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Laparoscopic Gastric Banding

All Inclusive Package - Price 4990

Why you should choose us for your surgery

Deciding on Weight Loss Surgery as the way to deal with your obesity problem is something you only come to when you have tried all the conventional ways to lose weight and they have not been successful for you. You may have been able to lose weight through diet, but haven't been able to sustain the weight loss. Opting to have surgery is a major decision, and one which requires a lot of thought. You need to be sure surgery is the right choice for you, and that you are ready for the changes it will bring. We believe it is essential that before you make your decision you understand as much as possible about the surgery, how it works and what we do to enable you to have safe surgery and successful weight loss afterwards. No surgery is a magic wand it doesn't do all the work for you, but it is a marvellous tool to enable you to lose weight and sustain the weight loss easily - you will have to work with it to get the best results. We will help you to do this.

If you arrange your surgery through us with Dr Cierny in Brno you will have more detailed pre-operative tests and a longer stay in the clinic than you are likely to have in the UK or elsewhere. We believe this is essential to ensure your surgery is safe and your recovery is properly monitored. Don't worry! you are not left to fend for yourself in unfamiliar surroundings. We will be in Brno with you during your stay and we will be there for you to look after you and help you through all the various steps you have to take, before and after your surgery, and we will give you all the support you need when you return home.

  • We make sure you are FULLY INFORMED to enable you to make the right decision and choose the surgery that is right for you.
  • We make sure you are FULLY PREPARED for your visit for surgery
  • We ACCOMPANY YOU on your trip to Brno for your surgery, and we are there in the clinic with you to help you
  • You have FULL MEDICAL TESTS the day before your surgery (not just blood tests and an ECG) to make sure your surgery will be as safe as possible
  • You stay in the clinic THREE DAYS AFTER SURGERY so the team can monitor you and make sure you are safe and fully recovered to go home
  • We SUPPORT AND MONITOR YOU for a whole year to make sure your weight loss after surgery goes according to plan and you can contact us at ANY TIME for help and advice.
  • The standard of medical care and support you will receive from Dr Cierny's clinic and from us is on a par with the VERY BEST ANYWHERE IN EUROPE AND THE U.S.

What’s included in the package?

  • 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 - We will be there in Brno with you at the hotel and we accompany you to the clinic for your procedure. We will visit you regularly afterwards too – making sure everything goes well for you
  • All pre-operative tests and investigations* 1
  • Pre-operative consultations with Dr Cierny and his team
  • 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
  • Full Cosmetic Bliss after care support throughout the first year after the procedure, dietary and nutrition advice and weight monitoring
  • YOUR FIRST THREE BAND ADJUSTMENTS FREE AT ONE OF TEN REGIONAL CENTRES THROUGHOUT THE U.K. AND IRELAND (arranged in cooperation with the WLS group)

What extra costs are there?

  • NONE - WE ARRANGE AND PAY FOR EVERYTHING FOR YOU
    You should consider Surgery Protection Insurance Price £390.00 - Click here.
  • 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.

We can offer an initial consultation where our surgeon can look at your medical history and photos and let you know if surgery is suitable and which procedure would give the best results. Please click the button below and complete the online form for your initial consultation.

What is the Laparascopic Adjustable Gastric Band, and how does it work? PLEASE READ - IMPORTANT!

The Adjustable gastric band is the least complicated and safest form of surgical weight loss procedure. We recommend it as a solution in the following cases:

  • For patients who are hoping to lose weight quickly and permanently and who are willing to learn to work with this tool to get the best results. The band, because of its adjustable nature can be filled and adjusted to allow the weight loss to take place at a pace to suit the patient. When the patient reaches a weight which is comfortable, the amount of saline in the band can be reduced to enable the weight to be easily maintained: for patients at the “lower” end of the BMI scale of acceptability for surgery, the band is the best choice.
  • A Band is designed and engineered to last for life, but because the procedure is reversible, and the band can be removed at a later date - there is no cutting or removal of parts of the stomach, it is the preferred choice of the majority of patients. It is a relatively simple surgical procedure which has shown proven weight loss results over many years. Psychologically, most patients feel more comfortable with the knowledge that this procedure is reversible.

