Lap Band Surgery
Commonly referred to as "gastric banding," lap band surgery is a laparoscopic bariatric surgery that utilizes a device such as the Realize or LAP-BAND® System. The adjustable gastric band is wrapped around the upper part of the patient's stomach. Inflating the band restricts the passage of food into and through the stomach and reduces the amount you need to eat in order to feel full.
The lap band is adjusted after surgery. Attached to the band is a thin tube leading to an access port that is left under the skin. The access port is used by the doctor to add or remove saline. Adding saline tightens the band and makes the stomach smaller. The bariatric surgeon may remove saline if the ring is too tight.
Weight loss occurs because people get full much faster. Therefore, less food is ingested, and hopefully food remains in the smaller stomach, making the patient less hungry between meals.
The lap band is inflated in an outpatient setting, in established increments to provide continued weight loss. Weight loss results from lap band surgery average 50 percent of excess weight at 2-3 years.
Gastric banding has been performed since 1993. According to the manufacturer of the LAP-BAND® Adjustable Gastric Band, they have been placed in more than 300,000 patients worldwide. The LAP-BAND® Adjustable Gastric Band was first introduced in the United States during clinical trials and then approved for wide distribution by the FDA in 2001. The REALIZE Band® was approved by the FDA in 2008. To date, results from use of each of the bands are equivalent.
Benefits of lap band surgery:
- The device can be implanted laparoscopically.
- The intestines are not re-routed.
- It is adjustable and reversible.
- Weight loss is gradual.
- Serious complications and mortality rates are lower.
Nutritional deficiencies are less likely because absorption is not altered.
Risks of lap band surgery:
- Injury to the stomach at the time of surgery can occur.
- The band can become infected, which would require surgical removal.
- The band can “slip”, which would require further surgery to correct.
- Re-operation rate is higher than other bariatric operations.
- Weight loss is more variable.
The number of people who are dissatisfied with their weight loss
is higher than stapling procedures.
Learn more about lap band surgery by registering for one of our seminars or by calling us at 877.677.1077.