{"meta":{"humanUrl":"https://pl.bookimed.com/clinics/country=spain/city=madrid/procedure=adjustable-gastric-band/","canonicalUrl":"https://pl.bookimed.com/clinics/country=spain/city=madrid/procedure=adjustable-gastric-band/","jsonUrl":"https://pl.bookimed.com/clinics/country=spain/city=madrid/procedure=adjustable-gastric-band/data.json","title":"Opasanie żołądka w Madrycie 2026 – kliniki i ceny","description":"Opasanie żołądka w Madrycie: ceny od $17,800. Zapraszamy do porównania klinik – zweryfikowane opinie i bezpłatna wycena.","heading":"Opasanie żołądka w Madrycie: ceny w 2 klinikach","locale":"pl","schemaVersion":"ClinicListingPageDataV1","snapshotId":"f4b7a647-6352b817","contentVersion":"f4b7a647","generatedAt":"2026-11-14T21:56:26.306Z"},"filters":{"country":"spain","city":"madrid","procedure":"adjustable-gastric-band","page":1},"pagination":{"page":1,"totalCount":2,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Hiszpania","url":"/clinics/country=spain/"},{"name":"Madryt","url":"/clinics/country=spain/city=madrid/"},{"name":"Opasanie żołądka","url":"/clinics/country=spain/procedure=adjustable-gastric-band/"}],"entities":[{"name":"Hiszpania","alias":"spain","type":"country","id":34},{"name":"Madryt","alias":"madrid","type":"city","id":346},{"name":"Opasanie żołądka","alias":"adjustable-gastric-band","type":"procedure","id":355}],"clinics":{"clinics":[{"text":"<p>Hospital Ruber Internacional to prywatny szpital w Madrycie (Hiszpania) z akredytacją JCI. Znajduje się w pierwszej 6 najlepszych szpitali w Hiszpanii według Forbesa. Specjalizuje się w neurochirurgii, ortopedii i kardiologii.</p> <ul> <li>W samym 2022 roku przeprowadzono ponad 6 000 operacji i 93 000 konsultacji.</li> <li>Wyposażony w Gamma Knife ICON, CyberKnife, Da Vinci Xi oraz rezonans magnetyczny 3-Tesla.</li> <li>Leczy dorosłych i dzieci, oferuje 108 prywatnych pokoi i 15 luksusowych apartamentów.</li> <li>Posiada certyfikaty ISO 9001, ISO 14001 i ISO 50001 w zakresie zarządzania jakością i środowiskiem.</li> </ul>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Szpital Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"<p>Hospital Ruber Internacional to prywatny szpital w Madrycie (Hiszpania) z akredytacją JCI. Znajduje się w pierwszej 6 najlepszych szpitali w Hiszpanii według Forbesa. Specjalizuje się w neurochirurgii, ortopedii i kardiologii.</p> <ul> <li>W samym 2022 roku przeprowadzono ponad 6 000 operacji i 93 000 konsultacji.</li> <li>Wyposażony w Gamma Knife ICON, CyberKnife, Da Vinci Xi oraz rezonans magnetyczny 3-Tesla.</li> <li>Leczy dorosłych i dzieci, oferuje 108 prywatnych pokoi i 15 luksusowych apartamentów.</li> <li>Posiada certyfikaty ISO 9001, ISO 14001 i ISO 50001 w zakresie zarządzania jakością i środowiskiem.</li> </ul>","images":[{"base_url":"clinic/6756f35ff10ac","title":"Nocny widok zewnętrzny Hospital Ruber Internacional w Madrycie, Hiszpania"},{"base_url":"clinic/6756f34586526","title":"Zespół medyczny w Hospital Ruber Internacional w strojach chirurgicznych, zdjęcie grupowe w klinice"},{"base_url":"clinic/6756f34626a12","title":"Pokój pacjenta w Hospital Ruber Internacional z nowoczesnym łóżkiem i widokiem na ogród"},{"base_url":"clinic/6756f34b1f0c3","title":"Widok zewnętrzny Hospital Ruber Internacional w Madrycie, nowoczesna placówka medyczna"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Hiszpania","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madryt","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Akredytacja Międzynarodowej Komisji Joint Commission International (JCI)","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Międzynarodowa Organizacja Normalizacyjna ISO","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>HM Hospitales — to grupa 7 wiodących hiszpańskich klinik zlokalizowanych w Madrycie (Hiszpania).</p>\n\n<p><strong>Specjalizacja</strong> — onkologia dorosłych i dzieci, neurologia, neurochirurgia, kardiologia i ortopedia.