Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Lap Band System

Advantages:

  • Keyhole approach. Less scarring or wound problems. Earlier return to work (1-2 weeks)
  • Adjustable: by filling port the outlet size can be reduced
  • Reversible: By removing fluid or the band.
  • No malabsorbtion
  • Lower risk

Disadvantages

  • Easy to cheat if chocolates or sweets taken.
  • Mechanical problems:
    • prolapse
    • pouch dilatation
    • food bolus obstruction
    • slippage of the stomach through the band erosion
    • infection of the band or port leak
    • Revision rate? 5 -10%
  • An entree portion forever.

Optimal pouch capacity 30 mls

Usual weight loss With Lap Band 50-60% of excess weight lost in 2 yrs

Are you one of the more than 100 million people in the United States who are overweight or obese? This disease even affects children with over 15% dealing with the struggles of being overweight. The effect on people’s health is of course, staggering, but the health care costs are also sky high, approaching $72 billion per year. Surgeries like Laparoscopic Adjustable Gastric Banding treatment help treat morbid obesity and is recognized by the National Institutes of Health (NIH) as an approach for certain patients.

The operation can last between 30 minutes and 1 hour and is performed under general anesthesia. For those who may be affected by obesity, Laparoscopic Adjustable Gastric Banding may be a viable solution.

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