for a reversible, minimally invasive technique

It is the only fully reversible bariatric procedure: the band can be loosened or removed at any time, with no stapling or division of the stomach.

Young patient or one wishing to preserve the integrity of their stomach

The stomach remains intact beneath the band: this option reassures patients who do not want any permanent change to their anatomy.

Ability to follow precise dietary guidelines

The band's effectiveness depends directly on following the guidelines: eating slowly, chewing well and adapting food textures are part of the treatment.

Commitment to regular follow-up with band adjustments

The band's tightness is adjusted gradually during consultations: this regular follow-up determines the quality of the weight loss.

Preparation

1Complete pre-operative work-up

2Nutritional and dietary assessment

3Psychological assessment

4Pre-operative anaesthesia consultation

5Fast for 6 hours before the procedure

Procedure

General anaesthesia

Laparoscopy through small abdominal incisions

Placement of the band around the upper part of the stomach

Fixation of the band and connection to the subcutaneous port

Checking of the positioning

Closure of the incisions and return to the room

Gradual band adjustments during follow-up consultations

Duration

45 minutes to 1 hour

Aftercare & Recovery

Weight loss is gradual and depends closely on following the dietary guidelines and attending adjustments regularly. The post-operative course is generally straightforward with a short hospital stay, and the band remains adjustable at any time depending on progress.

Risks and side effects

Food intolerance or vomiting if the band is too tight, corrected by an adjustment

Slippage or dilation of the pouch above the band, uncommon

Problem with the port or tubing, easily corrected

Possibility of removing the band if necessary, as the technique is reversible

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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Request a Quote +216 36 402 000

At a glance

Duration: 45 minutes to 1 hour

Preparation: Required

Dedicated specialist team

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