</p>\n\n<p>W 2018 roku 5 spośród 7 szpitali znalazło się w <strong>TOP najlepszych prywatnych klinik w Hiszpanii</strong> według Organizacji Monitorowania Reputacji Medycznej <a href=\"http://www.merco.info/es/monitor-reputacion-sanitaria-hospitales\">MERCO</a>.</p>\n\n<p>Corocznie chirurdzy HM wykonują <strong>ponad 26 000 operacji</strong>, a leczenie raka przechodzi tutaj <strong>około 2 500 pacjentów</strong>.</p>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":310,"alias":"hm-hospitales","name":"HM Hospitales","short_description":"<p>HM Hospitales — to grupa 7 wiodących hiszpańskich klinik zlokalizowanych w Madrycie (Hiszpania).</p>\n\n<p><strong>Specjalizacja</strong> — onkologia dorosłych i dzieci, neurologia, neurochirurgia, kardiologia i ortopedia.</p>\n\n<p>W 2018 roku 5 spośród 7 szpitali znalazło się w <strong>TOP najlepszych prywatnych klinik w Hiszpanii</strong> według Organizacji Monitorowania Reputacji Medycznej <a href=\"http://www.merco.info/es/monitor-reputacion-sanitaria-hospitales\">MERCO</a>.</p>\n\n<p>Corocznie chirurdzy HM wykonują <strong>ponad 26 000 operacji</strong>, a leczenie raka przechodzi tutaj <strong>około 2 500 pacjentów</strong>.</p>","images":[{"base_url":"clinic/5c618a022f30f","title":"Nowoczesny budynek kliniki HM Sanchinarro Hospital w Madrycie, Hiszpania"},{"base_url":"clinic/5c618a022f236","title":"Nowoczesna fasada kliniki uniwersyteckiej HM Hospitales w Madrycie"},{"base_url":"clinic/5c618a0209e17","title":"Akcelerator liniowy Versa HD do radioterapii w klinice HM Hospitales"},{"base_url":"clinic/5c618a021880a","title":"Zaawansowana sala operacyjna w HM Hospitales Madryt z wyposażeniem 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Posiada patent na system implantacji protez do chirurgii ściany brzucha. Dr Garcia Vasquez pełni funkcję zastępcy ordynatora chirurgii w Szpitalu Uniwersyteckim Infanta Elena. Uzyskał stopień doktora chirurgii z wyróżnieniem (summa cum laude).</p><ul><li>Certyfikowany w zakresie chirurgii robotycznej z wykorzystaniem platform Da Vinci X, Xi oraz 5.</li><li>Odbył specjalistyczne szkolenie z chirurgii laparoskopowej w IRCAD w Strasburgu we Francji.</li><li>Specjalizuje się w małoinwazyjnych zabiegach kolorektalnych, proktologicznych oraz operacjach ściany brzucha.</li><li>Członek Hiszpańskiego Towarzystwa Chirurgów oraz Hiszpańskiego Towarzystwa Koloproktologii.</li></ul>","specialities":[{"id":"sur.006","name":"Chirurg jelita grubego","illness_kind_id":33},{"id":"sur.007","name":"Onkochirurg","illness_kind_id":33},{"id":"sur.009","name":"Specjalista chirurgii przewodu pokarmowego","illness_kind_id":33},{"id":"sur.010","name":"Specjalista chirurgii ogólnej","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":7000}},"clinic":{"id":7532,"alias":"centro-pad","name":"Klinika gastroenterologii i proktologii Centro PAD","short_description":"<p>Centro PAD to prywatne centrum medyczne w Madrycie, uznane przez Newsweek za jeden z najlepszych inteligentnych szpitali na świecie. Specjalizuje się w gastroenterologii, proktologii i chirurgii układu pokarmowego z wykorzystaniem chirurgii robotycznej Da Vinci.</p> <ul> <li>Posiada certyfikat ISO 45001 w zakresie zarządzania bezpieczeństwem i higieną pracy.</li> <li>Opiekuje się 600 pacjentami rocznie, w tym wieloma z Europy, obu Ameryk i Australii.</li> <li>Stosuje techniki robotyczne Da Vinci oraz laparoskopowe w zabiegach jelita grubego, odbytnicy i przepuklin.</li> <li>Koncentruje się na szybkiej rekonwalescencji z mniejszym bólem i bliznami po operacji.