• patients with BMI over 40 with contraindications for bypass surgery
• no sweet eaters
• no binge (volume) eaters
• no stress eaters
• patients who accept follow up program
• no heartburn
• patients in whom there are clear contraindications against Gastric Bypass or BPD procedure
• patients in whom it is / that are assumed to be the only operative possibility to introduce surgical obesity treatment
• patients who need to take medication which depends on exact and reliable intestinal resorption

• BMI over 40 with contraindications for bypass surgery
• no sweet eaters
• no binge (volume) eaters
• no stress eaters
• accepts follow up program
• no heartburn
• patients in whom there are clear contraindications against Gastric Bypass or BPD procedure
• patients in whom it is assumed to be the only operative possibility to introduce surgical obesity treatment
• patients who need to take medication which depends on exact and reliable intestinal resorption

• may be used as the first stage of a 2-stage operation.
• the operation eliminates the portion of stomach that produces the hormone ghrelin which stimulates hunger
• low complication rate
• technically a simpler operation than gastric bypass
• does not require disconnecting or reconnecting the intestines

• possibility of weight gain after 3 years
• this procedure involves cutting and stapling of the stomach and therefore leaks and other complications related to stapling may occur
• ring related complications
• requires more diet discipline (sweets) than gastric bypass

Laparoscopic Sleeve Gastrectomy reduces the size of the stomach through vertical surgical stapling. At the beginning, the large stomach curve is separated from the omentum majus. Afterwards the gastric tube (36 F) is placed into the stomach. This allows safe and exact formation of the sleeve. The resection is performed using staples (GIA, suturing and cutting machine). The GaBP Ring is placed 60mm below the His angle and closed. The resected part of the stomach is removed from the abdominal cavity. The stomach volume after the operation is between 80 and 120 ml.

• Morphology
• Electrolytes in case of vomiting
• Ferrum
• Creatinin in case of vomiting or low drinking rate
• Liver ferments
• Haemoglobin A1c by Diabetes mellitus

* after three and six months, then annually

• Multivitamin + Minerals 1 tab. per day
• Biotin, Selenium, Vitamin B9 (B11), in case of hair problems

PPI 20 mg, 0-0-1 (3 months)

• 3 weeks after operation – rest
• more than 3 hours of physical activity per week – sport
  medical supervision and medical advice required

Adding a silastic band to Sleeve Gastrectomy might increase the success rate by preventing gastric tube dilatation. A ring diameter of 6.5 cm was chosen on the basis of quality of life and quality of eating studies performed in relation to the size of the ring in Banding Gastric Bypass. However, it must be mentioned that, compared to conventional LSG, additional potential complications may occur using LBSG. These may include silicone band migration, dislocation or infection and dysphagia related symptoms.

A team of experts must approve the surgery before LBSG operation.
Because we promote safe practice and your safety is of paramount importance to us and to you, the disadvantages and advantages of the different procedures will be carefully explained to you in detail in consultation.
In the preoperative period, you are provided with care from physicians, psychologists and nutritionists. This team of experts will give you accurate advice on all aspects of the postoperative period: What you can eat and drink, when and how often; what kind of exercises to perform; which individual therapy is necessary for specific issues related to your obesity.
You will have every opportunity to reduce your weight and improve your health. Just imagine the moment when you can wear size L clothes again. Discover your potential and improve your lifestyle. After surgery, you will normally lose approximately 40 kg in the first 6 months, provided that you follow the nutrition plan, take exercise therapy and participate in scheduled group discussions.
Only if you are willing to change yourself you will achieve your goal, i.e. healthy weight loss. You must be aware that this will not always be easy. However, with every pound lost, you will win more quality of life, health and a longer life expectancy.