Laparoscopic gastric banding
Gastric banding (LAGB) comprises 10-20 percent of bariatric operations performed in the U.S. A primary advantage of gastric banding is its lower risk of complications in comparison to sleeve gastrectomy or gastric bypass. After surgery, your doctor can adjust the band to make food pass more slowly or quickly through your stomach. This ability to adjust the band is a unique feature of this particular surgery.
How does it work?
During a laparoscopic gastric banding procedure, your surgeon will place a silicon 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. This can usually be performed using minimally invasive or laparoscopic techniques, allowing for smaller scars and faster recovery.
The band is attached to an access port implanted under the skin of the abdominal wall. This allows your surgeon to inflate the band to an appropriate tightness to make you feel more or less full. The band is removable, if necessary.
What are the risks?
Disadvantages of gastric banding include a failure rate that may lead to band removal in approximately 80 percent of patients over the course of several years. Rare complications include bleeding, infection and slippage of the band. Despite these issues, gastric banding can be a good choice for the right patient.
What are the benefits?
Gastric banding is the least complex operation as the stomach or intestines are not cut, removed, or bypassed. Weight loss after gastric banding ranges from 30-40% of excess weight in most patients.
OHSU Bariatric Services does not routinely place gastric bands; banding will be considered on an individual basis.