LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING

LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING

Laparoscopic Adjustable Gastric Banding.Laparoscopic adjustable gastric banding (LAGB), or lap banding, is a surgery that uses an adjustable band around the opening to the stomach. This reduces the amount of food that you can eat at one time.

PLEASE NOTE
THIS PROCEDURE WILL NOT BE OFFERED BY THE BLOEMFONTEIN BARIATRIC CENTRE OF EXCELLENCE.

A gastric banding procedure is a purely restrictive surgical procedure in which a band is placed around the uppermost part of the stomach.  This band divides the stomach into two portions:  one small and one larger portion.  Because food is regulated, most patients feel full faster.  Food digestion occurs through the normal digestive and absorption process.

ADVANTAGES

  • It restricts the amount of food that can be consumed at a meal.
  • Food consumed passes through the digestive tract in the usual order, allowing it to be fully absorbed into the body.
  • In a US Study, the mean weight loss at three years after surgery was 2% of excess weight.
  • Band can be adjusted to increase restriction.
  • Surgery can be reversed.

RISKS

(The following are in addition to the general risks of surgery.)

  • Gastric perforation or tearing in the stomach wall may require additional operation.
  • Access port leakage or twisting may require additional operation.
  • May not provide the necessary feeling of satisfaction that one has had “enough” to eat.
  • Nausea and vomiting
  • Outlet obstruction
  • Pouch dilatation
  • Band migrations/slippage
  • Talk with your surgeon about the possible surgical risks.