Laparoscopic Gastric Banding (the Lap-Band).
Gastric Banding usually does not require a major incision and avoids some of the major complication of gastric bypass. It uses an adjustable silicone band that is placed around the upper part of the stomach and restricts the amount of food a person can eat and gives the feeling of fullness. A small balloon-like reservoir attached to the band under the abdominal skin contains salt water that can be added or removed to tighten or loosen the band. No stomach or intestines are cut, removed, or bypassed. Because of this, no vitamin or mineral deficiencies are expected after lap banding. One 1999 study reported that after a year, patients had experienced significant weight loss and improved quality of life. At this time research studies are not available to support the claims that the Lap-Band is as good as gastric bypass over the long term (> 5 years). Long term studies are underway. Complications include bleeding, infection, and slippage or rupture of the band. Very serious complications or death are very rare (0.1-0.2%) but include blood clots, pneumonia, and perforation of the stomach. The band is removable, if necessary and studies so far indicate that the intestinal tract returns to normal.
Gastric banding may be too technically difficult to do in individuals with very high BMIs.
OHSU is the premier bariatric surgery center for the treatment of obesity in Portland, Oregon. We look forward to serving you. Please contact us at 503-494-1983.
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