</li> </ul>","images":[{"base_url":"clinic/69a21effd0f39","title":"Chirurg w Centro PAD z systemem chirurgii robotycznej na sali operacyjnej"},{"base_url":"clinic/69a21f494fc5d","title":"Chirurg z robotem Da Vinci w klinice Centro PAD"},{"base_url":"clinic/69a21f12c28c8","title":"Nowoczesna fasada HLA Hospital Universitario Moncloa w Madrycie, Hiszpania"},{"base_url":"clinic/69a21e2e5d64d","title":"Logo kliniki Centro PAD ze stylizowaną grafiką jelit"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Hiszpania","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madryt","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Systemy zarządzania zdrowiem i bezpieczeństwem pracy)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Najlepsze inteligentne szpitale świata 2023 według magazynu Newsweek","country_code":"US"}]}}],"meta":{"total_count":1,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"<h2>What is the gastric band?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p><strong>The gastric banding</strong> is a method of weight loss to reduce the amount of food taken by a patient. It is one of the most effective methods of treatment pathological excess weight.\n\t</p>\n\t<h3>Stomach band process</h3>\n\t<p>During the procedure, a surgeon puts the upper part of the stomach on a silicone cuff or gastric band. It narrows the stomach cavity and regulates the speed of food movement through it.\n\t</p>\n\t<p>Part of the stomach above the band stretches, causing a feeling of satiety. The band size can be further regulated. The size of the band is determined individually for a particular patient.\n\t</p>\n</div>\n\n\n<h2>What is the effectiveness of gastric band abroad?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p>Obese patients lose less excess weight after banding than after stomach bypass or sleeve resection. <strong>20-30%</strong> of patients need re-operation in 10 years due to bandage wearing out or insufficient weight loss.\n\t</p>\n\t<p>Patients with body mass index (BMI) under 40 kg/m2 can undergo the stomach banding. Features of the procedure are the following:\n\t</p>\n\t<ul>\n\t\t<li>the success rate of the surgery: 100%</li>\n\t\t<li>operation time: 1 hour</li>\n\t\t<li>in-hospital stay: 2-4 days</li>\n\t\t<li>loss of excess weight: 40-50%</li>\n\t\t<li>reversibility: possible.</li>\n\t</ul>\n</div>\n\n\n<h2>What are advantages of the gastric band abroad?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<ul>\n\t\t<li><strong>Simplicity</strong></li>\n\t</ul>\n\t<p>The operation is performed laparoscopically. It means that surgeons do not cut the abdomen during the procedure. They make 5 punctures in 0.5-1 cm of size.\n\t</p>\n\t<p>The gastric band is a low traumatic operation. The risk of postoperative complications is low.\n\t</p>\n\t<p>Among the possible complications are:\n\t</p>\n\t<ol>\n\t\t<li>gallstones </li>\n\t\t<li>sagging of the skin </li>\n\t\t<li>constipation</li>\n\t\t<li>diarrhea</li>\n\t\t<li>heartburn.</li>\n\t</ol>\n\t<p>There is no need for rehabilitation and prolonged postoperative observation of a patient. Laparoscopic gastric banding is performed under general anesthesia.\n\t</p>\n\t<ul>\n\t\t<li><strong>Reversibility</strong></li>\n\t</ul>\n\t<p><strong>100% </strong>is reversibility of the operation. Unlike many serious interventions, the bandage can be easily removed at any time.\n\t</p>\n\t<ul>\n\t\t<li><strong>Duration</strong></li>\n\t</ul>\n\t<p>Stomach band surgery lasts from 30 minutes to 1 hour.\n\t</p>\n</div>\n\n\n<h2>Are any contraindications to weight loss band surgery?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<ul>\n\t\t<li>diseases of the gastrointestinal tract</li>\n\t\t<li>alcoholism, drug addiction</li>\n\t\t<li>age of a patient is under 18 years</li>\n\t\t<li>frequent or continuous intake of NSAIDs by a patient (including aspirin)</li>\n\t\t<li>unwillingness or inability to follow the diet</li>\n\t\t<li>allergic reactions to the bandage material</li>\n\t\t<li>emotional instability or any psychological impairment of a patient.</li>\n\t</ul>\n</div>\n\n\n<h2>What is the lap band cost without insurance?