Laparoscopic gastric banding

lap band pictureGastric 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.