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, it is possible to 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 the band can be deflated 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 anaesthetic. 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 very 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.

How should I prepare for surgery?

Deciding to have surgery is not a spur of the moment decision, you do not take it lightly, and you should prepare carefully for surgery. We take the preparation for surgery very seriously, too. When we send you a quotation we will explain everything you need to do to prepare for your procedure and to play your part in trying to ensure you have safe and successful surgery.

No surgery performed under a General Anaesthetic is without risk, and it is vitally important that you do your best to ensure you come for your surgery in as good a medical condition as possible, to help reduce those risks. These preparations will help in making sure the pre-operative tests at the clinic all go smoothly for you. Generally, we expect you to:

  • Strictly follow the pre-operative diet we send you, and follow any individual instructions we send
  • Make sure your weight is recorded accurately
  • Make sure you follow our instructions on taking “Milk Thistle” when preparing for your operation
  • Avoid alcohol and quit smoking in the run up to your surgery – alcohol affects some liver enzyme levels which can prevent surgery and smoking can cause respiratory problems during and after surgery.
  • Get your GP to give you a health check before surgery. We will suggest which tests should be carried out.

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 performed under a general anaesthetic carry a degree of risk, but in evaluating you for suitability for Bariatric surgery it is part of the job of Dr Cierny and his team to assess the risk and take all steps necessary to ensure your surgery can be safely performed. When looking at candidates for obesity surgery Dr Cierny, the anaesthetist and other physicians will assess the risks and perform surgery if they consider the risks to a patient’s health in remaining obese are far greater than the risks involved in the surgery.

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 three days after your surgery is to be able to monitor you closely and ensure your complete recovery.

The risks involved in surgery for some patients are greater than for others. Statistically “higher risk” patients fall into one or more of the following categories:

  • Age over 50 - As with most operative procedures, people older than 50 are known to be at higher risk during surgery
  • BMI over 50 – those patients whose Body Mass Index is over 50 tend to be more at risk of peri-operative and post-operative complications
  • Male Patients - Men are more likely than women to suffer from certain conditions that can increase surgical risk. These include diabetes, hypertension and metabolic syndrome (also known as syndrome X or insulin resistance syndrome), a condition characterized by a group of risk factors including hypertension, high triglyceride levels, low HDL levels and high blood sugar levels after fasting.
  • High Blood Pressure (Hypertension) People with high blood pressure (hypertension) often suffer from heart disease and/or chronic blood vessel inflammation, both of which increase the odds of serious surgery-related complications.
  • History of Pulmonary embolism (blood clots in the lungs) People who have previously had a blood clot in their lungs (pulmonary embolism) or legs, or who are genetically at risk for developing blood clots are at elevated surgical risk. All patients, regardless of their risk for clotting, are prescribed blood-thinning medications during the course of their stay in the clinic.
If you fall into one of the higher risk groups Dr Cierny may well ask for additional medical reports/tests to be made available to him prior to making his decision on your approval for surgery.

Whilst we recommend all patients to take up the Surgery Protection Insurance scheme - Click here - we strongly recommend this for all higher risk patients.

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. As we state above, NO surgery in itself will work as a magic wand – you still have to put the effort in and work with it, accept the limitations it makes to your eating habits, and maintain a healthy diet, exercise and eating regime after your operation: Having said that, surgery gives you a wonderful tool to allow you to lose weight quickly, effectively and permanently with only a little self discipline and effort. It will transform your life.

You can click here to read what some of our patients think, but as a picture is worth a thousand words, here are some photographs of two of our patients. The first was taken before her surgery, and the second around 6 months post (sleeve) op. The third (set) charts the weight loss of one patient over 12 months

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

Photo 1 Mrs C pre-op : Photo 2 Mrs C 6 months post-op Photo 3 Mr M charting weight loss over 12 months.

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