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p>Doctors determine how much is lap band surgery for each patient individually. The price depends on the patient's condition and related disease treatment. As the price is calculated in each particular case, some clinics in this listing do not represent prices for the operation. However, the lowest price of gastric band starts from $5,000.\n\t</p>\n\t<p>In some cases the gastric band cost is covered by insurance. However, this and other insurance terms you should specify in your insurance agent.\n\t</p>\n</div>\n\n\n<h2>Where is the best place for the gastric band abroad?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<div class=\"block-green-frame\">\n\t\t<h3>Germany</h3>\n\t\t<p>Germany is one of the best countries for gastric band abroad. <strong>90%</strong> of obese patients lose 50-65% of excess fat after the procedure here. On average, people lose 5-7 kg within a month. The procedure in German hospitals performed laparoscopically (by lap method). Stomach band is minimally invasive and reduces the risks of complications.\n\t\t</p>\n\t\t<p>How much does lap band surgery cost? The price for the procedure in Germany is <strong>2-4 times higher</strong> than in India, Thailand, or Turkey. The high level of healthcare development and the average price policy explain the lap band surgery cost without insurance in the country.\n\t\t</p>\n\t\t<p>German specialists are among the world’s leaders in high-quality management and patients’ safety. Doctors’ reputation also influences the stomach band surgery cost.\n\t\t</p>\n\t</div>\n\t<div class=\"block-green-frame\">\n\t\t<h3>India</h3>\n\t\t<p>India is the 3rd most obese country in the world. Due to this fact, surgeons here have vast experience and high level of qualification. Indian doctors are among the best ones specialized in gastric band abroad. They undergo international training and cooperate with their foreign colleagues.\n\t\t</p>\n\t\t<p>How much does lap band surgery cost in Indian hospitals? India is one of the most affordable countries for bariatric procedures. The stomach band surgery cost in India is <strong>3-4 times cheaper</strong> than in European and Middle East countries. The quality of the procedure is on the same level. The low costs rely on the state’s economic development and common price policy within the nation.\n\t\t</p>\n\t</div>\n\t<div class=\"block-green-frame\">\n\t\t<h3>Thailand</h3><a></a>\n\t\t<p>Thai medical centers are among the best ones for gastric band abroad. High-quality of services, reasonable prices, and vacation are combined in Thailand. Clinics here look like the luxury resorts. That’s why over<strong> 1 million </strong>international patients choose the country for treatment.\n\t\t</p>\n\t\t<p>How much does lap band surgery cost in Thai hospitals? The prices here are <strong>35-75% lower </strong>than in Germany, Australia, Israel, the USA, etc. Doctors offer weight loss packages and programs. It helps patients to save up to 70% of their money. That’s why the stomach band surgery cost in Thai clinics is lower than in the other ones.\n\t\t</p>\n</div></div>\n\n\n<h2>What does the surgery cost include?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n<p>The price of the gastric band usually involves:</p>\n<ul>\n<li>consultation with a specialist before and after the procedure</li>\n<li>the surgery itself</li>\n<li>in-hospital stay.</li>\n</ul>\n<p>Some hospitals include the transfer from/to an airport and meals in the stomach band surgery cost. Specify this info before choosing a clinic.</p>\n</div>\n\n\n<h2>What factors do affect the price of stomach banding?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n<ul>\n<li><strong>Location of a hospital.</strong> The gastric band cost varies in different regions due to the economic policy and average living wage. So, you will spend 3-4 times less money and save up to 75% in Asian countries like Thailand or India. The lap band price also may differ from city to city — the more significant metropolis is, the higher the cost is.