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.
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.
- 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.
(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.