Gastric Banding | Lap Band
The adjustable gastric band provides a safe and effective way to achieve and maintain a healthier weight—without cutting or stapling your stomach. The band limits the amount of food you can eat at one time. As a result, you feel full sooner and stay satisfied longer. That makes it easier to adopt, and stick with, healthy eating and lifestyle habits.
During the gastric band procedure, the band is placed around the uppermost part of the stomach, dividing it into two parts: a small upper pouch and a lower stomach. The upper pouch can hold only about 4 ounces (1/2 cup) of food. As a result, you eat less food at one time, feel full sooner, and feel satisfied longer. The goal is to lose weight gradually, at a healthy rate of 1 to 2 pounds per week.
No part of your stomach is stapled or removed during surgery, and your intestines are not rerouted, so you can continue to absorb nutrients from food.
The band is made entirely of biocompatible materials, which means it’s able to be placed inside your body without causing harm. The side of the band that fits against your stomach is lined with a soft balloon. After the gastric banding surgery, saline (a safe fluid) is delivered into the balloon to control the band tightness.
The degree of band tightness affects how much food you can eat during a meal and the length of time it takes for food to empty from the upper pouch. When the band is adjusted to the proper tightness, you’ll feel full sooner and stay fuller longer. As the band helps you eat less food, your body will stop storing excess calories and start using its fat supply for energy.
Advantages of Gastric Banding
- Limits the amount of food that can be eaten at a meal.
- The surgery can be reversed.
- No part of the stomach or digestive system is stapled, cut, or removed; food passes through the digestive tract in the usual order, allowing it to be fully absorbed into the body.
- In a clinical trial, band patients lost an average of 38% of excess weight at one year and nearly 43 at three years.
- Shown to help resolve other conditions, such as type two diabetes, high cholesterol (LDL), and obstructive sleep apnea.
- Gastric perforation or tearing in the stomach wall may require additional operation.
- Access port leakage or twisting may require additional operation.
- May not provide the necessary feeling of satisfaction that one has had enough to eat.
- Nausea and vomiting.
- Outlet obstruction.
- Pouch dilatation.
- Band migration/slippage.
The above are in addition to the general risks of surgery. Talk with the surgeon about the possible surgical risks.
The band is for adult patients 18 years of age or older, who have morbid obesity and have failed more conservative weight loss alternatives.
The band is not for patients with medical conditions that may put them at increased risk during or after surgery, or for patients who are unwilling to make significant changes in eating and behavior patterns. If you have a hiatal hernia, it may need to be repaired before or during gastric banding surgery.