</li>\n</ul>\n<ul>\n<li><strong>Surgeon's experience</strong><strong>.</strong> High qualification of a surgeon plays an essential role to avoid unfavorable complications and side effects. Study doctors' CVs to choose a surgeon with vast experience. Highly-skilled specialists practice in the best clinics worldwide and cooperate with their international colleagues to provide the most innovative methods.</li>\n</ul>\n<ul>\n<li><strong>Presence of related diseases or complications.</strong> If you have some illnesses related to obesity, you probably will be prescribed some additional procedures that may increase the gastric band surgery cost. Moreover, in severe cases of obesity, some patients face complications after the procedure and need other surgery. This option also boosts your expenses.</li>\n</ul>\n</div>\n\n\n<h2>How to save your money on the surgery?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n<ol>\n<li>Choose country near your native one. Usually, flight tickets to the far places are expensive enough. If you want to cut down your expenses significantly, choose a clinic in that state where it is cheaper to get.</li>\n<li>Choose a country that provides a lower cost for the same procedure and services. The lowest lap band surgery cost is represented in Turkish clinics, where the price is 2 times lower than in Spain. You may get two gastric bands in Turkey and only one in Spain at the same price.</li>\n<li>Refuse additional services. A lot of medical facilities offer extra assistance. For example, medical staff often provide patients with excursions, massages, yoga, and other services. Backing out of additional services you may save a significant amount of your money.</li>\n</ol>\n</div>\n\n\n<h2>Where can you find the cheap gastric band?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n<p>If you are looking for the cheapest gastric band, pay your attention to Turkey. This country is among the leaders in bariatric surgery, including stomach banding procedure. The affordable lap band cost is the primary reason why thousands of patients choose Turkey for the operation.</p>\n</div>\n\n\n\t\t<h2>How to choose the best hospital for the gastric band abroad?</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p>Submit a request on Bookimed website. Our Medical Doctor will contact you. S/he will answer all your questions regarding stomach band surgery cost, top bariatric doctors, and clinics.\n\t</p>\n\t<div class=\"info-block-wrapper\">\n\t\t<p>Bookimed is an independent medical service for searching the best treatment options. The service is free for patients.\n\t\t</p>\n\t</div>\n</div>"},"guide_mc":{"text":"<p>Day 1</p>\n<ul>\n<li>Arrival in the country.</li>\n<li>VIP transfer to the 5-star hotel.</li>\n<li>Rest and acclimate to the new environment.</li>\n</ul>\n\n<p>Day 2</p>\n<ul>\n<li>Consultation with a bariatric surgeon.</li>\n<li>Complete necessary medical tests and examinations.</li>\n<li>Detailed discussion about the gastric band procedure.</li>\n</ul>\n\n<p>Day 3</p>\n<ul>\n<li>Pre-operation preparations.</li>\n<li>Revisit the surgeon for any last-minute queries.</li>\n<li>Start fasting as advised by the doctor.</li>\n</ul>\n\n<p>Day 4</p>\n<ul>\n<li>Gastric band operation under general anesthesia.</li>\n<li>The procedure lasts typically 1-2 hours.</li>\n<li>Post-operation observation in the clinic.</li>\n</ul>\n\n<p>Day 5</p>\n<ul>\n<li>Begin post-operation recovery in the clinic.</li>\n<li>Start on a liquid diet as advised by the surgeon.</li>\n<li>Participate in mild physical activities like walking.</li>\n</ul>\n\n<p>Week 1</p>\n<ul>\n<li>Continue recovery at the hotel.</li>\n<li>Gradually increase physical activity.</li>\n<li>Follow-up consultation with the surgeon.</li>\n</ul>\n\n<p>Week 2-4</p>\n<ul>\n<li>Slow transition from liquid to soft food diet.</li>\n<li>Return to work if advised by the doctor.</li>\n<li>Continue with light physical activities.