The Adjustable Gastric Band is a purely restrictive procedure which does not involve cutting or stapling the stomach. It limits the amount of food that can be eaten at one time.
An adjustable gastric band is placed in the upper part of the stomach, creating a small “pouch”. This is connected to a subcutaneous port that is injected with saline six week after placement, thus creating “restriction”. This reduces the amount of food that can be eaten at one time.
Advantages of the Procedure
- The gastric band allows for normal digestion and absorption
- Does not involve alteration to the natural gastrointestinal system
- Patients can expect to lose 50% of their excess weight at the end of two years
- Low risk of malnutrition
- Reversible procedure
Risks of the Procedure
- Requires an implanted medical device that must be adjusted periodically or until appropriate restriction is achieved.
- Access port issues - Leaking or twisting of the access port can occur and may require a corrective operation.
- Tubing issues - Disconnection or kinking of the tubing can occur and may require a corrective operation.
- Failure to provide the sensation that one has had enough to eat.
- Injury to the stomach or esophagus.
- Migration or slippage of the band. Patient will report increase sensation of reflux and the ability to eat larger quantities of food without restriction.
- Erosion of the band into the stomach wall.
- Enlargement or damage to the esophagus can occur if the band is too constrictive or if patients over eat and vomit on a regular basis.
- A more gradual rate and less weight loss than that typically seen with other bariatric procedures.
- Weight gain can occur if patients do not comply with the appropriate dietary guidelines. It is recommended that all patients follow up at regular intervals during the first year and yearly thereafter with the staff at the Bariatric Surgery Institute at The Medical Center of Plano. The best prevention to weight gain is early identification of maladaptive behaviors and modifying them.
- Regular follow-up is critical for optimal results.
We offer both the Lap Band ® and the Realize Band ®.
Minimally Invasive Surgery
Frequently Asked Questions