ADJUSTABLE GASTRIC BAND QUESTIONS AND ANSWERS

The following Adjustable Gastric Band questions are asked by real people like you. The answers are provided by board-certified doctors or qualified medical providers who meet our exacting standards.

Adjustable Gastric Band, also known as the lap band, is an innovative technique to place an inflatable silicone device around the upper part of your stomach to create a small pouch. It is called adjustable as the band is connected to an injection port by a soft tubing under the skin. So, it allows adjusting the tightness of the band by inflating or deflating the balloon in the band. This can be performed in the office easily and no special preparation is required.

Adjustable Gastric Band is an innovative technique to place an inflatable silicone device around the upper part of your stomach to create a small pouch. It is called adjustable as the band is connected to an injection port by a soft tubing under the skin. So, it allows adjusting the tightness of the band by inflating or deflating the balloon in the band. This can be performed in the office easily and no special preparation is required. The created orifice between the two parts of the stomach becomes smaller by adding saline to the band in which slows down the passing of food from the top to the rest of the stomach. Removing saline from the band allows more particles of food to pass rapidly.

The adjustable gastric band is considered the least invasive surgery among types of weight loss surgery. In this method, like gastric sleeve and gastric bypass surgery, you feel full after eating a small portion of food.

Yes, this can be performed in the office easily and no special preparation is required.

In laparoscopic method, an IV will be placed just in case of giving you fluids and medications during the surgery. A breathing tube will be placed through your mouth into your windpipe helping you breathe during the surgery. A catheter will be placed in your bladder to drain urine.

The surgeon will make some small incisions in the abdomen and gas will be pumped in to inflate the abdomen in order to help the surgeon to see the inside better.

A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera connected to a monitor. The surgeon performs the operation while viewing the area on this monitor.

An adjustable band is placed around the top of the stomach and tightened to create a smaller stomach area for food. The band is connected to an injection port by a soft tubing under the skin. So, it allows adjusting the tightness of the band by inflating or deflating the balloon in the band. The incisions will be closed with staples or stitches.

A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera connected to a monitor. The surgeon performs the operation while viewing the area on this monitor.

An adjustable band is placed around the top of the stomach and tightened to create a smaller stomach area for food. The band is connected to an injection port by a soft tubing under the skin. So, it allows adjusting the tightness of the band by inflating or deflating the balloon in the band. The incisions will be closed with staples or stitches.

    • Reducing the amount of food can be consumed
    • Losing excess weight of approximately 40 – 50 percent
    • Without cutting of the stomach or rerouting of the intestines
    • Shorter hospital-stay less than 24 hours, some centres discharging the patient the same day as surgery
    • Reversible and adjustable
    • The lowest rate of early postoperative complications and mortality among the approved bariatric procedures
    • The lowest risk for vitamin/mineral deficiencies
    • Slower and less early weight loss than other surgical procedures
    • Many patients fail to lose at least 50 percent of excess body weight compared to the other surgeries commonly performed.
    • Putting a foreign device which remains in the body
    • May result in possible band slippage or band erosion into the stomach in a small percentage of patients.
    • May occur mechanical problems with the band, tube, or port in a small percentage of patients.
    • Resulting in dilation of the oesophagus in the case of overeating
    • Strict adherence to the postoperative diet and to postoperative follow-up visits.
    • The highest rate of re-operation

advantages

    • Reducing the amount of food can be consumed
    • Losing excess weight of approximately 40 – 50 percent
    • Without cutting of the stomach or rerouting of the intestines
    • Shorter hospital-stay less than 24 hours, some centres discharging the patient the same day as surgery
    • Reversible and adjustable
    • The lowest rate of early postoperative complications and mortality among the approved bariatric procedures
    • The lowest risk for vitamin/mineral deficiencies

Disadvantages

    • Slower and less early weight loss than other surgical procedures
    • Many patients fail to lose at least 50 percent of excess body weight compared to the other surgeries commonly performed.
    • Putting a foreign device which remains in the body
    • May result in possible band slippage or band erosion into the stomach in a small percentage of patients.
    • May occur mechanical problems with the band, tube, or port in a small percentage of patients.
    • Resulting in dilation of the oesophagus in the case of overeating
    • Strict adherence to the postoperative diet and to postoperative follow-up visits.
    • The highest rate of re-operation

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