</li>\n</ul>\n\n<p>Week 5-8</p>\n<ul>\n<li>Gradual return to regular diet.</li>\n<li>Regular follow-up with the surgeon.</li>\n<li>Resume higher intensity physical activities.</li>\n</ul>\n\n<p>After 8 Weeks</p>\n<ul>\n<li>Achieve the final result.</li>\n<li>Regular follow-ups for band adjustment if needed.</li>\n<li>Maintain a healthy lifestyle for long-term success.</li>\n</ul>\n\n<p><i>Please note that each case is individual and the timelines may vary based on personal health conditions and recovery 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physical work may need longer."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Early and late complications (slippage, port problems, reflux, erosion) over several years; perioperative serious events under 1%."},"contraindications":["Pregnancy","Uncontrolled severe cardiopulmonary disease or unacceptable anesthetic risk","Active untreated psychiatric illness or substance/alcohol dependence","Inability to comply with long-term dietary and follow-up requirements","Active IBD or severe hiatal hernia/reflux/esophageal disorders; often relative","Portal hypertension/cirrhosis with varices","Active gastric ulcer or untreated H. pylori (relative until treated)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Laparoscopic band placement; same-day discharge or one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light walking early; 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Maintaining results depends on lifelong lifestyle adherence and follow-up.","revision_rate_pct":{"min":10,"max":40,"unit":"percent","qualifier":"Reoperation, repositioning, conversion or band removal over 5-10 years; increases with longer follow-up."},"scars":"Several small laparoscopic incisions (about 0.5-1.5 cm) on the abdomen, plus a slightly larger one for the subcutaneous port; usually fade well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical procedure for band placement; subsequent band adjustments are follow-up care."},"stages":[{"code":"band_placement","label":"Laparoscopic band placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgery."},"success":{"metric":"Excess weight loss","value":45,"unit":"percent of excess weight","horizon":"2-3 years","population":"Adults with obesity, BMI 35+, adherent to diet and band adjustments","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic adjustable gastric banding (pars flaccida technique)","suits_whom":"Adults meeting obesity criteria who are motivated for long-term follow-up and adjustments.","recovery":"Usually 0-1 night in hospital and return to light activity within 1-2 weeks."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Operative time for laparoscopic adjustable gastric band placement."},"initial_assessment_documents":["Recent blood tests including HbA1c","Previous abdominal surgery reports","Current medication list","Upper GI endoscopy or contrast study report","ECG or cardiology report (if available)","Sleep study report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; 3-7 day stay, 0-1 hospital nights. Adjustments at 4-6 weeks done locally or on second trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that communication with the bariatric surgeon is available, because it is essential for timely care after a band","scope":"procedure","source":{"url":"https://www.aafp.org/pubs/afp/issues/2014/0515/p813.html","host":"aafp.org","quote":"Consultation and communication with the bariatric surgeon are essential for timely care.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the facility is an accredited institution, preferably a bariatric center of excellence","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism","host":"asmbs.org","quote":"Patients should undergo procedures at an accredited JCI institution or preferably a bariatric center of excellence.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical 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