Gastric banding is a restrictive operation in which a band is placed around the outside of the upper stomach, creating a small pouch and a narrow passage into the rest of the stomach. By tightening or loosening the band, the rate that food travels from the upper to the lower stomach is controlled, and patients are satisfied by smaller meals that fill the small upper pouch.
The adjustable gastric band is surgically implanted during a short, laparoscopic procedure. A port is placed under the patient’s skin which allows for adjustments to the band after surgery by filling or removing saline. The adjustments can make it tighter, to increase weight loss, or looser, to slow down weight loss. These adjustments are done with the utmost of safety and usually do not require anything more than a visit to your bariatric surgeon’s office.
This procedure does have a slower initial weight loss than the gastric bypass, and regular follow-up is critical for success. At Rose, our Colorado LAP BAND® patients lose approximately 52% of their excess weight in the first year, and 70% of their excess weight in three years.
Some advantages to gastric banding are that it is the least invasive approach, with the lowest operative complication rate, lowest mortality rate and lowest malnutrition risk.
Gastric banding is not recommended for everyone. You should review your specific case with your surgeon to determine the right option for you. Gastric banding is FDA-approved for adults only.
There are potential risks and complications with gastric banding surgery. Although these problems rarely occur, we want you to know the facts. After gastric banding surgery, potential risks include band slippage, erosion and deflation, port-site infection, reflux, obstruction of the stomach, dilation of the esophagus, infection or nausea and vomiting may occur. Surgery complications may result in operations.