Understanding Laparoscopic Adjustable Gastric Banding
Laparoscopic Adjustable Gastric Banding (also known as Lap-Band® or AGB) is a restrictive type of bariatric surgery. That means weight loss occurs because the stomach is made smaller, not because of changes to the way food is absorbed. AGB does not involve cutting or stapling of the stomach.
WellStar bariatric surgeons are highly experienced in this safe procedure. It typically results in a loss of 45% to 55% of excess body weight over about a two-year period.
A hollow silicone ring (band) filled with saline solution is wrapped around the upper part of your stomach and locked in place. This creates a small pocket for food. The band includes an inflatable balloon connected to a tube that is connected to a port. During the procedure the port is placed on the abdominal wall so that it can be accessed in the weeks and months following the surgery. The balloon is inflated in increments until the optimal stomach outlet size restriction is achieved. The tighter the band (to a degree), the more weight loss is possible because the pouch and pouch outlet become smaller.
Bariatric surgery is an option for morbidly obese individuals who have not been successful with other weight loss methods. Your WellStar physician will discuss your situation to determine if AGB is a good choice for you. Considerations include your body mass index (BMI) and related medical conditions such as diabetes, high blood pressure, sleep apnea and/or disabling osteoarthritis. Like any bariatric surgery, AGB is not a quick fix. Patients must commit to long-term lifestyle changes including diet and exercise.
Losing weight after surgery can improve a number of serious medical conditions including Type 2 diabetes, asthma, gastroesophageal reflux disease, high blood pressure and sleep apnea.
Although gastric banding has a low complication rate, possible risks include those associated with any surgery (such as blood clots and infection). Other risks are possible slippage or erosion of the band, stomach injury or inflammation, poor nutrition and difficulty accessing the band port to loosen or tighten it. Weight regain may be greater with AGB than with other procedures, such as Roux-en-Y Gastric Bypass, also offered by WellStar.