Laparoscopic gastric banding is surgery to help with weight loss. The surgeon places a band around the upper part of your stomach to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food.
After surgery, your doctor can adjust the band to make food pass more slowly or quickly through your digestive system.
See also: Gastric bypass surgery
You will receive general anesthesia before this surgery. This will make you unconscious and unable to feel pain.
The surgery is done using a tiny camera that is placed in your belly. This type of surgery is called laparoscopy. The camera is called a laparoscope. It allows your surgeon to see inside your belly. In this surgery:
When you eat after having this surgery, the small pouch will fill up quickly. You will feel full after eating just a small amount of food. The food in the small upper pouch will slowly empty into the main part of your stomach.
Weight-loss surgery may increase your risk for gallstones. Your doctor may recommend having a cholecystectomy (surgery to remove your gallbladder) before your surgery.
Weight-loss surgery may be an option if you are very obese and have not been able to lose weight through diet and exercise.
Laparoscopic gastric banding is not a â€œquick fixâ€ for obesity. It will greatly change your lifestyle. You must diet and exercise after this surgery. You may have complications from the surgery and poor weight loss if you donâ€™t.
People who have this surgery should be mentally stable and not be dependent on alcohol or illegal drugs.
This procedure may be recommended for you if you have:
Risks for any anesthesia are:
Risks for any surgery are:
Risks for gastric banding are:
Your surgeon will ask you to have tests and visits with your other health care providers before you have this surgery. Some of these are:
If you are a smoker, you should stop smoking several weeks before surgery and not start smoking again after surgery. Smoking slows recovery and increases the risks of problems. Tell your doctor or nurse if you need help quitting.
Always tell your doctor or nurse:
During the week before your surgery:
On the day of your surgery:
You will probably go home the day after your surgery. Many patients are able to return to work and begin their normal activities 1 or 2 days after going home.
The band around your stomach is filled with saline (saltwater). It is connected to a container that is placed under your skin in your upper belly. Your surgeon can make the band tighter or looser by increasing or decreasing the amount of saline in the band. To do this, your surgeon will insert a needle through your skin into an â€œaccess portâ€ in the container.
Your surgeon can make the band tighter or looser any time after you have this surgery. It may be tightened or loosened if you are:
The final weight loss with gastric banding is not as large as with gastric bypass. The average weight loss is about one-third to half of the extra weight that you are carrying. This may be enough for many patients. Talk with your doctor about which procedure is best for you.
The weight will usually come off more slowly than with gastric bypass. You should keep losing weight for up to 3 years.
Losing enough weight after surgery can improve many medical conditions you might also have. Conditions that may improve are asthma, type 2 diabetes, high blood pressure, obstructive sleep apnea, high cholesterol, and gastroesophageal disease (GERD).
Weighing less should also make it much easier for you to move around and do your everyday activities.
This surgery alone is not a solution to losing weight. It can train you to eat less, but you still have to do much of the work. To lose weight and avoid complications from the procedure, you will need to follow the exercise and eating guidelines that your doctor and dietitian gave you.
Lap-Band; LAGB; Laparoscopic adjustable gastric banding; Bariatric surgery - laparoscopic gastric banding