Adjustable Gastric Banding
Over the last few years, adjustable gastric banding technology has seen major developments, improving patient safety, outcomes, and lifetime success rates.
Who It’s For
Adjustable gastric banding is typically recommended for patients with a BMI of 40+ or a BMI of 30+ with comorbidities.
How It Works
In this laparoscopic procedure, the bariatric surgeon places an adjustable band at the top of the stomach, creating a small pouch that dramatically reduces the size of the stomach. The use of a band – compared to a gastrectomy – makes the procedure completely reversible and adjustable to suit the patient’s present and future needs. The size of the opening to the rest of the digestive tract can be controlled with an epidermal port.
After the band has been secured around the stomach, the internal incisions are closed with absorbable sutures and external incisions are closed with sutures, steri-strips, or staples. Patients go home the same day.
The decreased stomach size results in less food intake. However, patients still feel full after a small meal.
Benefits of Laparoscopic Adjustable Gastric Banding
There are several benefits to adjustable gastric banding. Your bariatric surgeon may recommend this procedure for the following reasons:
- No resection of the stomach means the procedure is adjustable and reversible. There is no permanent anatomical change.
- No vitamin or mineral deficiencies due to malabsorption.
- No anastomoses – or rerouting – of the intestinal tract.
- No protein-calorie malabsorption.
Risks & Drawbacks
Patients who undergo the laparoscopic adjustable gastric banding procedure usually do not experience weight loss as quickly as sleeve gastrectomy patients. With appropriate aftercare and adjustments, many patients see weight loss comparable to the results of other procedures in 3-4 years. Risks include:
- Risk of slippage or band erosion, which may necessitate a second operation.
- Risk of mechanical failure, due to port or tubing leakage.
- Routine follow-up adjustments are required.
What results can you expect with Laparoscopic Adjustable Gastric Banding?
- 42% average excess weight loss 1 year after surgery
- 55% average excess weight loss 5 years after surgery
- Remarkably low postsurgical mortality rate of 0.05%
- Low “early complications” rate of 1.5% (compared to up to 25.5% with Roux-en-Y Gastric Bypass)
- Many patients will be able to adjust or stop taking their blood pressure medications, type 2 diabetic medications, or quit their use of sleep apnea masks.
For more information about laparoscopic adjustable gastric banding surgery in West Monroe, please register for a free weight loss seminar online.